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Dilated cardiomyopathy - Treatment

Alternative Names

Cardiomyopathy - dilated

Treatment:

Treatment for cardiomyopathies focuses on treating heart failure. They include:

  • Making important changes in your lifestyle
  • Knowing your body and the symptoms of heart failure
  • Taking medicines for heart failure
  • A pacemaker to help treat slow heart rates or help your heart contract in a more coordinated fashion
  • A defibrillator that recognizes life-threatening, abnormal heart rhythms and sends an electrical pulse to stop them

See also: Heart failure

Cardiac catheterization might be done to see if you may benefit from coronary artery bypass (CABG) surgery or a balloon procedure (angioplasty), which could improve blood flow to the damaged or weakened heart muscle.

A heart transplant may be recommended for patients who have failed all the standard treatments and still have very severe symptoms.

Expectations (prognosis):

The outcome varies. Some people remain in a stable condition for long periods of time, some continue to gradually get sicker, and others quickly get worse. Cardiomyopathy can only be corrected if the disease that caused it can be cured.

About one-third of children recover completely, one-third recover but continue to have some heart problems, and one-third die.

Complications:

Calling your health care provider:

Call your health care provider if you have symptoms of cardiomyopathy.

If chest pain, palpitations, or faintness develop seek emergency medical treatment immediately.

  • Reviewed last on: 5/23/2011
  • David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Michael A. Chen, MD, PhD, Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington.

References

Hare JM. The dilated, restrictive, and infiltrative cardiomyopathies. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 68.

Wexler RK, Elton T, Pleister A, Feldman D. Cardiomyopathy: An overview. Am Fam Physician. 2009;79:778-784.

Bernstein D. Diseases of the myocardium. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 439.

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