Cardiomyopathy (Broken Heart Syndrome ) refers to diseases of the heart muscle .In cardiomyopathy, the heart muscle becomes enlarged, thick or rigid.
As cardiomyopathy worsens, the heart becomes weaker. Its less able to pump blood through the body and maintain normal electrical rhythm. This can lead to heart failure or irregular heartbeats called arrhythmias. In turn heart failure can cause fluid build up in the lungs, ankles, feet, legs or abdomen. It could be acquired or inherited. Many times the cause of cardiomyopathy is not known.
HCM is characterized by thickened but nondilated left ventricle in the absence of another cardiac or systemic condition. HCM is a genetic disorder inherited in an autosomal dominant way.
HCM is the most common heritable cardiomyopathy manifesting in 1 in every 500 adults. HCM is diagnosed based on medical history (symptoms and family history),physical examination and echocardiography results.
Diagnosis is typically done by echocardiogram .In some cases TEE can be done.
It is a primary myocardial disease. The cause of dilated cardiomyopathy is still unknown. About one third of the people who have dilated cardiomyopathy inherit it from their parents. DCM is characterized by dilated left ventricle with systolic dysfunction that is not caused by ischemic or valvular heart disease. Investigating a patient with DCM ,a full history, including risk factors for coronary artery disease should be acquired. Personal history is very important therefore if possible spouse’s input is very valuable.
Director of Cath lab Latamangeshkar Hospital Digdoh Hills HingnaHead of Cardiology Department
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