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Cardiomyopathy

Writer's picture: Ayan AnsariAyan Ansari

Cardiomyopathy is a disease of the heart muscle that makes it harder for your heart to pump blood to the rest of your body. Cardiomyopathy can lead to heart failure. The main types of cardiomyopathy include dilated, hypertrophic, and restrictive cardiomyopathy. Treatment — which might include medications, surgically implanted devices or, in severe cases, a heart transplant — depends on which type of cardiomyopathy you have and how serious it is.

According to the Mayo Clinic, the symptoms that come with this disease are breathlessness with exertion or even at rest, swelling of the legs, ankles and feet, bloating of the abdomen due to fluid buildup, coughing while lying down, heartbeats that feel rapid, pounding or fluttering, chest discomfort or pressure, dizziness, lightheadedness and fainting, and fatigue.

Often the cause of cardiomyopathy is unknown. In some people, however, it's the result of another condition (acquired) or passed on from a parent (inherited). Causes are long-term high blood pressure, heart tissue damage from a heart attack, chronic rapid heart rate, heart valve problems, metabolic disorders, such as obesity, thyroid disease or diabetes, nutritional deficiencies of essential vitamins or minerals, such as thiamin (vitamin B-1), pregnancy complications, drinking too much alcohol over many years, use of cocaine, amphetamines or anabolic steroids, use of some chemotherapy drugs and radiation to treat cancer, certain infections, especially those that inflame the heart, iron buildup in your heart muscle (hemochromatosis), a condition that causes inflammation and can cause lumps of cells to grow in the heart and other organs (sarcoidosis), a disorder that causes the buildup of abnormal proteins (amyloidosis), connective tissue disorders, and the recent one, infection with COVID-19.


There are 4 types of cardiomyopathy. The first one is Dilated cardiomyopathy. In this type of cardiomyopathy, the pumping ability of your heart's main pumping chamber — the left ventricle — becomes enlarged (dilated) and can't effectively pump blood out of the heart. Although this type can affect people of all ages, it occurs most often in middle-aged people and is more likely to affect men. The most common cause is coronary artery disease or heart attack.,

The second one is known as Hypertrophic cardiomyopathy. According to Mayo Clinic, “This type involves abnormal thickening of your heart muscle, particularly affecting the muscle of your heart's main pumping chamber (left ventricle). The thickened heart muscle can make it harder for the heart to work properly”. Hypertrophic cardiomyopathy can develop at any age, but the condition tends to be more severe if it becomes apparent during childhood. Most affected people have a family history of the disease, and some genetic mutations have been linked to hypertrophic cardiomyopathy.

The third one is Restrictive cardiomyopathy. In this type, the heart muscle becomes rigid and less elastic, so it can't expand and fill with blood between heartbeats. This least common type of cardiomyopathy can occur at any age, but it most often affects older people.

Restrictive cardiomyopathy can occur for no known reason (idiopathic), or it can be caused by a disease elsewhere in the body that affects the heart, such as when iron builds up in the heart muscle (hemochromatosis).

The final one is known as Arrhythmogenic right ventricular dysplasia. In this rare type of cardiomyopathy, the muscle in the lower right heart chamber (right ventricle) is replaced by scar tissue, which can lead to heart rhythm problems. It's often caused by genetic mutations.

According to Mayo Clinic, complications of cardiomyopathy are, “ The first one is heart failure. Your heart can't pump enough blood to meet your body's needs. Untreated, heart failure can be life-threatening. Second one is blood clots. Because your heart can't pump effectively, blood clots might form in your heart. If clots enter your bloodstream, they can block the blood flow to other organs, including your heart and brain. The third one is valve problems. Because cardiomyopathy causes the heart to enlarge, the heart valves might not close properly. This can lead to a backward flow of blood. The final one is cardiac arrest and sudden death. Cardiomyopathy can lead to abnormal heart rhythms. These abnormal heart rhythms can result in fainting or, in some cases, sudden death if your heart stops beating effectively”.

You can help reduce your chance of cardiomyopathy and other types of heart disease by living a heart-healthy lifestyle and making lifestyle choices such as: avoiding the use of alcohol or cocaine, controlling high blood pressure, high cholesterol and diabetes, eating a healthy diet, getting regular exercise, getting enough sleep, and reducing your stress.

 
 
 

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