Get answers to your Heart Failure questions.
Cardiomyopathy is a weakening of the heart muscle or a change in the heart muscle. It often occurs when the heart cannot pump as well as it should, or with other heart function problems.
Most patients with cardiomyopathy have heart failure.
Common types of cardiomyopathy include:
Common causes of cardiomyopathy are:
For more information on the different types of cardiomyopathy, see also:
The conditions that cause dilated cardiomyopathy are treated. Heart failure is treated by:
See also: Heart failure
A cardiac catheterization may be done to see if you need coronary artery bypass (CABG) surgery or a balloon procedure (angioplasty), whcih can immprove blood flow to the damaged or weakened heart muscle. It may also be done to measure pressures and check your heat function (called right-heart catheterization).
If you have tried all of the standard treatments and still have very severe symptoms, you may need a heart transplant. Recently, implantable artificial heart pumps have been developed. However, very few patients are able to have this advanced treatment.
The outlook depends on many different things, including:
Often, you can control heart failure with medicine, lifestyle changes, and by treating the condition that caused it.
Heart failure may suddenly become worse due to:
Heart failure is usually a long-term (chronic) illness. It may get worse over time. Some people develop severe heart failure that medicines, surgery, and other treatments can no longer help.
Patients with certain types of cardiomyopathy and heart failure are at risk for dangerous heart rhythm problems.
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.
Hare JM. The dilated, restrictive, 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.
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