Cardiomyopathy - Dilated Cardiomyopathy

Dilated Cardiomyopathy

It is a most common cardiomyopathy.

Etiology:
  • Idiopathic
  • Left ventricular dilatation and systolic dysfunction
  • Ischemia
  • Long-standing hypertension
  • Alcohol
  • Wet beriberi
  • Coxsackievirus
  • Chagas' disease
  • Parasites
  • Cocaine
  • Myocarditis
  • Doxorobicin
  • HIV
  • AZT use

Diagnosis
It can be diagnosed by:
  • Echocardiography
  • ECG: nonspecific ST-T changes, low-voltage QRS, sinus tachycardia, ectopy, LBBB
  • X-ray: enlarged, baloon-like heart and pulmonary congestion

Treatments:
  • Stop the consumption of alcohol
  • Anticoagulation to decrease thrombus risk
  • Implantable cardiac defibrillator

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