Kardiomiopatia
Objawy

Kardiomiopatia to grupa chorób mięśnia sercowego charakteryzujących się zaburzeniami strukturalnymi i funkcjonalnymi, prowadzącymi do upośledzenia zdolności pompowania krwi. Wyróżnia się trzy główne typy: rozstrzeniową, przerostową oraz restrykcyjną, zróżnicowane pod względem patofizjologii, objawów i rokowania. Kardiomiopatia rozstrzeniowa cechuje się powiększeniem i osłabieniem komór, co skutkuje dusznością, obrzękami i zaburzeniami rytmu serca, a nieleczona prowadzi do niewydolności serca. Kardiomiopatia przerostowa objawia się pogrubieniem mięśnia lewej komory, co może powodować ból w klatce piersiowej, omdlenia i zwiększone ryzyko nagłej śmierci sercowej, zwłaszcza u młodych sportowców. Kardiomiopatia restrykcyjna charakteryzuje się sztywnością ścian komór, utrudniającą ich napełnianie, co prowadzi do nasilonej duszności, obrzęków i arytmii, z gorszym rokowaniem (45-50% przeżywa 2 lata od diagnozy). Progresja choroby przebiega przez fazy od bezobjawowej do końcowej, z nasileniem objawów niewydolności serca i powikłań takich jak arytmie, zakrzepy, nadciśnienie płucne i zmiany zastawkowe.

Symptomy Kardiomiopatii

Kardiomiopatia to schorzenie mięśnia sercowego, które osłabia zdolność serca do efektywnego pompowania krwi do reszty organizmu. U wielu pacjentów z kardiomiopatią przebieg choroby jest bezobjawowy, szczególnie we wczesnych stadiach, natomiast u innych objawy pojawiają się stopniowo wraz z postępem choroby lub mogą pojawić się nagle po uszkodzeniu mięśnia sercowego.123

Typowe objawy kardiomiopatii

Objawy kardiomiopatii są zróżnicowane i mogą obejmować:

  • Duszność – odczuwana podczas wysiłku fizycznego lub nawet w spoczynku, a także w pozycji leżącej45
  • Zmęczenie – występujące nawet po odpoczynku, spowodowane zmniejszonym dostarczaniem tlenu do tkanek organizmu67
  • Ból w klatce piersiowej – szczególnie po wysiłku fizycznym lub obfitych posiłkach18
  • Kołatanie serca – odczuwane jako szybkie, mocne lub nierówne bicie serca14
  • Obrzęki – nóg, kostek, stóp, brzucha i żył szyi, wynikające z gromadzenia się płynów17
  • Zawroty głowy i omdlenia – szczególnie podczas lub po wysiłku fizycznym910
  • Wzdęcie brzucha – spowodowane gromadzeniem się płynów111
  • Kaszel – zwłaszcza w pozycji leżącej112
  • Problemy z leżeniem płasko podczas snu113
  • Szmery sercowe – dodatkowe lub nietypowe dźwięki pomiędzy uderzeniami serca514

U niektórych pacjentów objawy mogą się nasilać i ustępować, a u innych mogą utrzymywać się przez dłuższy czas. Warto zauważyć, że objawy kardiomiopatii mogą być podobne do innych schorzeń sercowych, dlatego ważna jest konsultacja lekarska w celu postawienia prawidłowego rozpoznania.154

Objawy w zależności od typu kardiomiopatii

Kardiomiopatia rozstrzeniowa (dilated cardiomyopathy)

W kardiomiopatii rozstrzeniowej komory serca powiększają się i osłabiają, co prowadzi do zmniejszonej zdolności pompowania krwi. Objawy mogą obejmować:116

  • Duszność, która nasila się podczas wysiłku
  • Zmęczenie i osłabienie
  • Obrzęki nóg i brzucha
  • Zaburzenia rytmu serca
  • Zwiększone ryzyko zakrzepów krwi i udaru

Nieleczona kardiomiopatia rozstrzeniowa może prowadzić do niewydolności serca. Choroba rozwija się podstępnie i początkowo może nie powodować objawów, które wpływają znacząco na jakość życia.11617

Kardiomiopatia przerostowa (hypertrophic cardiomyopathy)

W kardiomiopatii przerostowej dochodzi do pogrubienia mięśnia sercowego, szczególnie w obrębie lewej komory. Objawy mogą obejmować:918

  • Ból w klatce piersiowej, zwłaszcza podczas wysiłku
  • Omdlenia, szczególnie podczas lub tuż po wysiłku fizycznym
  • Uczucie szybkiego lub nieregularnego bicia serca
  • Duszność, szczególnie podczas wysiłku
  • Zwiększone ryzyko nagłej śmierci sercowej, zwłaszcza u młodych sportowców

Wiele osób z kardiomiopatią przerostową może nie mieć objawów lub doświadczać ich tylko podczas wysiłku. Kardiomiopatia przerostowa jest najczęstszą przyczyną nagłej śmierci sercowej u osób poniżej 35 roku życia, choć większość pacjentów ma niskie ryzyko tego powikłania.91920

Kardiomiopatia restrykcyjna (restrictive cardiomyopathy)

W kardiomiopatii restrykcyjnej ściany komór serca stają się sztywne, co utrudnia napełnianie serca krwią między uderzeniami. Objawy mogą obejmować:2122

  • Nasilona duszność, nawet w spoczynku
  • Zmęczenie i osłabienie
  • Obrzęki nóg, kostek i brzucha
  • Zaburzenia rytmu serca (migotanie przedsionków)
  • Trudności z aktywnością fizyczną

