Is often referred to as congestive cardiomyopathy.

Can account for approximately 25% of cases of Congestive Heart Failure

Presentation is often very similar to CHF.

Causes the heart to become less efficient due to enlargement of Heart and weakened cardiac muscle.

Subsequent affected organs include heart, liver, lungs, brain, and others.

Can be caused by genetics, chronic alcohol use, myocarditis, infections, toxic agents, and often no cause can be found.

Symptoms/Signs
   -    Cough 
   -    Arrhythmia’s
   -    Edema
   -    Heart murmur
   -    Cyanosis

EKG – Can be helpful but often non-specific
Chest X-ray shows enlarged heart, possible pleural effusion and possible heart failure
Echocardiogram is necessary to confirm diagnosis.
Doppler can be helpful
Radionuclide ventriculography provides a noninvasive technique
Cardiac MRI can help with diagnosis

Treatment
•         ACE Inhibitors
•         Beta-blockers
•         Diuretics
•         Aldosterone Antagonist
•         Digoxin
• ***Avoid Calcium Channel Blockers

Prognosis
   •    Some patients do well while others seem to deteriorate
   •    Cardiac Transplant may be necessary
   •    Artifical pacemakers may be necessary

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