Signs, Symptoms, Investigations and Management of Dilated Cardiomopathy

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Short Description of Dilated Cardiomyopathy

A dilated flabby heart with normal structure of the coronary arteries is known as Dilated Cardiomopathy. This can happen due to sudden decrease of blood supply to the muscles of the heart as in Ischaemic heart disease and heart attack (also known as mocardial infarction).

Many a times patients with Dilated Cardiomopathy will not have an kind of Angina (Pain) in the chest region or it may also develop as a sudden acute pain in the chest.

Who are the people susceptible for the swelling of the heart?

People with excessive alcohol intake, hypertension (Increased blood pressure), viral kind of infections affecting the heart, autoimmune diseases (the normal healthy kind of cells kill themselves).

What are the symptoms of Dilated Cardiomyopathy?

The valves of the heart (The tricuspid and mitral) are dilated and loosened and also the string like muscles inside the ventricles of the heart (papillary muscles) fail to keep the valves in position. Due to this the blood flows in the opposite course of normal direction. This leads to further swelling of the heart causing more pain in the heart region.

What are the Complications of Dilated Cardiomyopathy?

Systemic or pulmonary Embolism - Blockage of the blood vessels. Sudden shooting up of Blood pressure and Pulse rate. But normally the patient has a low blood pressure.

What are the Signs of Dilated Cardiomyopathy?

  • Low blood pressure.
  • Patient's appearance is cyanosed.
  • Pulse is very feeble to touch and is very slow.
  • Swelling of the liver with Jaundice type of appearance.

What are the investigations of Dilated Cardiomyopathy?

Chest X-Ray

- Should show the enlargement of the heart along with swelling of the lungs and sometimes that of Liver or the Diaphragm may may pushed up.


- Small R Wave in the ECG.


- Large left and right ventricles with poor movement of the heart muscles (Contraction and dilatation).

2D Echo

- May show Mural Thrombus

What is the Management of a patient with Dilated Cardiomyopathy?

  • Complete and prolonged bed rest is required.

  • Rush to the Hospital and get all Investigations done to determine the severity of the disease.

  • Fluids should be restricted.


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