Kardiomiopatia restrykcyjna stanowi około 5% wszystkich przypadków kardiomiopatii, a rokowanie jest zazwyczaj gorsze niż w innych typach. Stan pacjentów z tą formą kardiomiopatii może szybko się pogarszać.2324

Progresja kardiomiopatii

Kardiomiopatia to zwykle choroba przewlekła i postępująca, która z czasem może się nasilać. Tempo progresji jest różne u poszczególnych pacjentów – u niektórych stan pogarsza się szybko, a u innych może pozostawać stabilny przez długi czas.125

Przebieg progresji kardiomiopatii można najczęściej podzielić na etapy:2627

  1. Wczesne stadium – zazwyczaj bezobjawowe, choć mogą pojawić się wczesne oznaki takie jak łatwe męczenie się czy duszność podczas intensywnego wysiłku
  2. Stadium umiarkowane – zauważalne zmiany strukturalne w sercu, pojawiają się wyraźniejsze objawy, takie jak problemy z rytmem serca i obrzęki
  3. Stadium zaawansowane – nasilone objawy niewydolności serca, znacznie ograniczona wydolność fizyczna, wyraźne zmiany strukturalne w sercu
  4. Stadium końcowe – ciężka niewydolność serca, objawy występują nawet w spoczynku, znacznie obniżona jakość życia

Wraz z postępem choroby, serce staje się coraz słabsze, co prowadzi do zmniejszonej zdolności pompowania krwi. To z kolei może prowadzić do powikłań, takich jak:281129

  • Niewydolność serca – gdy serce nie jest w stanie pompować wystarczającej ilości krwi do zaspokojenia potrzeb organizmu
  • Zaburzenia rytmu serca (arytmie) – mogą być niebezpieczne i prowadzić do nagłego zatrzymania krążenia
  • Problemy z zastawkami serca – wynikające ze zmian strukturalnych w sercu
  • Zakrzepy krwi – zwiększone ryzyko z powodu zastoju krwi w sercu
  • Nadciśnienie płucne – wysokie ciśnienie w naczyniach płucnych

Kardiomiopatia u dzieci

Objawy kardiomiopatii u dzieci mogą różnić się od objawów u dorosłych. U niemowląt i małych dzieci można zaobserwować:52330

  • Trudności z oddychaniem i karmieniem
  • Nadmierne pocenie się podczas karmienia
  • Drażliwość i płaczliwość
  • Wymioty i biegunka
  • Skrajne zmęczenie lub senność
  • Słaby przyrost masy ciała

U starszych dzieci i nastolatków objawy mogą obejmować:2331

  • Ból w klatce piersiowej
  • Trudności z wykonywaniem ćwiczeń fizycznych
  • Zawroty głowy i omdlenia
  • Nietypowe zmęczenie
  • Kołatanie serca
  • Wymioty lub zmniejszony apetyt
  • Niewyjaśniony przyrost masy ciała

Rozwój i progresja kardiomiopatii

Przebieg i tempo progresji kardiomiopatii różnią się znacząco w zależności od typu schorzenia, jego przyczyny oraz indywidualnych cech pacjenta. Niektóre formy kardiomiopatii rozwijają się szybko, prowadząc do poważnych objawów w krótkim czasie, podczas gdy inne mogą postępować powoli przez wiele lat.2532

Naturalny przebieg choroby

Kardiomiopatia jest zazwyczaj chorobą postępującą, co oznacza, że z czasem stan serca pogarsza się, chyba że zostanie zastosowane odpowiednie leczenie. Rozwój choroby może przebiegać w następujących etapach:2633

  • Faza bezobjawowa – pacjent nie doświadcza objawów, ale w sercu zachodzą już zmiany strukturalne
  • Faza wczesnych objawów – pojawiają się pierwsze objawy, zwykle podczas wysiłku fizycznego
  • Faza umiarkowanych objawów – objawy stają się bardziej zauważalne i mogą wpływać na codzienne funkcjonowanie
  • Faza zaawansowana – ciężkie objawy niewydolności serca, znaczne ograniczenie aktywności fizycznej
  • Faza końcowa – objawy występują nawet w spoczynku, może być konieczny przeszczep serca

Progresja może być różna w zależności od typu kardiomiopatii:183435

  • Kardiomiopatia rozstrzeniowa – często prowadzi do postępującej niewydolności serca; u około jednej trzeciej pacjentów z DCM spowodowanej przez myocarditis następuje pełne wyleczenie, u jednej trzeciej dochodzi do częściowej poprawy, a u pozostałej trzeciej utrzymuje się uporczywa dysfunkcja serca
  • Kardiomiopatia przerostowa – może pozostawać stabilna przez długi czas; u mniej niż 5% pacjentów dochodzi do powiększenia lewej komory i zmniejszenia funkcji skurczowej w późnym stadium
  • Kardiomiopatia restrykcyjna – często ma gorsze rokowanie; szacuje się, że tylko 45-50% pacjentów przeżywa dwa lata od diagnozy

Czynniki wpływające na progresję choroby

Na tempo i charakter progresji kardiomiopatii wpływa wiele czynników:253637

  • Typ kardiomiopatii – różne typy mają odmienne przebiegi i rokowania
  • Wiek wystąpienia – wcześniejsze wystąpienie objawów często wiąże się z cięższym przebiegiem
  • Współistniejące choroby – takie jak nadciśnienie, cukrzyca czy otyłość mogą przyspieszać progresję
  • Styl życia – dieta, aktywność fizyczna, spożycie alkoholu i palenie tytoniu
  • Stosowanie się do zaleceń leczenia – regularne przyjmowanie przepisanych leków i monitorowanie stanu zdrowia
  • Czynniki genetyczne – niektóre mutacje genetyczne wiążą się z cięższym przebiegiem choroby

