Treatment FAQ

what is the treatment for cardiomyopathy

by Kellen Lakin Published 3 years ago Updated 2 years ago
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Treatment for cardiomyopathy may include medications, lifestyle changes or surgery. Although there is no cure for cardiomyopathy, you can manage the condition. People who receive treatment can live a high quality of life with cardiomyopathy.Apr 28, 2021

Medication

Only one among every three patients survive for more than five years. Nonetheless, controlling the complications and symptoms derived due to different forms of cardiomyopathy is controllable with the help of medication, lifestyle changes, and surgery. A few categories of the cardiomyopathy have no preventive measures.

Procedures

You can minimize your risk of heart disease or help treat existing heart disease through exercise. Exercise lowers your blood pressure and your heart rate. It also helps your brain release some endorphins, which makes you feel better in general.

Nutrition

When treating cardiomyopathy, objectives include:

  • Stopping the disease from getting worse
  • Managing any conditions that cause or contribute to the disease
  • Reducing complications and the risk of sudden cardiac arrest (SCA)
  • Controlling symptoms so that you can live as normally as possible

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Over time, cardiomyopathy can weaken the heart, negatively affecting its ability to maintain a normal electric rhythm and/or pump enough blood to the body. This can lead to a variety of issues and complications, including arrhythmias, heart valve problems and even heart failure. Does cardiomyopathy make you tired? Still, it’s serious.

What is the normal life expectancy with mild cardiomyopathy?

Can you be cured of cardiomyopathy?

How to treat cardiomyopathy using natural remedies?

What is cardiomyopathy and how serious is it?

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What is the most common treatment for cardiomyopathy?

Treatment options for cardiomyopathyLifestyle changes. Stopping alcohol use. Monitoring salt intake.Medicines. Lower blood pressure. ... Surgically implanted device that helps maintain proper heart rhythm.Ablation procedure. Removes extra heart tissue to reduce thickening. ... Heart transplant (for a severely damaged heart)

Can you recover from cardiomyopathy?

For example, patients with a very low ejection fraction can eventually completely recover from peripartum cardiomyopathy. Some patients recover only part of their heart function over a period of six months or longer. With others, the heart returns to full strength in as little as two weeks.

What is cardiomyopathy and how is it treated?

The main types of cardiomyopathy include dilated, hypertrophic and restrictive cardiomyopathy. Treatment — which might include medications, surgically implanted devices, heart surgery or, in severe cases, a heart transplant — depends on the type of cardiomyopathy and how serious it is.

What is the main cause of cardiomyopathy?

Viral infections in the heart are a major cause of cardiomyopathy. In some cases, another disease or its treatment causes cardiomyopathy. This might include complex congenital (present at birth) heart disease, nutritional deficiencies, uncontrollable, fast heart rhythms, or certain types of chemotherapy for cancer.

Can you live a long life with cardiomyopathy?

With proper care, many people can live long and full lives with a cardiomyopathy diagnosis. When recommending treatment, we always consider the least invasive approach first. Options range from lifestyle support and medications to implantable devices, procedures, and surgeries.

How many years can you live with cardiomyopathy?

Although there have been recent improvements in congestive heart failure treatment, researchers say the prognosis for people with the disease is still bleak, with about 50% having an average life expectancy of less than five years. For those with advanced forms of heart failure, nearly 90% die within one year.

What is the best drugs for cardiomyopathy?

Drugs that are used to treat heart failure and dilated cardiomyopathy include:Blood pressure medications. ... Sacubitril/valsartan (Entresto). ... Water pills (diuretics). ... Digoxin (Lanoxin). ... Ivabradine (Corlanor). ... Blood-thinners (anticoagulants).

Is cardiomyopathy the same as heart failure?

Heart failure can occur when the heart muscle is weak (systolic failure) or when it is stiff and unable to relax normally (diastolic failure). Cardiomyopathy, which means “disease of the heart muscle,” is one of many causes of heart failure.

What are the stages of cardiomyopathy?

There are four stages of heart failure, named A, B, C and D.Heart Failure Stage A. Pre-heart failure, which means that you are at high risk of developing heart failure.Heart Failure Stage B. ... Heart Failure Stage C. ... Heart Failure Stage D.

