What should be noted for dilated cardiomyopathy?

Written by Liu Ying
Cardiology
Updated on September 06, 2024
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Patients with dilated cardiomyopathy should actively look for the cause of the disease and provide corresponding treatments, such as controlling infections, strictly limiting or abstaining from alcohol, treating relevant endocrine or autoimmune diseases, correcting electrolyte disorders, and improving nutritional imbalances, etc. In the early stages of dilated cardiomyopathy, although there is already enlargement of the heart and impairment of contractile function, there are no clinical manifestations of heart failure. At this stage, early pharmacological intervention should be actively implemented to slow down ventricular remodeling and further damage to the myocardium, delaying the progression of the disease. As the condition progresses, the patient's ventricular contractile function further decreases and clinical manifestations of heart failure appear. At this point, treatment should follow the guidelines for chronic heart failure. However, the specifics of the treatment and the choice of medication should be determined by a specialist based on the patient’s condition.

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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.

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Which department should I register for cardiomyopathy?

Cardiomyopathy is a common disease in our daily lives, characterized primarily by changes in the myocardium. After being diagnosed with cardiomyopathy, many patients often ask which department they should register with at the hospital. Generally speaking, cardiomyopathy falls under cardiovascular diseases, so registration should be with the department of cardiology. Cardiologists often prescribe a cardiac echocardiogram to diagnose myocardial diseases. Conditions such as hypertrophic cardiomyopathy or dilated cardiomyopathy require a cardiac echocardiogram for detection, which is the most commonly used examination for cardiomyopathy.

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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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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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The difference between cardiomyopathy and coronary heart disease

Cardiomyopathy refers to a type of disease characterized primarily by organic changes in the myocardium, such as dilated cardiomyopathy, hypertrophic cardiomyopathy, and restrictive cardiomyopathy. These diseases are characterized mainly by pathological changes in the myocardium itself, forming a category of heart diseases. In contrast, coronary heart disease often refers to a type of heart disease caused by the narrowing of the coronary arteries due to atherosclerosis, leading to insufficient blood supply to the heart. Cardiomyopathy often manifests as damage to the myocardium, while coronary heart disease often manifests as blockage of the blood vessels. This is the fundamental difference between these two categories of heart diseases.