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: In 2002, for those aged 20–64 years, 18% of male and 9% of female deaths were attributable to alcohol . This was appreciably lower than in Hungary and Lithuania, but the same as France All men (1099) and women (519) who died from CVD (ICD-10 codes I00–99) between ages 30 and 70 years in Arkhangelsk in the period 1 January 2008 and 31 August 2009 constituted the target population. The subjects were identified through the Arkhangelsk Regional mortality register of the Regional Ministry of Health. For 1120 (69.2%) of the cases, the diagnosis was based on the results of autopsies performed by forensic pathologists, compared with 448 (27.7%) conducted by hospital pathologists. Only the former autopsies were included in the current analyses. Data on causes of death and presence of alcohol in blood and tissues were extracted from the reports of the Regional Centre of Forensic Expertise, where all forensic autopsies in Arkhangelsk are performed.