Description
Cardiomyopathy is a weakening of the heart muscle which reduces how forceful it can pump. It is often associated with congestive heart failure and arrhythmias. Cardiomyopathy may be caused by alcoholism, heart attacks, heart valve abnormalities, viral infections, high blood pressure, nutritional deficiencies, inflammatory diseases, and after delivering a baby. Cocaine abuse and certain chemotherapy drugs can also cause cardiomyopathy.
Symptoms
Shortness of breath, weakness, fainting, racing heart, swollen legs, swollen abdomen, decreased urine output.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. An echocardiogram will be done to determine the severity of the cardiomyopathy. Blood tests will be done to identify the cause. Nuclear medicine stress test and/or angiogram may be performed to identify coronary artery blockages.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), Electrocardiogram (EKG), Troponin, X-ray
Other Specific Tests: Echocardiogram
Specialists:
Cardiology, Pediatric Cardiology
Workup:
A history and physical exam will be performed. An echocardiogram will be done to determine the severity of the cardiomyopathy. Blood tests will be done to identify the cause. Nuclear medicine stress test and/or angiogram may be performed to identify coronary artery blockages.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), Electrocardiogram (EKG), Troponin, X-ray
Other Specific Tests: Echocardiogram
Specialists:
Cardiology, Pediatric Cardiology
Treatment
Treatment includes: diuretics (Lasix, Bumex, HCTZ) to remove excess fluid, drugs to optimize the work of the heart, blood pressure medications to control the blood pressure, and an internal defibrillator if arrhythmias are present.