Dilated cardiomyopathy clinical manifestations

Written by Liu Yong
Cardiology
Updated on September 20, 2024
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Dilated cardiomyopathy is a type of heart disease characterized clinically by a significant enlargement of the heart, a marked reduction in ejection fraction, and a significant decline in heart function. Common clinical manifestations of this disease often present as heart failure symptoms, including chest tightness and shortness of breath after activity, nocturnal paroxysmal breathing difficulties, inability to lie flat, as well as swelling of the lower limbs and abdominal wall, and even conditions such as pleural effusion and ascites. Additionally, it may be associated with various types of arrhythmias, such as premature beats and tachycardia, especially ventricular tachycardia, which are all manifestations of dilated cardiomyopathy.

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Written by Li Hai Wen
Cardiology
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Do you need to take medication for a long time for dilated cardiomyopathy?

Patients with dilated cardiomyopathy need long-term or even lifelong medication because dilated cardiomyopathy is an incurable disease that requires medication to properly control the onset of heart failure symptoms. The symptoms of heart failure due to dilated cardiomyopathy can easily recur, leading to repeated hospitalizations, often related to the patient's irregular medication use or arbitrary discontinuation of medication. Therefore, patients with dilated cardiomyopathy must take medication under a doctor's guidance for long periods, such as using diuretics and medication like sustained-release metoprolol, etc. At the same time, it is important to maintain good living habits, a low-salt diet, a good emotional state, and conduct moderate exercise under stable conditions.

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Written by Li Hai Wen
Cardiology
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Do you have to take medication for life for dilated cardiomyopathy?

Dilated cardiomyopathy refers to a disease characterized by an enlarged heart, especially significant enlargement of the left ventricle, along with a severe reduction in the heart's ejection fraction. Those diagnosed with dilated cardiomyopathy generally require long-term, and possibly lifelong, medication management. This includes diuretic medications such as furosemide or spironolactone, and β-blocker agents such as metoprolol or bisoprolol. These medications can effectively improve symptoms of heart failure caused by dilated cardiomyopathy, enhance quality of life, and even extend lifespan. Therefore, it is crucial for patients with dilated cardiomyopathy to take medications as prescribed by a doctor and not to discontinue them arbitrarily.

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Written by Li Hai Wen
Cardiology
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Can myocarditis cause dizziness?

Cardiomyopathy is a fairly common disease in our daily lives. From a medical perspective, cardiomyopathy can usually be divided into dilated cardiomyopathy, hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, and restrictive cardiomyopathy. When cardiomyopathy is present for a long time, it may cause a decline in the heart’s pumping function, leading to a reduction in cardiac output and resulting in heart failure. In such cases, due to insufficient blood supply to the brain, patients often experience symptoms of dizziness. If diagnosed with cardiomyopathy, under the guidance of a doctor, regulated medication can often significantly improve symptoms, including dizziness. (Specific medication usage should be conducted under the guidance of a doctor; do not self-medicate.)

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Written by Xie Zhi Hong
Cardiology
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Is dilated cardiomyopathy the same as heart disease?

Heart disease is divided into several major categories: the first category is cardiovascular disease, the second category is arrhythmia disorders, which are those caused by abnormalities indicated on an electrocardiogram, and the third category is caused by cardiac structural issues, such as dilated cardiomyopathy, which is a heart disease caused by structural problems in the heart. Therefore, we should understand that dilated cardiomyopathy is actually a type of heart disease; it is not the same. Thus, this question is relatively easy to answer, as dilated cardiomyopathy is just one type of heart disease.

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Written by Zhang Yue Mei
Cardiology
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Can people with cardiomyopathy run?

Whether a person with myocardial disease can run or not depends on the extent of myocardial damage and clinical symptoms. If the myocardial damage is severe and there are significant clinical symptoms of heart failure and arrhythmia, this group should not run and needs bed rest. If strenuous activity would worsen heart failure, the myocardial damage is mild, with no typical clinical symptoms, and does not affect daily activities, this group can engage in appropriate exercises like walking or running, but the duration should not be too long, about 20 to 30 minutes each time.