Policy, Cleveland Clinic is a non-profit academic medical center. Whether the cause of cardiomyopathy is genetic or not, it should generally help to: eat a healthy diet and do gentle exercise; quit smoking (if you smoke) To manage heart failure, most people improve by taking a beta-blocker and ACE inhibitor even when not having symptoms. The treatment of cardiomyopathy depends on its cause. Don't smoke. Angiotensin-converting enzyme (ACE) inhibitors 2. Dilated cardiomyopathy (DCM) can be inherited, but it is primarily caused by severe coronary artery disease, alcoholism, thyroid disease, diabetes, viral infections of the heart, heart valvue abnormalities, toxic drugs. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Depending on your symptoms, you might need two or more of these drugs. If you have dilated cardiomyopathy, these self-care strategies may help you manage your symptoms: If you think you may have dilated cardiomyopathy or are worried about your risk because of a family history, make an appointment with your family doctor. Treatments may include lifestyle changes, medications, or surgery. Dilated cardiomyopathy. Drugs that have proved useful in the treatment of heart failure and dilated cardiomyopathy include: Angiotensin-converting enzyme (ACE) inhibitors. With … New York, N.Y.: The McGraw-Hill Companies; 2016. http://accessmedicine.mhmedical.com. You can feel confident in your care, because we bring together a team of cardiologists, electrophysiologists, genetic counselors, advanced practice providers, nurses, and other experts to work together on your behalf. Treatment may also be suggested in order to improve blood flow and prevent further damage to your heart. 2. Dilated cardiomyopathy (DCM) is the most common type of nonischemic cardiomyopathy. For dilated cardiomyopathy, some basic questions include: Your doctor is likely to ask you a number of questions, including: Mayo Clinic does not endorse companies or products. Here are some of the more common treatments: 1. Dilated cardiomyopathy (DCM) in cats is a heart disease of the ventricular muscle, which prevents the organ from moving blood out of the bottom of the heart at full capacity. 2  Eat a heart-healthy diet 1. If you have dilated cardiomyopathy: 1. Preparing a list of questions will help you make the most of your time with your doctor. Accessed May 24, 2017. Acquired causes include myocarditis and exposure to alcohol, drugs and toxins, and metabolic and endocrine disturbances. Both devices may be combined in a single unit, usually labeled CRT-D. Last reviewed by a Cleveland Clinic medical professional on 04/29/2019. Read about causes, symptoms, and treatment of dilated cardiomyopathy. Once diagnosed, the primary goal is to improve cardiac function and reduce symptoms. Treatment of dilated cardiomyopathy is essentially the same as treatment of chronic heart failure (CHF). 8th ed. How can I best manage them together? Eat a healthy diet, especially a low-salt (sodium) diet. Talk to your doctor about what activities would be safe and beneficial for you. Patients usually take several medications to treat DCM. Beta-blockers 4. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. This content does not have an English version. What's an appropriate level of physical activity? Dilated cardiomyopathy (a form of heart failure in which the left ventricle becomes enlarged) can be treated by adjusting your diet, activity level, and making other lifestyle changes. 2016 Dec 6;134(23):e579-e646. Exercise stress test. Medications that prolong life in people with dilated cardiomyopathy. Angiotensin receptor blockers 4. Eventually, you may be referred to a heart specialist (cardiologist). Other medications will be added as needed. Get information about ischemic cardiomyopathy. If you're unable to exercise, you may be given medication to create stress on your heart. Some people may need to have a pacemaker or an ICD (implantable cardioverter defibrillator) fitted. The latest information about heart & vascular disorders, treatments, tests and prevention from the No. Advertising revenue supports our not-for-profit mission. What, if anything, seems to improve your symptoms? New York, N.Y.: McGraw-Hill Education; 2017. http://accessmedicine.mhmedical.com. For example, if you have an arrhythmia, your doctor may give you a medication to control your heart rate or lessen the occurrence of arrhythmia. Have your symptoms been continuous or occasional? The ventricles then enlarge (dilate) because their muscular walls have become weak and floppy. 4. Others who are … However, because there is a very small risk of getting a life-threatening abnormal heart rhythm, a small proportion of people with dilated cardiomyopathy are at risk of sudden cardiac death. In 2015 cardiomyopathy and myocarditis affected 2.5 million people. Treatment varies depending on how damaged your heart is due to cardiomyopathy and the resulting symptoms. Cardiac catheterization. 5. Your doctor may refer you to a heart specialist (cardiologist) for testing. Treatment is directed at the cause. This procedure may involve having a dye injected into your coronary arteries to help your doctor study your coronary arteries (coronary angiography). Dilated cardiomyopathy. The diagnosis may be supported by an electrocardiogram, chest X-ray, or echocardiogram. Tintinalli JE, et al. Fuster V, et al, eds. Or, blood thinners may be used to prevent blood clots from occurring. 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