Cardiomyopathy - dilated
Symptoms of heart failure are most common. Usually, they develop slowly over time. However, sometimes symptoms start very suddenly and are severe. Common symptoms are:
Shortness of breathwith activity or after lying down (or being asleep) for a while, or in infants while feeding Swelling of feetand ankles (in adults)
- Irregular or rapid
pulse Fatigue, weakness, faintness Swelling of the abdomen(in adults) Loss of appetite Cough
Other symptoms may include:
- Chest pain
Decreased alertnessor concentration Failure to thrive(in children) Low urine production Need to urinate at night(in adults)
Signs and tests
Cardiomyopathy is usually discovered when the doctor is examining and testing you for the cause of
- Tapping over the heart with the fingers and feeling the area may indicate that the heart is enlarged.
- Listening to the chest with a stethoscope reveals lung crackles, heart murmur, or other abnormal sounds.
- The liver may be enlarged.
- Neck veins may be bulging.
A number of laboratory tests may be done to determine the cause:
- Antinuclear antibody (
ANA), erythrocyte sedimentation rate ( ESR), and other tests to diagnose autoimmune illnesses
- Antibody test to identify infections such as Lyme disease and HIV
TSHand T4 testto identify thyroid problems
Children will have:
- Poor growth
- Pale skin
- Difficulty feeding
- Weak pulses in the legs and arms
Heart enlargement, congestion of the lungs, decreased movement/functioning of the heart, or heart failure may show on these tests:
Echocardiogram(ultrasound of the heart) Cardiac stress tests
- Cardiac catheterization and
coronary angiography Chest CT scanor MRI of the heart Chest x-ray Nuclear heart scan(MUGA, RNV)
Other tests may include:
ECG Heart biopsy
Lab tests vary depending on the suspected cause.