Cardiomyopathy is a disease that involves a weakened heart muscle. The condition makes it difficult for the heart to pump blood throughout the body.

According to the Centers for Disease Control and Prevention (CDC), cardiomyopathy may occur in as many as 1 in 500 people, but it frequently goes undiagnosed. Cardiomyopathy can develop over time, or a person may have the disease from birth.

Keep reading to learn more about cardiomyopathy, including its symptoms, causes, and treatment.

There are a few types of cardiomyopathy, including the following:

Dilated

a female runner experiencing shortness of breath because of cardiomyopathyShare on Pinterest
A person with cardiomyopathy may experience shortness of breath and heart palpitations.

Dilated cardiomyopathy is the most common form of the disease. It typically occurs in adults between the ages of 20 and 60 years.

The disease often starts in the left ventricle, but it can eventually also affect the right ventricle.

Dilated cardiomyopathy can affect the structure and function of the atria, too.

Hypertrophic

Hypertrophic cardiomyopathy is a genetic condition in which abnormal growth of the heart muscle fibers occurs, leading to the thickening or “hypertrophy” of these fibers. The thickening makes the chambers of the heart stiff and affects blood flow. It can also increase the risk of electrical disturbances, called arrhythmias.

According to the Children’s Cardiomyopathy Foundation, it is the second most common form of cardiomyopathy in children. In about one-third of affected children, diagnosis occurs before the age of 1 year.

Restrictive

Restrictive cardiomyopathy occurs when the tissues of the ventricles become rigid and cannot fill with blood properly. Eventually, it may lead to heart failure. It is more common in older adults and can result from infiltrative conditions — those involving the accumulation of abnormal substances in bodily tissues — such as amyloidosis.

Arrhythmogenic

In arrhythmogenic cardiomyopathy, fibrotic and fatty tissue replaces the healthy tissues of the right ventricle, which may cause irregular heart rhythms. In some cases, this process can also occur in the left ventricle.

According to research in the journal Circulation Research, arrhythmogenic cardiomyopathy increases the risk of sudden cardiac death, especially in young people and athletes. It is a hereditary genetic condition.

Learn more about some other types of heart disease here.

In some cases, usually mild ones, there are no symptoms of cardiomyopathy.

However, as the condition progresses, a person may experience the following symptoms with varying degrees of severity:

  • fatigue
  • shortness of breath
  • swelling of the legs and ankles
  • heart palpitations
  • dizziness
  • fainting

The cause of cardiomyopathy is not always clear, but there are some known risk factors.

For example, conditions that lead to inflammation or damage of the heart can increase a person’s risk of cardiomyopathy.

Heart failure, which can occur as a result of a heart attack or other conditions, can also cause cardiomyopathy.

Additional risk factors include:

Doctors will carry out a physical exam and diagnostic tests to confirm cardiomyopathy.

They are likely to use one or more of the following diagnostic tests:

  • Chest X-ray: A chest X-ray helps determine whether the heart has become enlarged, which is a sign of certain health conditions.
  • Electrocardiogram (EKG): An EKG measures the electrical activity of the heart, including how fast it is beating. It also shows whether the heart rhythm is regular or abnormal.
  • Echocardiogram: An echo uses sound waves to create a moving image of the heart. It shows the shape and size of the heart.
  • Cardiac catheterization: A catheterization checks the flow of blood through the heart’s chambers.

Cardiomyopathy is a serious medical condition that requires treatment.

Without treatment, the disease may progress and become life threatening.

Anyone who has a strong family history of cardiomyopathy or experiences one or more of the symptoms of this disease should see a doctor. An earlier diagnosis may improve a person’s outlook.

Cardiomyopathy is a disease that involves the weakening of the heart muscle.

There are various forms of cardiomyopathy, including dilated cardiomyopathy, which is the most common.

Treatment for cardiomyopathy depends on the extent of the symptoms, as well as the form of the disease.

Treatment usually consists of lifestyle changes and medications. Additional treatment in more severe cases may include implanted devices or surgery.

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