Definition
Dilated cardiomyopathy (DCM) is a type of mechanical disease of the heart where walls of the heart get stretched out and become thin, causing a decreased contraction and systolic heart failure in severe cases.
Etiology- Ischemia to myocardium
- Valve disease
- Infectious
- Metabolic
- Alcohol use
- Autoimmune
- Toxin exposure
- Dyspnoea on exertion
- Orthopnea
- Fatigue
- Exercise intolerance
- Peripheral oedema
- Weight changes
- Palpitation
- Syncope
- Chest X-ray
- Echocardiogram
- Cardiac MRI
- Medication: Beta-blockers, Calcium channel blockers, ACE inhibitors, ARBs, Diuretics
- Mechanical circulatory support in severe cases
- Heart transplant in severe cases