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.
Can be caused by genetics, chronic alcohol use, myocarditis, infections, toxic agents,Â and often no causeÂ can beÂ found.
Â Â -Â Â Â CoughÂ
Â Â -Â Â Â Arrhythmia’s
Â Â -Â Â Â Edema
Â Â -Â Â Â Heart murmur
Â Â -Â Â Â Cyanosis
EKG â€“ 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
â€¢Â Â Â Â Â Â Â Â ACE Inhibitors
â€¢Â Â Â Â Â Â Â Â Beta-blockers
â€¢Â Â Â Â Â Â Â Â Diuretics
â€¢Â Â Â Â Â Â Â Â Â Aldosterone Antagonist
â€¢Â Â Â Â Â Â Â Â Digoxin
â€¢ ***Avoid Calcium Channel Blockers
Â Â â€¢Â Â Â Some patients do well while others seem to deteriorate
Â Â â€¢Â Â Â Cardiac Transplant may be necessary
Â Â â€¢Â Â Â Â Artifical pacemakersÂ may be necessary