Cardiomyopathy

Cardiomyopathy Overview:

Cardiomyopathy is a condition where the heart is unable to sufficiently pump blood through the body. The more this condition pregresses, the less able the heart is to pump blood around the body.

 

Aetiology:

+ Dilated Cardiomyopathy

This form involves the sretching and thinning of the heart muscle. Causes may include:

  • Alcoholism
  • Infectious myocarditis
  • Drug toxicity
  • Nutritional deficiencies (especially thiamine)
  • heavy metal toxicity

+ Hypertrophic Cardiomyopathy

This involves the enlargement of cardiac muscle cells. It's a common cause of sudden myocardial arrest in younger people and athletes. Common Causes Include:

  • Inherited gene mutations
  • Diabetes

+ Restrictive Cardiomyopathy

Most common in older adults. This condition involves the gradual increase in rigidity of the heart as a result of scar tissue formation.

Causes May Include:

  • Cytotoxic inflammatory diseases
  • genetic sphingolipidosis (Fabry's or Gaucher's)
  • Hemachromatosis
Screenshot 2018-03-02 15.25.21.png
 

Symptoms:

Dyspnea

Fatigue

Oedema in Legs and Abdomen

Symptom

Symptom

Symptom

Symptom

 

Diagnostic Considerations

Diagnostic Findings

ECG Echocardiography
Dilated Cardiomyopathy LVH Enlarged ventricular chamber
Hypertrophic Myopathy LVH, large QRS complex, Q-waves, frequent T Inversion LVH of unknown etiology with reduced ventricular chamber volume
Restrictive Cardiomyopathy LVH Biatrial enlargement, normal or reduced ventricular volume, normal left ventricle wall thickness.
Arrhythmogenic right ventricular cardiomyopathy Abnormal polarization, small amplitude potentials at the end of the QRS complex. Segmental wall abnormalities.
 

Therapeutic Aims:

1. Manage Cardiovascular Failure

...

  • See heart failure and coronary artery disease.

2. Reduce Coagulation

Except if on Warfarin or other blood thinners.

  • Fibrinolytics (Salvia miltorrhiza)
  • Platelet Aggregation Inhibitors (Allium sativum, Vitamin E)

3. Reduce Dysrhythmia

...

  • Antidysrhythmics (Crataegus oxycanthus, Leonurus cardiaca)
  • Beta-Blockers (Inula racemosa)

4. Manage Other Risk Factors

...

  • Lifestyle (Dietary changes, Alcoholism, Smoking)
  • Nutritional Support (Vitamin B1, Magnesium)
  • Antinflammatories (Curcuma longa, Vitis vinifera, Camellia sinensis, Centella asiatica)
 

Differential Diagnosis:

  • Chronic heart failure
 

Comorbidities:

  • Stroke
 

Cautions:

Medical diagnostic necessary prior to treatment.

 

Herbs For Cardiomyopathy:

 

Author:

Justin Cooke

The Sunlight Experiment

Updated: March 2018


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