The dilated cardiomyopathy is a progressive and chronic disease of the heart muscles, the most common type of cardiomyopathies, occurring mostly in adults 20 to 60, more common in men, usually starting in the heart's main pumping chamber (left ventricle), the muscles of the heart starts to stretch and to become thinner leading consequently to enlargement inside the chamber of the heart and can spreads to the right ventricle and then to the atria (Bhf.org.uk, 2017). When the heart chambers dilate, the heart muscle can’t contract normally and it became more difficult for blood to flow from the body and lungs into the heart and for blood to be pumped from the heart to the rest of the body, with the progression of the disease, the heart become quite enlarged and
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• Inflammation of the heart muscle from autoimmune diseases. The pathophysiological changes: the dilated cardiomyopathy is a condition characterized by enlargement of the left ventricle and systolic dysfunction with greater cavity size in the left ventricle with little or no wall hypertrophy, this can lead to enlargement of the remaining heart muscle due to the failure of the left ventricle (secondary cardiomyopathy process). The progressive dilation can lead to significant mitral and tricuspid regurgitation, which in turn can lead to further dilation and myocardial dysfunction, systolic dysfunction leads to diastolic dysfunction and the when the atrial pressure increase and the atrial wall dilated, the pressure of the vein increase leading to congestive heart failure (Emedicine.medscape.com, 2017) (Mayo Clinic, 2017).
The pharmacological treatment: the medications that doctor may prescribe it to treat the cardiomyopathies, the list includes (Bhf.org.uk, 2017):
• Diuretics, sometimes called “water pills,” reduce excess fluid in the lungs or other organs by increasing urine production.
• Digoxin: strengthen the heart muscle contraction, slow the heartbeats and reduce the heart failure
• Inflammation of the heart muscle from autoimmune diseases. The pathophysiological changes: the dilated cardiomyopathy is a condition characterized by enlargement of the left ventricle and systolic dysfunction with greater cavity size in the left ventricle with little or no wall hypertrophy, this can lead to enlargement of the remaining heart muscle due to the failure of the left ventricle (secondary cardiomyopathy process). The progressive dilation can lead to significant mitral and tricuspid regurgitation, which in turn can lead to further dilation and myocardial dysfunction, systolic dysfunction leads to diastolic dysfunction and the when the atrial pressure increase and the atrial wall dilated, the pressure of the vein increase leading to congestive heart failure (Emedicine.medscape.com, 2017) (Mayo Clinic, 2017).
The pharmacological treatment: the medications that doctor may prescribe it to treat the cardiomyopathies, the list includes (Bhf.org.uk, 2017):
• Diuretics, sometimes called “water pills,” reduce excess fluid in the lungs or other organs by increasing urine production.
• Digoxin: strengthen the heart muscle contraction, slow the heartbeats and reduce the heart failure