Dilated cardiomyopathy
Alternate Names : Cardiomyopathy - dilated
Treatment
When the cause of the dilated cardiomyopathy can be found, that condition is treated. For example, if alcohol or cocaine use is the cause, your doctor will ask you to stop drinking alcohol or using cocaine. Often, no specific cause can be found. Attempts are also made to find a "trigger" that may have caused a sudden worsening in a patient's symptoms. Examples include not taking medication correctly, increasing salt or fluid intake, or drinking excess alcohol.
Treatment for cardiomyopathies focuses on treating 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)
See also: Heart failure Some people may benefit from the following heart devices: A low-salt diet may be prescribed for adults, and fluid may be restricted in some cases. You can usually continue your regular activities, if you are able. You may be asked to monitor your body weight daily. Weight gain of 3 pounds or more over 1 or 2 days may indicate fluid buildup (in adults). Avoid smoking and drinking alcohol, which may make the symptoms worse. If the heart function remains poor, a heart transplant may be considered.
Prognosis (Expectations)
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.
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