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Home > Medical Reference > Encyclopedia (English)

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Ischemic cardiomyopathy - Treatment

Alternative Names

Ischemic heart disease; Cardiomyopathy - ischemic

Treatment:

The goal of treatment is to relieve symptoms and treat the cause of the condition. If symptoms are severe, you may need to stay in the hospital.

A cardiac catheterization will be done to see if you can have bypass surgery or a balloon procedure (angioplasty). These treatments can improve blood flow to the damaged or weakened heart muscle.

The overall treatment of cardiomyopathies is focused on treating heart failure.

See also: Heart failure

Drugs and treatments that may be used include:

  • ACE inhibitors such as captopril, enalapril, lisinopril, and ramipril
  • Angiotensin receptor blockers (ARBs) such as losartan and candesartan
  • Diuretics, including thiazide, loop diuretics, and potassium-sparing diuretics
  • Digitalis glycosides
  • Beta-blockers such as carvedilol and metoprolol
  • Drugs that dilate blood vessels (vasodilators)

Some people may benefit from the following heart devices:

  • Single or dual chamber pacemaker
  • Biventricular pacemaker
  • Implantable cardioverter-defibrillator
  • Left ventricular assist device (LVAD)

A low-salt diet may be prescribed for adults. Fluid may be restricted in some cases. You can usually continue your regular activities, if you are able.

If you smoke or drink alcohol excessively, stop doing so. These habits increase stress on the heart.

You may be asked to monitor your body weight daily. Weight gain of 3 or more pounds over 1 or 2 days may indicate fluid buildup (in adults).

A heart transplant may be recommended for patients who have failed all the standard treatments and still have very severe symptoms. Recently, implantable, artificial heart pumps have been developed. However, very few patients are able to undergo either of these advanced treatments.

Expectations (prognosis):

This is a very serious disorder. It is a chronic illness that usually gets worse over time. Infection and other stress on your body from other medical illnesses will also cause symptoms to get worse.

It is very important to discuss your situation with your doctor to ensure that you can improve it as much as possible. You can control symptoms of heart failure and angina with medication, lifestyle changes, and by treating any underlying disorder.

Complications:

Calling your health care provider:

Go to the emergency room or call 911 if:

  • You have symptoms of ischemic cardiomyopathy
  • You have chest pain that is not relieved by rest or nitroglycerin
  • Reviewed last on: 4/23/2009
  • Alan Berger, MD, Assistant Profesor, Division of Cardiology and Epidemiology, University of Minnesota, Minneapolis, MN. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Hunt SA, Abraham WT, Chin MH, et al. ACC/AHA 2005 Guidelines Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation. 2005;112:e154-e235.

Dickstein K, Cohen-Solal A, Filippatos G, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur Heart J. 2008;29:2388-2442.

Hare JM. The dilated, restrictive, and infiltrative cardiomyopathies. In: Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa; Saunders Elsevier;2007:chap 64.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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