Wybory dotyczące stylu życia mogą mieć znaczący wpływ na tempo progresji kardiomiopatii. Zalecenia dla pacjentów obejmują:2522

  • Osiągnięcie i utrzymanie prawidłowej masy ciała
  • Stosowanie diety przyjaznej dla serca, w tym ograniczenie spożycia sodu
  • Regularna aktywność fizyczna dostosowana do możliwości i zaleceń lekarza
  • Ograniczenie spożycia alkoholu
  • Zarządzanie stresem
  • Rzucenie palenia

Komplikacje związane z progresją choroby

Wraz z postępem kardiomiopatii zwiększa się ryzyko poważnych powikłań:11615

  • Niewydolność serca – najczęstsze powikłanie, gdy serce nie jest w stanie efektywnie pompować krwi
  • Arytmie – nieprawidłowe rytmy serca, które mogą prowadzić do nagłej śmierci sercowej
  • Zakrzepy krwi – mogą prowadzić do udaru mózgu lub zatorowości płucnej
  • Problemy z zastawkami serca – wynikające ze zmian strukturalnych w sercu
  • Nagła śmierć sercowa – szczególnie w przypadku kardiomiopatii przerostowej

Kardiomiopatia może z czasem prowadzić do zmian w strukturze serca, w tym:1629

  • Stopniowego zwiększania objętości końcowo-rozkurczowej i końcowo-skurczowej lewej komory
  • Ścieńczenia ścian serca
  • Zmiany geometrii komory na bardziej kulistą, mniej wydłużoną
  • Ciągłego spadku frakcji wyrzutowej (miary wydajności pracy serca)

Monitorowanie progresji choroby

Regularne monitorowanie stanu zdrowia jest kluczowe dla pacjentów z kardiomiopatią, aby wykryć pogorszenie choroby zanim pojawią się poważne objawy. Metody monitorowania obejmują:1038

  • Regularne badania echokardiograficzne do oceny struktury i funkcji serca
  • Elektrokardiogramy (EKG) do wykrywania zaburzeń rytmu serca
  • Testy wysiłkowe do oceny wydolności serca podczas aktywności
  • Rezonans magnetyczny serca (CMR) dla dokładniejszej oceny zmian strukturalnych
  • Monitorowanie biomarkerów sercowych we krwi, takich jak BNP lub NT-proBNP

Ważne jest również, aby pacjenci monitorowali swoje własne objawy i zgłaszali lekarzowi wszelkie zmiany, takie jak:3940

  • Zwiększoną duszność
  • Nowy lub nasilony obrzęk
  • Przyrost masy ciała
  • Zwiększone zmęczenie
  • Zawroty głowy lub omdlenia
  • Nasilenie bólu w klatce piersiowej

W niektórych przypadkach ważne jest natychmiastowe wezwanie pomocy medycznej, szczególnie jeśli wystąpią objawy takie jak: omdlenie, nasilona duszność, kołatanie serca lub ból w klatce piersiowej trwający dłużej niż kilka minut.3941

Wpływ kardiomiopatii na jakość życia

Kardiomiopatia może znacząco wpływać na codzienne funkcjonowanie i jakość życia pacjentów. Wpływ ten zależy od stopnia zaawansowania choroby, typu kardiomiopatii oraz skuteczności leczenia.1529

Pacjenci mogą doświadczać:1519

  • Ograniczenia aktywności fizycznej
  • Trudności w wykonywaniu codziennych czynności
  • Problemów z pracą zawodową
  • Lęku i depresji związanych z chorobą
  • Izolacji społecznej

Wiele osób z kardiomiopatią może jednak prowadzić normalne, aktywne życie, szczególnie jeśli choroba jest wcześnie wykryta i odpowiednio leczona. Osoby z łagodną postacią kardiomiopatii często nie mają żadnych objawów i mogą nie wymagać specjalnego leczenia, a jedynie regularnych kontroli lekarskich.842

Rokowanie

Rokowanie w kardiomiopatii zależy od wielu czynników, w tym typu kardiomiopatii, wieku pacjenta, współistniejących chorób oraz odpowiedzi na leczenie.4341

Typ kardiomiopatii Rokowanie
Kardiomiopatia rozstrzeniowa Około połowa pacjentów z DCM, którzy rozwinęli niewydolność serca, umiera w ciągu 5 lat; wczesne leczenie może znacząco poprawić rokowanie
Kardiomiopatia przerostowa Większość pacjentów ma normalną długość życia; ryzyko nagłej śmierci sercowej wynosi mniej niż 1% rocznie
Kardiomiopatia restrykcyjna Gorsze rokowanie; 45-50% pacjentów przeżywa 2 lata od diagnozy
Kardiomiopatia stresowa (takotsubo) Dobre rokowanie; około 95% pacjentów doznaje pełnego wyleczenia w ciągu 1-2 miesięcy

Czynniki związane z gorszym rokowaniem obejmują:4438

  • Obecność objawów niewydolności serca
  • Epizody zatorowości
  • Niska temperatura ciała (hipotermia)
  • Omdlenia w wywiadzie
  • Młody wiek w momencie diagnozy
  • Rodzinny wywiad nagłej śmierci sercowej
  • Znaczne pogrubienie serca widoczne w badaniu echokardiograficznym
  • Szybki rytm serca widoczny w monitorowaniu

Mimo że kardiomiopatia jest poważnym schorzeniem, które może skrócić przewidywaną długość życia, odpowiednie leczenie może znacząco poprawić jakość życia i rokowanie. Wczesne wykrycie choroby i szybkie rozpoczęcie leczenia mają kluczowe znaczenie dla zapobiegania postępowi choroby i powikłaniom.2540

