Dilated cardiomyopathy history and symptoms: Difference between revisions
No edit summary |
No edit summary |
||
| Line 3: | Line 3: | ||
{{CMG}}; '''Associate Editor-in-Chief:''' Sachin Shah, M.D. | {{CMG}}; '''Associate Editor-in-Chief:''' Sachin Shah, M.D. | ||
==History | ==History== | ||
In terms of determining the etiology a careful history is most instrumental. If the patient has CAD ([[coronary artery disease]]) risk factors, known CAD, or [[angina]] then a workup for CAD should be undertaken with [[coronary angiography]]. A viral [[prodrome]] such as viral [[URI]] or viral [[gastroenteritis]] may make viral [[myocarditis]] as a more likely cause. If the patient was exposed to [[chemotherapy]] such as [[anthracyclines]] then this would be the likely cause. Patients at risk for [[HIV]] should undergo testing as HIV can cause a dilated cardiomyopathy. [[Peripartum cardiomyopathy]] most often occurs 1 month prior to expected delivery or 5 months after delivery, so recent childbirth is important information. Often by 8 months gestational age [[pregnancy]] is physically apparent but it is important to rule out pregnancy in women of childbearing age with dilated cardiomyopathy. Screening questions regarding [[cocaine]] or [[alcohol]] abuse or other [[toxin]] exposure (such as [[cobalt]]) should be addressed. | In terms of determining the etiology a careful history is most instrumental. If the patient has CAD ([[coronary artery disease]]) risk factors, known CAD, or [[angina]] then a workup for CAD should be undertaken with [[coronary angiography]]. A viral [[prodrome]] such as viral [[URI]] or viral [[gastroenteritis]] may make viral [[myocarditis]] as a more likely cause. If the patient was exposed to [[chemotherapy]] such as [[anthracyclines]] then this would be the likely cause. Patients at risk for [[HIV]] should undergo testing as HIV can cause a dilated cardiomyopathy. [[Peripartum cardiomyopathy]] most often occurs 1 month prior to expected delivery or 5 months after delivery, so recent childbirth is important information. Often by 8 months gestational age [[pregnancy]] is physically apparent but it is important to rule out pregnancy in women of childbearing age with dilated cardiomyopathy. Screening questions regarding [[cocaine]] or [[alcohol]] abuse or other [[toxin]] exposure (such as [[cobalt]]) should be addressed. | ||
==Symptoms== | |||
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: | |||
*[[Chest pain]] or pressure (more likely when you exercise) | |||
*[[Cough]] | |||
*[[Fatigue]], weakness, faintness | |||
*Irregular or rapid pulse | |||
*[[Loss of appetite]] | |||
*[[Shortness of breath]] with activity or after lying down (or being asleep) for a while | |||
*Swelling of feet and ankles (in adults) | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Needs overview]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Cardiomyopathy]] | [[Category:Cardiomyopathy]] | ||
Revision as of 19:56, 18 January 2013
|
Dilated cardiomyopathy Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Dilated cardiomyopathy history and symptoms On the Web |
|
American Roentgen Ray Society Images of Dilated cardiomyopathy history and symptoms |
|
Risk calculators and risk factors for Dilated cardiomyopathy history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in-Chief: Sachin Shah, M.D.
History
In terms of determining the etiology a careful history is most instrumental. If the patient has CAD (coronary artery disease) risk factors, known CAD, or angina then a workup for CAD should be undertaken with coronary angiography. A viral prodrome such as viral URI or viral gastroenteritis may make viral myocarditis as a more likely cause. If the patient was exposed to chemotherapy such as anthracyclines then this would be the likely cause. Patients at risk for HIV should undergo testing as HIV can cause a dilated cardiomyopathy. Peripartum cardiomyopathy most often occurs 1 month prior to expected delivery or 5 months after delivery, so recent childbirth is important information. Often by 8 months gestational age pregnancy is physically apparent but it is important to rule out pregnancy in women of childbearing age with dilated cardiomyopathy. Screening questions regarding cocaine or alcohol abuse or other toxin exposure (such as cobalt) should be addressed.
Symptoms
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:
- Chest pain or pressure (more likely when you exercise)
- Cough
- Fatigue, weakness, faintness
- Irregular or rapid pulse
- Loss of appetite
- Shortness of breath with activity or after lying down (or being asleep) for a while
- Swelling of feet and ankles (in adults)