What are the warning signs of cardiomyopathy?

Signs and symptoms of cardiomyopathy include:Shortness of breath or trouble breathing, especially with physical exertion.Fatigue.Swelling in the ankles, feet, legs, abdomen and veins in the neck.Dizziness.Lightheadedness.Fainting during physical activity.Arrhythmias (abnormal heartbeats)More items...•

What happens if cardiomyopathy goes untreated?

If untreated, cardiomyopathy can weaken the heart, leading to more serious conditions, including lessened blood flow, arrhythmia (irregular heartbeats), problems with the heart's valves and heart failure.

Is cardiomyopathy considered a terminal illness?

Over the last 10 years, there has been a realisation that heart failure (itself the final common pathway of several aetiologies such as hypertension, ischaemic and valvular heart disease, and cardiomyopathy) is a terminal illness.

Is cardiomyopathy a terminal illness?

Over the last 10 years, there has been a realisation that heart failure (itself the final common pathway of several aetiologies such as hypertension, ischaemic and valvular heart disease, and cardiomyopathy) is a terminal illness.

Is mild cardiomyopathy serious?

This means it can't pump blood as fast as it should. If your heart muscle becomes too weak, you may develop heart failure (a serious condition that needs special treatment). Most people are only mildly affected by cardiomyopathy and can lead relatively normal lives.

What are the stages of cardiomyopathy?

There are four stages of heart failure, named A, B, C and D.Heart Failure Stage A. Pre-heart failure, which means that you are at high risk of developing heart failure.Heart Failure Stage B. ... Heart Failure Stage C. ... Heart Failure Stage D.

Does exercise help cardiomyopathy?

Daily light exercise is safe for most people with cardiomyopathy and heart failure and can help them to manage symptoms. Over time, it can reduce heart rate and blood pressure. Your NYU Langone heart specialist can recommend an exercise program that's right for you. It may include walking, cycling, or jogging.

What are the goals of cardiomyopathy?

When treating cardiomyopathy, objectives include: Stopping the disease from getting worse. Managing any conditions that cause or contribute to the disease. Reducing complications and the risk of sudden cardiac arrest (SCA) Controlling symptoms so that you can live as normally as possible.

What is the best medicine to slow down your heart rate?

Beta blockers, calcium channel blockers, and digoxin are examples of medicines that slow the heart rate. Beta blockers and calcium channel blockers also are used to lower blood pressure. Keep your heart beating with a normal rhythm. These medicines, called antiarrhythmics, help prevent arrhythmias (irregular heartbeats).

What are the medicines that help prevent arrhythmias?

These medicines, called antiarrhythmics, help prevent arrhythmias (irregular heartbeats). Balance electrolytes in your body. Electrolytes are minerals that help maintain fluid levels and the acid-base balance in your body. Electrolytes also help muscle and nerve tissues work properly.

What is a heart transplant?

Heart Transplant – In a heart transplant surgery, a person’s diseased heart is replaced with a healthy donor heart. A heart transplant is a last resort for people who have end-stage heart failure. (“End-stage” means that all other treatment options have been explored, without success.)

How to lower blood pressure?

Choose and prepare foods with little salt (sodium). Too much salt can raise your risk of high blood pressure. Studies show that following a Dietary Approaches to Stop Hypertension (DASH) eating plan can lower blood pressure. Choose foods and beverages that are low in added sugar. Avoid drinking alcohol.

Can you prevent cardiomyopathy?

You cannot prevent inherited types of cardiomyopathy. But you can take steps to lower your risk for conditions that may lead to (or complicate) cardiomyopathy, such coronary heart disease, high blood pressure and heart attack . Cardiomyopathy can be precipitated by an underlying disease or condition.

Does dilated cardiomyopathy go away?

Sometimes, dilated cardiomyopathy that comes on suddenly may even go away on its own. In other instances, treatment is needed. Treatment hinges on a few factors: the type of cardiomyopathy, the severity of your symptoms and complications as well as your age and overall health.

