Patho physiology: Cardiomyopathy refers to diseases of the heart muscle. These diseases have many causes, signs and symptoms, and treatments.In cardiomyopathy, the heart muscle becomes enlarged, thick, or rigid. In rare cases, the muscle tissue in the heart is replaced with scar tissue.As cardiomyopathy worsens, the heart becomes weaker. It's less able to pump blood through the body and maintain a normal electrical rhythm. This can lead to heart failure or irregular heartbeats called arrhythmias. In turn, heart failure can cause fluid to build up in the lungs, ankles, feet, legs, or abdomen.The weakening of the heart also can cause other complications, such as heart valve problems.
Treatment: People who have cardiomyopathy but no signs or symptoms may not need treatment. Sometimes, dilated cardiomyopathy that comes on suddenly may go away on its own. For other people who have cardiomyopathy, treatment is needed. Treatment depends on the type of cardiomyopathy you have, the severity of your symptoms and complications, and your age and overall health. Treatments may include: Heart-healthy lifestyle changes, Medicines, Nonsurgical procedure, Surgery and implanted devices. The main goals of treating cardiomyopathy include: • Controlling signs and symptoms so that you can live as normally as possible • Managing any conditions that cause or contribute to the disease • Reducing complications and the risk of sudden cardiac arrest • Stopping the disease from getting worse
Research: Prevalence and Disease Outcome: because recognition of inherited disease is often limited by practice patterns which are in turn heavily influenced by the urgent demands of caring for sick patients, an important proportion of inherited disease is misdiagnosed. As an example, we discovered that nearly 25% of patients undergoing heart transplant for end stage cardiomyopathy have inherited disease, whereas current recognition of inherited disease in this population is limited to 4% of patients. This research was presented at the International Society of Heart and Lung Transplant in Prague (2012).
Statistics: The study population consisted of nine patients (eight male, age 25–78 years, average 51.3 ± 16.2 years), Darocha et al. Cardiovascular Ultrasound (2015) 13:31 Page 2 of 6 admitted to our hospital in severe accidental hypothermia (core temperature measured oesophagally 16.9-29 °C, average 23.6 ± 3.3 °C). Six patients were admitted in hypothermic cardiac arrest (4 with ventricular fibrillation, 2 with asystole) whereas 3 patients were in cardiogenic shock and their sinus rhythm was observed. All the patients fulfilled the extracorporeal rewarming criteria and in all of them veno-arterial extracorporeal membrane oxygenation (ECMO) was implanted. The duration of ECMO support was between 8 and 144 h (average 43.7 h, median 24 h). Cardiorespiratory stability and full neurologic recovery was achieved in all the patients (Glasgow Coma Scale 15, Cerebral Performance Category 1). Biomarkers of myocardial damage (CK, CKMB, hsTnT) were significantly elevated in all the study patients. Admission echocardiography performed in patients in sinus rhythm, revealed moderate-severe bi-ventricular systolic dysfunction and moderate bi-ventricular diastolic dysfunction. Discharge echocardiography in these 3 patients (nr 7–9) showed persistent mild biventricular diastolic dysfunction although systolic function of both ventricles returned to normal (LVEF 50-65 %, TAPSE 20–23 mm).