Znaczenie wczesnej diagnozy i leczenia

Wczesna diagnoza kardiomiopatii ma kluczowe znaczenie dla poprawy rokowania i jakości życia pacjentów. Wczesne wykrycie pozwala na:4546

  • Rozpoczęcie leczenia przed wystąpieniem nieodwracalnych zmian w sercu
  • Zapobieganie powikłaniom, takim jak niewydolność serca czy zaburzenia rytmu
  • Zmniejszenie ryzyka nagłej śmierci sercowej
  • Dostosowanie stylu życia i aktywności fizycznej
  • Badania przesiewowe członków rodziny w przypadku kardiomiopatii o podłożu genetycznym

Pacjenci z kardiomiopatią, którzy ściśle przestrzegają zaleconego planu leczenia, mogą znacząco poprawić swoje rokowanie. Regularne przyjmowanie leków, odpowiednia zmiana stylu życia i regularne wizyty kontrolne mogą spowolnić postęp choroby i zapobiec rozwojowi schyłkowej niewydolności serca.3447

Warto podkreślić, że choć kardiomiopatia nie ma obecnie leczenia przyczynowego, które całkowicie eliminowałoby chorobę, to dostępne terapie mogą skutecznie kontrolować objawy, spowolnić postęp choroby i znacząco poprawić jakość życia. Wiele osób z kardiomiopatią, przy odpowiednim leczeniu, może prowadzić normalne i zdrowe życie.2532

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  1. 13.04.2026
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Materiały źródłowe