How to treat hypertrophic cardiomyopathy?

Usually this requires taking a beta blocker or calcium channel blocker. A medication to prevent abnormal heart rhythms may also be needed.

What test is used to diagnose cardiomyopathy?

Occasionally, a test called an endomyocardial biopsy is necessary.

What causes a thickening of the heart muscle?

an inherited condition called hypertrophic cardiomyopathy which causes a thickening of the heart muscle, especially the wall between the two ventricles. In severe cases, the extra muscle obstructs the passage of blood out of the heart and may cause fainting or even sudden death.

What is the term for a heart disease that causes a heart muscle to weaken?

Any heart disease in which the heart muscle (myocardium) weakens can be known as cardiomyopathy . This broad term covers many conditions, all of which result in injury to the heart muscle and impaired heart function. Cardiomyopathy often leads to heart failure.

Why is myocarditis dangerous?

Cardiomyopathy can be caused by: myocarditis, an inflammation of the heart muscle, often due to a viral infection or a chronic inflammatory condition such as lupus.

What is the test called for a heart biopsy?

Occasionally, a test called an endomyocardial biopsy is necessary. In this test, a catheter is inserted into a vein in the neck and passed down into the heart. A small piece of the inner heart wall is removed using a tiny metal device at the tip of the catheter.

Can you get alcoholic cardiomyopathy from drinking?

There are treatments for all forms of cardiomyopathy, including the two most common causes of symptoms: heart failure and abnormal heart rhythms. People who have alcoholic cardiomyopathy seem to be particularly sensitive to the effects of alcohol; giving up drinking alcohol is the most important step in treating the condition.

What is the goal of hypertrophic cardiomyopathy?

The goal of hypertrophic cardiomyopathy treatment is to relieve symptoms and prevent sudden cardiac death in people at high risk. Your specific treatment depends on the severity of your symptoms. Together, you and your doctor will discuss the most appropriate treatment for your condition.

What test is used to diagnose hypertrophic cardiomyopathy?

Echocardiogram. An echocardiogram is commonly used to diagnose hypertrophic cardiomyopathy. This test uses sound waves (ultrasound) to see if your heart's muscle is abnormally thick.

What is the term for the thickened area of the heart?

In a type called apical myectomy, the thickened area is removed from the area near the tip of the heart. Several different surgeries or procedures are available to treat cardiomyopathy or its symptoms. They range from open-heart surgery to implantation of a device to control your heart rhythm. Septal myectomy.

What is an echocardiogram?

Sometimes, an echocardiogram is done while you exercise, usually on a treadmill. This is called an exercise stress test.

How to write down your symptoms?

Write down your symptoms and how long you've had them. Take a list of all your medications, vitamins or supplements. Write down your key medical information, including other diagnosed conditions. Write down key personal information, including any recent changes or stressors in your life.

Can hypertrophic cardiomyopathy cause normal pregnancy?

Women who have hypertrophic cardiomyopathy can generally have normal pregnancies. However, if you have hypertrophic cardiomyopathy, your doctor may recommend that you see a doctor experienced in caring for women with high-risk conditions during your pregnancy.

Can obstructive hypertrophic cardiomyopathy cause shortness of breath?

Hartzell V. Schaff: The common symptoms that patients have when they have obstructive hypertrophic cardiomyopathy are shortness of breath, angina-like chest pain and syncope.

When does cardiomyopathy occur?

Most of the following types of cardiomyopathy belong to one of the previous four classifications, but each has unique causes or complications. Peripartum cardiomyopathy occurs during or after pregnancy. This rare type occurs when the heart weakens within five months of delivery or within the final month of pregnancy.

What are the risks of cardiomyopathy?

Cardiomyopathy can affect people of all ages. Major risk factors include the following: 1 a family history of cardiomyopathy, sudden cardiac arrest, or heart failure 2 coronary heart disease 3 diabetes 4 severe obesity 5 sarcoidosis 6 hemochromatosis 7 amyloidosis 8 heart attack 9 long-term high blood pressure 10 alcoholism

What is the term for a heart muscle that is too weak to pump blood?

