1. Diseases of the heart muscle
Cardiomyopathy
Diseases of the heart muscle

2. Lots of different types and terms
Enlarged, thinned walled and ‘baggy’
Thickened walls
Rigid/stiff walls
Combination
Inherited
Acquired

3. Heart muscle’s ability to act as a pump (the engine of the body) becomes poor
>>>>>heart failure

4. Heart failure Effort intolerance Breathless Chest pain Fatigue
Leg and /or abdominal swelling
Symptoms of congestion- ‘congestive cardiac failure’

5. Can lead to rhythm disturbance ( electrical problems)
Can lead to heart valve problems
Can affect any age, but becomes more common as you get older

6. Dilated Cardiomyopathy
Big, baggy heart- ‘low EF%’
- Ischaemic (Coronary artery disease ( plumbing))
-Burnt out hypertension
- Familial /inherited
- Alcohol cardiomyopathy
- Post viral (myocarditis)
- Unknown (idiopathic)
- Pregnancy related (peripartum)
- due to rhythm disturbance (tachycardia mediated)
- due to severe heart valve problem
- due to chemotherapy or radiotherapy
- dysynchrony

7. OMT- Optimal medical therapy
ACE I/ ARB BB
MRA
Water tablets

8. Disease specific treatment
Revascularization- controversial
Valve surgery
Reduce alcohol
Control heart rhythm problem
More later with stiff and thick hearts!

9. Hypertrophic cardiomyoathy
Thickened heart wall- very thick to very minor thickening- often asymmetric
Abnormal ECG
Inherited, but can ‘pretend’ to skip generations
1:500
High blood pressure can ‘mimic’
Lots of other rare mimics

10. Stiff hearts High blood pressure Type II diabetes Amyloid
Haemochromatosis
Sarcoidosis
Idiopathic restrictive cardiomyopathy
Radiotherapy

11. Right sided heart failure
As a consequence to left sided heart failure
As a consequence to chronic lung disease- Cor Pulmonale
ARVC- arrhythmogenic right ventricular dysplasia
Non –compaction
Takotsubo cardiomyopathy- broken heart syndrome

12. Prevention/ risk factors
Family history
Coronary disease- lipids/smoking/
Blood pressure
Diabetes
Obesity
Alcohol
Exercise

13. Treatment Family history Coronary disease- lipids/smoking/
Blood pressure
Diabetes
Obesity
Alcohol
Exercise

14. Optimal medical therapy
Disease specific therapy
Cardiac surgery
Device therapy
Transplant