  • #1 Cardiomyopathy – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cardiomyopathy/symptoms-causes/syc-20370709
    Some people with cardiomyopathy don’t ever get symptoms. For others, symptoms appear as the condition becomes worse. Cardiomyopathy symptoms can include: Shortness of breath or trouble breathing with activity or even at rest. Chest pain, especially after physical activity or heavy meals. Heartbeats that feel rapid, pounding or fluttering. Swelling of the legs, ankles, feet, stomach area and neck veins. Bloating of the stomach area due to fluid buildup. Cough while lying down. Trouble lying flat to sleep. Fatigue, even after getting rest. Dizziness. Fainting. […] Symptoms tend to get worse unless they are treated. In some people, the condition becomes worse quickly. In others, it might not become worse for a long time. […] Dilated cardiomyopathy causes the chambers of the heart to grow larger. Untreated, dilated cardiomyopathy can lead to heart failure.
  • #2 Cardiomyopathy: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/heart/cardiomyopathy
    During the early stages of cardiomyopathy, there may be no present signs or symptoms of a heart problem. However, as the condition worsens, symptoms such as shortness of breath or chest pressure may increase over time. […] Symptoms include breathlessness, even when at rest, swelling of the legs, ankles, and feet, bloating of the abdomen due to fluid build-up, coughing while lying down, difficulty lying flat, fatigue, rapid heartbeat, and feeling dizzy, lightheaded, or faint. […] Serious symptoms and complications may occur as a result of cardiomyopathy, including heart failure, blood clots, and cardiac arrest.
  • #3 Cardiomyopathy – What Is Cardiomyopathy? | NHLBI, NIH
    https://www.nhlbi.nih.gov/health/cardiomyopathy
    Cardiomyopathy is a disease that weakens the heart muscle. This makes it harder for your heart to pump blood. […] Depending on the type of cardiomyopathy that you have, your heart muscle may become thicker, stiffer, or larger than normal. These changes weaken the heart and may cause an irregular heartbeat, heart failure, or a life-threatening event such as cardiac arrest or cardiogenic shock. […] People with cardiomyopathy may have shortness of breath, fatigue, dizziness and fainting, swelling in the ankles or legs, or chest pain as the disease gets worse. […] Some people have no cardiomyopathy symptoms and may not need treatment. Even so, some providers may recommend treatment to prevent progression of the disease. […] Treatments may not fix the problem with your heart, but they may lower symptoms, prevent the disease from getting worse, and reduce the chance of sudden death.
  • #4 Symptoms of Cardiomyopathy | Cardiomyopathy UK
    https://www.cardiomyopathy.org/symptoms
    Cardiomyopathy can cause the following symptoms: […] Breathlessness: fluid builds up on the lungs, making it harder to breathe. […] Tiredness: if the heart’s function is reduced, less energy is delivered to the tissues, which can cause fatigue or tiredness. […] Swollen ankles and/or tummy: if the heart can’t pump effectively, fluid can build up in the tissues. This causes swelling (also known as oedema). […] Palpitations: (feeling your heart beating) can be caused by abnormal heart rhythms. These are known as arrhythmias. […] Dizziness or fainting: when your heart isn’t working effectively, your oxygen levels are reduced, causing light-headedness, dizziness and, in some cases, fainting. […] Chest pain: chest pain can be caused by reduced blood flow from the heart. […] Someone with cardiomyopathy may not have all of the symptoms listed here, as the symptoms can vary for each person.
  • #4 Symptoms of Cardiomyopathy | Cardiomyopathy UK
    https://www.cardiomyopathy.org/symptoms
    These six symptoms can also be symptoms of other types of heart conditions, so if you’re experiencing them, it doesn’t necessarily mean that you have cardiomyopathy. However, it is important to get checked by a doctor if you are concerned, particularly if you find that your symptoms change or get worse.
  • #5 Cardiomyopathy – Symptoms | NHLBI, NIH
    https://www.nhlbi.nih.gov/health/cardiomyopathy/symptoms
    Some people with cardiomyopathy never have any symptoms. Other people may not have symptoms until their condition gets worse. […] Common symptoms include: Shortness of breath, especially after a large meal. Chest pain, especially after physical activity or a large meal. Tiredness even after resting. Dizziness and fainting. Arrhythmias (irregular heartbeats). Heart murmur (extra or unusual sounds between heartbeats). Heart palpitations. […] If cardiomyopathy has caused heart failure or if you have peripartum cardiomyopathy, symptoms could include swelling of the belly, hands, legs, or feet. […] Symptoms in babies and young children may look different. They may experience vomiting; diarrhea; problems with eating or breathing; irritability (crying and fussiness); fainting; swelling of the arms, legs, or belly; extreme sleepiness; or poor growth.
  • #6 Cardiomyopathy: Symptoms, Types, Treatment, and Causes
    https://www.healthline.com/health/heart-disease/cardiomyopathy
    Cardiomyopathy is a disease of the heart muscle that worsens over time and can be life-threatening. The heart muscle weakens and can no longer pump blood effectively. […] Symptoms include weakness, dizziness, shortness of breath, high blood pressure, and fluid retention, or edema. […] Cardiomyopathy can be life threatening and can shorten your life expectancy if severe damage occurs early on. The disease is also progressive, which means it tends to get worse over time, especially if it isnt treated. […] Common symptoms of cardiomyopathy include shortness of breath, fatigue, and swelling in the feet, ankles, legs, abdomen, or veins of the neck.
  • #7 Cardiomyopathy Prognosis: Life Expectancy & Quality of Life
    https://www.verywellhealth.com/cardiomyopathy-prognosis-5248569
    Cardiomyopathy does not always cause symptoms. However, it commonly results in heart failure symptoms and can cause complications that include valvular problems, arrhythmias (heart rhythm issues), and sudden cardiac death. […] Cardiomyopathy does not always cause symptoms, but when it does, it indicates a diagnosis of heart failure. The following are some symptoms of heart failure: Shortness of breath, Difficulty lying flat due to shortness of breath (orthopnea), Awakening at night short of breath (paroxysmal nocturnal dyspnea), Cough, Exercise intolerance, Feet and leg swelling, Abdominal fullness, Decreased appetite, Fatigue, Light-headedness, Palpitations (heart beats hard and fast or heart flutters). […] Cardiomyopathy is a condition in which the heart muscle is abnormal in thickness, stiffness, or strength. Cardiomyopathy may cause no symptoms at first, but when symptoms start, they can lead to heart failure.
  • #8 Hypertrophic Cardiomyopathy – Symptoms, Tests, Treatments
    https://www.webmd.com/heart-disease/hypertrophic-cardiomyopathy