Dilated cardiomyopathy. The most common form, dilated cardiomyopathy (DCM), occurs when your heart muscle is too weak to pump blood efficiently. The muscles stretch and become thinner. This allows the chambers of your heart to expand. This is also known as enlarged heart.

What is the term for a progressive disease of the heart muscle?

Cardiomyopathy is a progressive disease of the myocardium, or heart muscle. In most cases, the heart muscle weakens and is unable to pump blood to the rest of the body as well as it should. There are many different types of cardiomyopathy caused by a range of factors, from coronary heart disease to certain drugs.

What is the term for a condition where blood is not flowing through the heart?

Hypertrophic cardiomyopathy. Hypertrophic cardiomyopathy is believed to be genetic. It occurs when your heart walls thicken and prevent blood from flowing through your heart. It’s a fairly common type of cardiomyopathy. It can also be caused by long-term high blood pressure or aging.

Why does alcohol cause cardiomyopathy?

Alcoholic cardiomyopathy is due to drinking too much alcohol over a long period of time, which can weaken your heart so it can no longer pump blood efficiently. Your heart then becomes enlarged. This is a form of dilated cardiomyopathy.

What is it called when you have a heart muscle in the womb?

Diagnosis may occur at any stage of life. When cardiomyopathy affects a child, it’s called pediatric cardiomyopathy. If you have idiopathic cardiomyopathy, it means there’s no known cause.

How can cardiomyopathy improve your life?

If you have cardiomyopathy, seek treatment from a cardiologist (heart specialist). Medication, surgery or other treatments can increase your quality of life and help you live longer.

What are the two categories of cardiomyopathy?

Healthcare professionals may categorize cardiomyopathy based on the general cause. These two categories are: Ischemic cardiomyopathy, caused by heart attacks or coronary artery disease (CAD). Non-ischemic cardiomyopathy, types unrelated to CAD. Sometimes, experts don't know the cause of cardiomyopathy (idiopathic).

How many people have cardiomyopathy?

About 1 in 500 adults have cardiomyopathy. Some types of cardiomyopathy are more likely in some people than in others. For example, dilated cardiomyopathy is more common in Black people. Dilated and arrhythmogenic cardiomyopathy are more likely in males.

What are the diseases that affect the heart?

Autoimmune diseases, such as connective tissue diseases. Conditions that damage the heart, such as high cholesterol diseases, hemochromatosis or sarcoidosis. Endocrine conditions, such as diabetes or thyroid disease. Family history of heart failure, cardiomyopathy or sudden cardiac arrest. Previous heart attacks.

What is the term for the condition where the heart is weak?

Cardiomyopathy refers to conditions that affect the myocardium (heart muscle). Cardiomyopathy can make your heart stiffen, enlarged or thickened and can cause scar tissue. As a result, your heart can’t pump blood effectively to the rest of your body. In time, your heart can weaken and cardiomyopathy can lead to heart failure.

What is CRT in medical terms?

Cardiac resynchronization therapy (CRT) devices control the contractions between the left and right sides of the heart. A left ventricular assist device (LVAD) helps your heart pump blood. Surgery: If you have severe symptoms or underlying heart conditions, your provider may recommend heart surgery.

What are some medications that help with heart disease?

You may take blood thinners such as warfarin (Coumadin®), beta blockers such as propranolol (Inderal®) or medications to lower cholesterol.

What Is Hypertrophic Cardiomyopathy?

Hypertrophic cardiomyopathy is an inherited disease caused by mutations in genes related to the proteins that make up heart muscle. HCM causes the walls of the left ventricle to become thickened, called left ventricular hypertrophy. This thickening can prevent the heart from pumping oxygen-rich blood to the body.

Treatment Options for Hypertrophic Cardiomyopathy

Treatment options for HCM include lifestyle modification, medication, and surgery, as well as the use of noninvasive procedures and implantable devices (such as pacemakers).

What Determines the Best Treatment for Hypertrophic Cardiomyopathy?

Current guidelines for treating HCM recommend first-line treatments and advanced treatments based on specific circumstances. Medication is always the first choice, and the medications used depend on the features of HCM that are present. Surgical procedures and implantable devices are used when medication fails to achieve treatment goals.

