Cardiomyopathy - Primary Disorder of Heart Muscle

Cardiomyopathy is a primary disorder associated with unknown cause of heart muscle that there are three types of cardiomyopathy i.e. dilated cardiomyopathy, restrictive cardiomyopathy and hypertrophic cardiomyopathy.

Management of dilated cardiomyopathy is satisfactory if it is started in the asymptomatic stage and if the causes of the cardiomyopathy is reversible cause.

Treatment of restrictive cardiomyopathy is not satisfactory. Nature of the treatment and treatment of hypertrophic cardiomyopathy is controversial. Myocardities is mainly cause by coxackie birus and about one third of the patient recover completely.

Cardiomyopathy is a primary disorder of heart muscle that may cause cardiac dysfunction and is not related to any obvious disease process. It is heart muscle disease of unknown cause or association.

1) The ventricles and atria are dilated without much hypertrophy and the ejection fraction is depressed.

2) A 3rd heart sound is common with accentuation of the pulmonary component of the 2nd sound from pulmonary hypertension.The presence of LBBB or RBBB can alter the second sound. If mitral and tricuspid regurgitation are present then the corresponding murmurs may be heard.

3) Left and biventricular failure, hypotension. Arrhythmias (both atrial and ventricular) and embolic episodes from LV thrombi.

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