    Many people with HCM have no symptoms or only minor symptoms and live a normal life. Other people develop symptoms, which progress and worsen as heart function worsens. […] Symptoms of HCM can occur at any age and may include: Chest pain or pressure (usually occurs with exercise or physical activity, but can also occur with rest or after meals), Shortness of breath (dyspnea), especially with exertion, Fatigue (feeling overly tired), Fainting (caused by irregular heart rhythms, abnormal responses of the blood vessels during exercise, or no cause may be found), Palpitations (fluttering in the chest) due to abnormal heart rhythms (arrhythmias), such as atrial fibrillation or ventricular tachycardia, Sudden death (occurs in a small number of patients with HCM).
  • #9 Hypertrophic cardiomyopathy – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hypertrophic-cardiomyopathy/symptoms-causes/syc-20350198
    W hypertroficznej kardiomiopatii mięsień sercowy staje się pogrubiony, co może utrudniać sercu pompowanie krwi. […] Wiele osób z hypertroficzną kardiomiopatią nie zdaje sobie sprawy, że ją ma, ponieważ mają niewiele, jeśli w ogóle, objawów. […] W małej liczbie osób z HCM pogrubiony mięsień sercowy może powodować poważne objawy. Te obejmują duszność i ból w klatce piersiowej. […] Objawy hypertroficznej kardiomiopatii mogą obejmować jeden lub więcej z następujących: ból w klatce piersiowej, szczególnie podczas wysiłku; omdlenia, szczególnie podczas lub tuż po wysiłku lub innej aktywności fizycznej; uczucie szybkich, trzepoczących lub mocnych uderzeń serca zwane palpitacjami; duszność, szczególnie podczas wysiłku. […] Wiele osób z HCM ma zmiany w systemie elektrycznym serca. Te zmiany mogą prowadzić do zagrażających życiu nieregularnych rytmów serca lub nagłej śmierci.
  • #10 Symptoms and Diagnosis of Cardiomyopathy | American Stroke Association
    https://www.stroke.org/en/health-topics/cardiomyopathy/symptoms-and-diagnosis-of-cardiomyopathy
    It’s important to identify people who may be at high risk for cardiomyopathy. Some people with cardiomyopathy never have signs or symptoms. Others don’t have signs or symptoms in the early stages of the disease. […] Signs and symptoms of cardiomyopathy include: Shortness of breath or trouble breathing, especially with physical exertion. Fatigue or tiredness even after resting. Swelling in the ankles, feet, legs, abdomen and veins in the neck. Dizziness. Fainting. Arrhythmias (abnormal heartbeats). Chest pain, especially after physical exertion or heavy meals. Heart murmurs (extra or unusual sounds heard with heartbeats). […] Confirming a diagnosis may involve one or more medical procedures. If surgery is planned, a diagnostic procedure may be performed in preparation for surgery. Such diagnostic procedures may include: Myocardial biopsy: In this procedure, which can be done during cardiac catheterization, a small piece of your heart muscle is removed. The muscle is studied under a microscope to see whether cell changes have occurred, which may suggest cardiomyopathy.
  • #11 Cardiomyopathy: Symptoms & Treatment | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/cardiomyopathy
    With cardiomyopathy, the heart muscle becomes weak, making it difficult for the muscle to pump adequately for the heart. […] The signs of cardiomyopathy are not always obvious, especially in the beginning stages. However, as the condition progresses, symptoms start to appear, which could include: Shortness of breath, Swelling in legs, feet, and ankles, Bloating in the abdomen, Coughing while lying down, Fatigue, Arrhythmia (irregular heartbeat), Pounding or racing heartbeat, Chest discomfort, Dizziness or lightheadedness, Fainting. […] If left untreated, cardiomyopathy can cause serious complications, including: Blood clots, Stroke, Pulmonary embolism, Heart failure, Organ failure and limb loss, Heart valve problems, Heart attack and sudden death. […] If left unmanaged, cardiomyopathy leads to serious complications. These complications range from blood clots in the heart, heart valve issues, heart failure, and even heart attack or sudden death.
  • #12 Cardiomyopathy – Symptoms, Causes and Treatments
    https://www.uchealth.com/en/conditions/cardiomyopathy
    Cardiomyopathy can lead to irregular heartbeats, heart failure and more. […] The condition tends to be progressive. Sometimes it worsens quickly. […] You may have no symptoms with hypertrophic cardiomyopathy. If symptoms do occur, they most likely appear when you exert yourself. Symptoms may include: Problems catching your breath, Unexplained tiredness, Lightheadedness, dizzy spells, or fainting, Rapid, pounding heartbeat, Chest tightness or pressure, Fluid retention resulting in swollen feet or ankles or unexplained weight gain. […] Common symptoms include: Shortness of breath, especially when you exert yourself, Unexplained tiredness, Chest pain, Fluid buildup in the lungs, Fluid buildup causing swollen feet or ankles or unexplained weight gain, Heart skipping beats, fluttering, or thumping, Fainting, dizziness, or lightheadedness, Swelling of the veins of the neck, Swelling in the belly (abdomen) with less appetite.
  • #13 Cardiomyopathy: Symptoms, Causes and Treatment | US NewsCalifornia Consumer Privacy Act (CCPA) Opt-Out Icon
    https://health.usnews.com/conditions/heart-disease/cardiomyopathy
    There may be no warning signs in early stages. As cardiomyopathy gradually worsens, you may have the following signs and symptoms: Shortness of breath with exertion. Swollen feet, ankles and legs. Tiredness and fatigue. Difficulty lying flat: needing to prop your head on pillows or waking up gasping for air. Dizziness and lightheadedness. Heart palpitations. Chest pain. Fainting or syncope. High blood pressure. […] Some women recover completely from peripartum cardiomyopathy, whereas others have permanent heart failure and can be very sick, Davis says. „So it’s important to have it diagnosed as soon as possible in order to be on the correct medications and to be monitored closely to see if the heart is getting better or worse after pregnancy.” […] An important issue in peripartum cardiomyopathy is whether a woman with this diagnosis can have another pregnancy. „The recommendation is that if the heart has not fully recovered, it’s quite dangerous to have a subsequent pregnancy,” Davis says. „If the heart muscle is completely recovered, then some women might get through another pregnancy. They may have recurrent symptoms of heart failure and the heart muscle could get weak again.”
  • #14 Cardiomyopathy
    https://www.svhhearthealth.com.au/conditions/cardiomyopathy
    Not everyone with cardiomyopathy experiences signs and symptoms – particularly in the early stages of the disease. When cardiomyopathy worsens, signs and symptoms of heart failure usually occur including swollen feet and ankles, shortness of breath and tiredness. […] Other signs and symptoms may include chest pain, heart murmurs, arrhythmias and dizziness.
  • #15 Hypertrophic Cardiomyopathy (HCM) Signs & Symptoms
    https://www.coulditbehcm.com/signs-and-symptoms