New Treatments Are on the Horizon

Existing treatments for hypertrophic cardiomyopathy are constantly being studied and refined, but new treatments are rare. A new drug called mavacamten is the first drug of its kind, a cardiac myosin inhibitor designed specifically to treat HCM.

Summary

Hypertrophic cardiomyopathy can be a very complicated disease to treat, requiring care from cardiologists and other physicians who specialize in treating HCM. However, there are many effective treatments available for HCM that can improve day-to-day life and allow people with HCM to live a normal life span.

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What are the symptoms of cardiomyopathy?

This makes recovery from the condition quicker than recovery window following a heart attack. Common symptoms include: Shortness of breath. Chest pain.

How rare is cardiomyopathy?

According to the American College of Cardiology, 15 to 30 cases of the condition occur in every 100,000 heart conditions, each year in the United States. However, this number could be higher, as milder forms are less likely to be reported or receive medical treatment. 2 .

How long does it take for stress cardiomyopathy to heal?

Although complications might occur, people with this condition are usually able to make a full recovery in a couple of weeks. It also causes no permanent damage to the heart, unlike other heart conditions. 1 .

What causes heart muscle weakness?

Stress cardiomyopathy is a condition in which severe emotional or physical stress causes the heart muscles to weaken quickly and sometimes severely. Emotional stressors that cause this condition could be grief, fear, or surprise, while physical stressors that may lead to stress cardiomyopathy include asthma or pain from an accident.

How long does it take for cardiomyopathy to return to normal?

Coping. Stress cardiomyopathy is a reversible condition. This means for many people your heart will return to normal in a couple of weeks with little or even no medical intervention. It’s important to recognize the things that cause stress and manage them.

Can stress cardiomyopathy be mistaken for heart attack?

When being diagnosed, stress cardiomyopathy may be mistaken for a heart attack because of its shared symptoms. In some cases an electrocardiogram (ECG), may even show similar abnormalities in the heart of a person with stress cardiomyopathy as in the heart of a person who has had a heart attack. In most cases the condition isn’t fatal ...

Is stress cardiomyopathy more prevalent in women than men?

Stress cardiomyopathy is up to nine times more prevalent in women than in men. Age also plays a great role in determining who is at risk of developing the condition. People over the age of 50 are thought to be the most at risk, although it can occur at a younger age.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the type of cardiomyopathy and its severity.
Medication

Anticoagulants: Used to prevent formation of blood clots, and dissolve any clots that have been formed.

Warfarin


Beta blockers: Used to slow the heart rate and decrease any load on the heart.

Atenolol


ACE inhibitors: These work by relaxing blood vessels and lowering the blood pressure.

Lisinopril


Diuretics: Used to increase the rate of production of urine thus removing the accumulated fluid.

Furosemide . Torsemide . Ethacrynic acid

Procedures

Septal ablation: A small portion of the thickened muscle is destroyed to allow blood flow through the area.

Radiofrequency ablation: Electrodes transmit energy which destroys a spot of abnormal heart tissue that causes abnormal heart rhythm.

Septal myectomy: Removal of a section of the enlarged muscle so as to improve the flow of blood through the heart.

Heart transplant: Done only in severe cases such as completely damaged heart muscles.

Nutrition

Foods to eat:

  • Foods rich in vitamin B1 such as beans, cauliflower, broccoli, asparagus
  • Foods low in sodium such as milk, cream cheese, eggs, corn
  • Turmeric
  • Raw garlic

Foods to avoid:

  • Salty Foods
  • Fatty Foods such as fast Foods, deep fried Foods, butter
  • Avoid alcohol consumption

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.
Cardiothoracic surgeon
Specializes in the surgical procedures of the heart, lungs, esophagus, and other organs in the chest.

Coping and Support

  • Your health care provider is likely to perform a physical examination and ask questions about your personal and family medical history. You'll also be asked when your symptoms occur — for example, whether exercise triggers your symptoms. If your provider thinks you have cardiomyop…
See more on mayoclinic.org

Preparing For Your Appointment

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