Cardiomyopathy is a disease that restricts the heart muscles from uninterrupted supply of blood. Cardiomyopathy can prompt heart failure. The principle kinds of cardiomyopathy incorporate dilated, hypertrophic and prohibitive cardiomyopathy. Treatment — which may incorporate drugs, surgically embedded gadgets or, in extreme cases, a heart relocate — relies upon which kind of cardiomyopathy you have and how genuine it is.
Cardiomyopathy Side Effects
There may be no signs or indications in the early phases of cardiomyopathy. However, as the condition advances, signs and indications generally appear, including:
- Shortness of breath with effort or even very still
- Growing of the legs, lower legs and feet
- Swelling of the mid-region because of liquid development
- Severe cough while resting
- Exhaustion
- Heartbeats that vibe rapid, beating or rippling
- Chest distress or pressure
- Wooziness, and swooning
Signs and manifestations will in general deteriorate except if treated. In certain individuals, the condition deteriorates rapidly; in others, it probably won't deteriorate for quite a while.
Treatment Of Cardiomyopathy
The objectives of cardiomyopathy treatment are to deal with your signs and indications, keep your condition from declining, and lessen your danger of complexities. Treatment shifts by which sort of cardiomyopathy you have.
Your primary care physician may endorse meds to improve your heart's siphoning capacity, improve blood stream, lower blood pressure, moderate your heart rate, eliminate abundance liquid from your body or keep blood clumps from framing.
Make sure to talk about conceivable results, reaction, and all necessary details with your doctor prior to taking any of these medications.
Surgery
Kinds of surgery used to treat cardiomyopathy include:
In this surgery, the specialist eliminates some portion of the thickened heart muscle (septum) that isolates the two base heart chambers (ventricles). Eliminating some portion of the heart muscle improves blood course through the heart and lessens mitral valve disgorging.
Cardiomyopathy:
Cardiomyopathy is a progressive disease of the myocardium, or heart muscle. In most cases, the heart muscle weakens and is unable to pump blood to the rest of the body as well as it should.
There are many different types of cardiomyopathy, caused by a range of factors, from coronary heart disease to certain drugs. Cardiomyopathy can lead to an irregular heartbeat, heart failure, or other complications.
Cardiomyopathy types and complications
Dilated cardiomyopathy
- Most common form
- Damaged heart muscles lead to an enlarged and floppy heart
- Heart stretches as it tries to compensate for weakened pumping action
- Often produces signs of congestive heart failure, such as breathlessness and fluid retention
- Can lead to the formation of clots
- Rarely, can occur after pregnancy, this is known as peripartum cardiomyopathy
Hypertrophic cardiomyopathy (HCM)
- Second most common form; most often inherited
- Causes heart wall to thicken, leaving less space for blood in the chambers and making the heart work harder to pump blood out
- Can affect people of all ages
Restrictive cardiomyopathy
- Causes portions of the heart wall to become rigid and lose flexibility
- Heart chambers are unable to fill with blood properly because of stiffness in the heart
Causes
Healthcare professionals may categorize cardiomyopathy based on the general cause. These two categories are:
- Ischemic cardiomyopathy, caused by heart attacks or coronary artery disease (CAD).
- Non-ischemic cardiomyopathy, types unrelated to CAD.
Sometimes, experts don't know the cause of cardiomyopathy (idiopathic). Some factors or conditions can increase your risk of cardiomyopathy, including:
- Autoimmune diseases, such as connective tissue diseases.
- Conditions that damage the heart, such as high cholesterol diseases, hemochromatosis or sarcoidosis.
- Endocrine conditions, such as diabetes or thyroid disease.
- Family history of heart failure, cardiomyopathy or sudden cardiac arrest.
- Previous heart attacks.
- Pregnancy.
Symptoms
The symptoms of all types of cardiomyopathy tend to be similar. In all cases, the heart can’t adequately pump blood to the tissues and organs of the body. It can result in symptoms such as:
- general weakness and fatigue
- shortness of breath, particularly during exertion or exercise
- lightheadedness or dizziness
- chest pain
- heart palpitations
- fainting spells
- high blood pressure
- a bloated abdomen
- coughing when lying down
- edema, or swelling, of your feet, ankles, legs, or other body parts
Diagnosis
Your health care provider is likely to perform a physical examination and ask questions about your personal and family medical history. You'll also be asked when your symptoms occur — for example, whether exercise triggers your symptoms. If your provider thinks you have cardiomyopathy, several tests may be done to confirm the diagnosis, including:
- Chest X-ray: An image of the heart will show whether it's enlarged.
- Echocardiogram: This test uses sound waves to create images of the heart, which show its size and its motions as it beats. This test checks the heart valves and helps determine the cause of symptoms.
- Electrocardiogram (ECG): In this noninvasive test, electrode patches are attached to the skin to measure electrical signals from the heart. An ECG can show disturbances in the electrical activity of the heart, which can detect irregular heart rhythms and areas of injury.
- Treadmill stress test: Heart rhythm, blood pressure and breathing are monitored while walking on a treadmill. This test can evaluate symptoms, determine exercise capacity and whether exercise triggers irregular heart rhythms.
- Cardiac catheterization: A thin tube (catheter) is inserted into the groin and threaded through blood vessels to the heart. Pressure within the chambers of the heart can be measured to see how forcefully blood pumps through the heart. Dye can be injected through the catheter into blood vessels to make them more visible on X-rays (coronary angiogram). Cardiac catheterization can reveal blockages in blood vessels.
- This test might also involve removal of a small tissue sample (biopsy) from the heart for laboratory analysis.
- Cardiac MRI: This test uses magnetic fields and radio waves to create images of the heart. A provider might order a cardiac MRI if the images from an echocardiogram aren't helpful in making a diagnosis.
- Cardiac CT scan: This involves lying on a table inside a doughnut-shaped machine. An X-ray tube inside the machine rotates around the body and collects images of the heart and chest to assess heart size and function and the heart valves.
- Blood tests: Several blood tests might be done, including those to check kidney, thyroid and liver function and to measure iron levels.One blood test can measure B-type natriuretic peptide (BNP), a protein produced in the heart. A blood level of BNP might rise during heart failure, a common complication of cardiomyopathy.
- Genetic testing or screening: Cardiomyopathy can be passed down through families (inherited). Ask your health care provider if genetic testing is right for you. Family screening or genetic testing might include first-degree relatives — parents, siblings and children