    HCM can sometimes be described as a hidden disease because people who have it may not always have symptoms. And when HCM symptoms do appear, they may be difficult for doctors to recognize because they are similar to other health conditions such as asthma, anxiety, hypertension, or coronary artery disease. […] Even though HCM can be difficult to pin down, there are common symptoms. […] If youre experiencing any of the following symptoms, its important to seek medical attention and talk to your doctor. […] While there are common symptoms to watch for, its important to understand that these symptoms may be signs of other conditions and only your doctor can determine if you have HCM or another condition. […] Also, HCM affects people in different ways. For some people, symptoms come and go, and for others, symptoms can persist for a long time. Still, others may not experience symptoms right away, yet the disease may continue to progress.
  • #15 Hypertrophic Cardiomyopathy (HCM) Signs & Symptoms
    https://www.coulditbehcm.com/signs-and-symptoms
    Complications of HCM can include heart failure, atrial fibrillation (AFib), stroke, and rarely, sudden cardiac death. […] HCM can be a debilitating and life-changing disease that reduces physical functioning and overall well-being. […] The symptoms of HCM can limit a persons activity and even keep them from doing simple, everyday tasks. Worsening HCM symptoms may limit peoples physical activities, keep them from everyday tasks, and impact their ability to work. […] If youve noticed your symptoms are impacting your daily activities, it is important to talk to your doctor to get an accurate diagnosis.
  • #16 Dilated cardiomyopathy – Wikipedia
    https://en.wikipedia.org/wiki/Dilated_cardiomyopathy
    Symptoms vary from none to feeling tired, leg swelling, and shortness of breath. […] It may also result in chest pain or fainting. […] Complications can include heart failure, heart valve disease, or an irregular heartbeat. […] Dilated cardiomyopathy develops insidiously, and may not initially cause symptoms significant enough to impact on quality of life. Nevertheless, many people experience significant symptoms. These might include shortness of breath, syncope (fainting), and angina, but only in the presence of ischemic heart disease. […] As DCM progresses, two compensatory mechanisms are activated in response to impaired myocyte contractility and reduced stroke volume. […] These responses initially compensate for decreased cardiac output and maintain those with DCM as asymptomatic. Eventually, however, these mechanisms become detrimental, intravascular volume becomes too great, and progressive dilatation leads to heart failure symptoms.
  • #16 Dilated cardiomyopathy – Wikipedia
    https://en.wikipedia.org/wiki/Dilated_cardiomyopathy
    The progression of heart failure is associated with left ventricular remodeling, which manifests as gradual increases in left ventricular end-diastolic and end-systolic volumes, wall thinning, and a change in chamber geometry to a more spherical, less elongated shape. This process is usually associated with a continuous decline in ejection fraction.
  • #17 Stages of Heart Failure – Dilated Cardiomyopathy | DCM
    https://dcmfoundation.org/about-dilated-cardiomyopathy/stages-heart-failure-dilated-cardiomyopathy/
    Heart failure is a constellation of signs and symptoms that can be caused by DCM. […] Symptoms of heart failure due to dilated cardiomyopathy can improve, or they can worsen, so one can move back and forth across the classes. […] Symptoms of heart failure have now occurred with changes to the heart structure. Symptoms include fatigue, shortness of breath, and decreased exercise tolerance (refer to symptoms of heart failure), systolic dysfunction (reduced heart pumping function), abnormalities to the heart valves, and enlargement of the heart. […] Stage D is characterized by structural changes to the heart and refractory heart failure symptoms that occur at rest, despite optimal therapies.
  • #18 Hypertrophic cardiomyopathy: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000192.htm
    Hypertrophic cardiomyopathy (HCM) is a condition in which the heart muscle becomes thick. Sometimes, only one part of the heart is thicker than the other parts. […] The thickening can make it harder for blood to leave the heart, forcing the heart to work harder to pump blood. It also can make it harder for the heart to relax and fill with blood. […] In many young adults, the first symptom of hypertrophic cardiomyopathy is sudden collapse and possible death. This can be caused by highly abnormal heart rhythms (arrhythmias). It may also be due to a blockage that prevents the outflow of blood from the heart to the rest of the body. […] Common symptoms include: Chest pain, Dizziness, Fainting, especially during exercise, Fatigue, Lightheadedness, especially with or after activity or exercise, Sensation of feeling the heart beat fast or irregularly (palpitations), Shortness of breath with activity or after lying down (or being asleep for a while).
  • #18 Hypertrophic cardiomyopathy: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000192.htm
    Some people with hypertrophic cardiomyopathy may not have symptoms and will have normal lifespan. Others may get worse slowly or quickly. In some cases, the condition may develop into dilated cardiomyopathy. […] People with hypertrophic cardiomyopathy are at higher risk for sudden death than people without the condition. Sudden death can occur at a young age. […] Hypertrophic cardiomyopathy is a well-known cause of sudden death in athletes. Almost half of deaths due to this condition happen during or just after some type of physical activity.
  • #19 Hypertrophic Cardiomyopathy: Causes, Symptoms & Treatments
    https://my.clevelandclinic.org/health/diseases/17116-hypertrophic-cardiomyopathy
    Hypertrophic cardiomyopathy (HCM) is a complex type of heart disease that affects your heart muscle. It can cause: […] The stiffness in your left ventricle causes pressure to increase inside your heart and may lead to symptoms such as: […] Common symptoms of hypertrophic cardiomyopathy include: […] People with hypertrophic cardiomyopathy may have a variety of symptoms or none at all. […] Most people with hypertrophic cardiomyopathy have a low risk for sudden cardiac death. However, hypertrophic cardiomyopathy is the most common cause of sudden cardiac death in people under age 35. […] Symptoms of heart failure include: […] The goal of your treatment is to minimize or prevent symptoms and reduce the risk of complications, such as heart failure and sudden cardiac death. […] Whether you have symptoms or not, if you’re diagnosed with hypertrophic cardiomyopathy or it runs in your family, there are changes you can make to optimize your heart health.
  • #19 Hypertrophic Cardiomyopathy: Causes, Symptoms & Treatments
    https://my.clevelandclinic.org/health/diseases/17116-hypertrophic-cardiomyopathy
    Most people with hypertrophic cardiomyopathy (HCM) lead normal lives, but several treatments are available for people who develop symptoms or are at risk for serious problems. Your outlook (prognosis) depends on how well your heart muscle is working, your symptoms, and how well you respond to and follow your treatment plan.
  • #20 About Cardiomyopathy | Heart Disease | CDC
    https://www.cdc.gov/heart-disease/about/cardiomyopathy.html
