Cardiomyopathy

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Cardiomyopathy
 
Symptoms of Cardiomyopathy  
Diagnosis of Cardiomyopathy  
 
Many people are misdiagnosed of cardiac myopathy without a complete evaluation. They are put on heart drugs, when the real problem is in the lungs. Some are prescribed drugs to strengthen the heart, while their problem is that of a stiff heart.
 
Shortness of breath does not necessarily mean that the heart is weak. It can also signal problems in lungs. To diagnose cardiomyopathy accurately, it is necessary to rule out a number of other conditions that can also have symptoms mimicking that of cardiomyopathy. Physical examination is not sufficient to pin point the source of the problem. Often sophisticated tests such as echocardiogram have to be resorted to.
 
The three major syndromes that must be distinguished are
Weak heart
 
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When the heart is weak, it will pump less blood than is required by the body (this is called forward failure), starving the body of vital nutrients. This will make us extremely tired and fatigued. So, these are symptoms of a weak heart. However, the mere presence of severe weakness and fatigue is not sufficient to conclude heart disease. That is because these symptoms are also exhibited by the following conditions, so these have be ruled out before diagnosing cardiomyopathy.
Another problem with a weakened heart is that it has difficulty filling with blood in between beats. (This is called backward failure.) Pressure inside the blood vessels increases, forcing fluid to squeeze out of the circulation and into the tissue of the body ( called edema). When this occurs in the lungs, the patient develops shortness of breath because the airways fill with water (called pulmonary edema or pulmonary congestion). A characteristic sound of air passing through this water, called crackles, can be heard with the stethoscope. Another sign of the backward failure is the build-up of blood in the arms and legs resulting in edema in these locations. Patients with heart failure often have swollen legs because gravity causes fluid to accumulate in the lower parts of the body.
 
However, edema can also come from the following sources; so they need to be ruled out in diagnosing cardiomyopathy:
Stiff heart
 
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A stiff heart beats strongly, ejecting adequate amounts of blood forward. But it has difficulty filling the heart. (Think of a stiff balloon. It is tough to fill the balloon with blood. So, it fills very slowly. However, it has no effect on air escaping.)  A stiff heart can lead to elevation of blood pressure and the buildup of fluid in the lungs. This can cause the victim to experience shortness of breath.
 
Lung disease
 
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Those with lung disease may experience several symptoms similar to those experienced by people with either weak or stiff hearts. It is difficult to tell just from physical examination whether you are suffering from pulmonary complications or from heart problems. The only sure way is to undergo specialized tests.
 
Differential Diagnosis of Cardiomyopathy  
 
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We particularly recommend the addition of Plant Sterols and Sterolins to the diet.