    Some people who have cardiomyopathy never have symptoms, while others may show signs as the disease progresses. […] Symptoms include shortness of breath, fatigue, and swollen ankles or legs. […] Hypertrophic cardiomyopathy is thought to be the most common inherited or genetic heart disease. While this type of cardiomyopathy occurs at many ages, in children and young adults with this condition there may be no symptoms. Yet they are at high risk of sudden cardiac death.
  • #21 Cardiomyopathy
    https://www.nhs.uk/conditions/cardiomyopathy/
    It results in reduced blood flow from the heart and can lead to symptoms of heart failure, such as breathlessness, tiredness and ankle swelling, as well as heart rhythm problems. […] People with ACM usually have heart rhythm problems. Reduced blood flow from the heart can also lead to symptoms of heart failure. […] There’s usually no cure for cardiomyopathy, but the treatments can be effective at controlling symptoms and preventing complications. Some types of cardiomyopathy have specific treatments and early diagnosis is very important. […] Medicines may be needed to control blood pressure, correct an abnormal heart rhythm, remove excess fluid or prevent blood clots.
  • #22 Cardiomyopathy
    https://www.healthywa.wa.gov.au/Articles/A_E/Cardiomyopathy
    HCM occurs if the heart muscle cells enlarge and cause the walls of the heart to thicken. This thickening may block blood flow out of the ventricle. If a blockage occurs, the heart must work harder to pump blood to the body. This can cause: chest pain, dizziness, shortness of breath, fainting. […] With this type of cardiomyopathy, the heart becomes stiff and rigid because abnormal tissue, such as scar tissue, replaces the normal heart muscle. As a result, the heart cant pump properly and blood flow to the heart is reduced. This leads to problems such a heart failure or arrhythmias. […] Unfortunately, because some people dont experience any symptoms, the first sign can be sudden death. […] Cardiomyopathy can be managed with medicines and treatments which relieve symptoms, as well as simple lifestyle changes.
  • #22 Cardiomyopathy
    https://www.healthywa.wa.gov.au/Articles/A_E/Cardiomyopathy
    Depending on the type of cardiomyopathy, surgery or an implantable device (such as an implantable cardiac defibrillator) may also be used to manage the condition. […] Quitting smoking is one of the most important things you can do to reduce your risk of further heart disease. […] Alcohol can damage your heart. Talk to your doctor about how much alcohol you drink. […] Regular, light- to moderate-intensity physical activity is good for your heart and is a great way to have fun. […] Cardiomyopathy is a condition where your heart becomes inflamed and weakened. […] There are a number of causes of cardiomyopathy but not everyone gets symptoms. […] Cardiomyopathy can be treated with medication and surgery, but one of the most important strategies in managing this condition is to adopt a healthy lifestyle.
  • #23 Cardiomyopathy | Causes, Symptoms, Types & Treatment
    https://www.cincinnatichildrens.org/health/c/cardiomyopathy
    The exact number of patients with hypertrophic cardiomyopathy is unknown, as some patients have no symptoms. The chance of premature death is estimated to be less than 1 percent. Risk factors for sudden death include episodes of passing out, diagnosis at a young age, family history of sudden death, marked heart thickening on echocardiogram, and fast heart rhythms seen on monitoring. In less than 5 percent of patients, late complications can include enlargement of the left ventricle and decreased pumping function. […] As restrictive cardiomyopathy accounts for only five percent of patients with cardiomyopathy, the total number of patients with this disease is small and the overall outcome data is limited. Unfortunately, the available information indicates that prognosis is poor. Only 45 percent to 50 percent of patients with this type of cardiomyopathy are estimated to survive two years after the diagnosis. These patients are typically referred early to heart transplant, before they get other symptoms from their heart disease.
  • #23 Cardiomyopathy | Causes, Symptoms, Types & Treatment
    https://www.cincinnatichildrens.org/health/c/cardiomyopathy
    Cardiomyopathy Symptoms […] Children with cardiomyopathy can present in a variety of ways. Some children have no symptoms and are asked to see a cardiologist because heart disease runs in their family, their doctor notices a change in their physical exam, or because of an abnormal test that was done for another reason. A child could also have signs and symptoms of congestive heart failure (CHF). In some very rare cases, a sudden cardiac event related to an abnormal heart rhythm may be the first sign of a heart problem in a child. […] Infants with cardiomyopathy may have: […] Fast and heavy breathing at rest or with feedings […] Feedings that take longer than normal […] Sweating with feedings […] Increased tiredness or inactivity […] Poor weight gain. […] Common symptoms in older children and adolescents are:
  • #23 Cardiomyopathy | Causes, Symptoms, Types & Treatment
    https://www.cincinnatichildrens.org/health/c/cardiomyopathy
    Abdominal pain […] Nausea / vomiting […] Decreased appetite […] Chest pain […] Trouble exercising or are not able to keep up with other children their age […] Trouble breathing […] Cough […] Swelling in face, belly, or legs […] Abnormal heartbeats or palpitations […] Dizziness […] Passing out (passing out during exercise is a serious concern and children should be seen by a cardiologist). […] Long-Term Outlook for Children with Cardiomyopathy […] Dilated cardiomyopathy (DCM) is a serious disease. However, like most diseases, dilated cardiomyopathy occurs with a spectrum of severity and outcomes. For patients with DCM and heart failure from viral illnesses or myocarditis, about one-third have persistent poor heart function, one-third improve but are left with some heart dysfunction, and one-third recover completely. It is hard to predict into which category an individual patient will fall. This is why frequent cardiology follow-up is important. Patients who have irreversible damage and persistent poor function may go on to require a heart transplant.
  • #24 Cardiomyopathies > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/cardiomyopathies
    It can be diagnosed at any age and tends to be most severe when discovered during childhood. […] Restrictive cardiomyopathy causes the heart muscle to become less elastic, making it hard for the heart to expand and fill with blood between heartbeats. […] It is the least common cardiomyopathy and tends to affect older patients, although it can be diagnosed at any age.
  • #25 Cardiomyopathy: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/16841-cardiomyopathy
    Cardiomyopathy refers to conditions that affect your heart muscle. If you have cardiomyopathy, your heart cant efficiently pump blood to the rest of your body. As a result, you may experience fatigue, shortness of breath or heart palpitations. Cardiomyopathy gets worse over time. Treatment can slow the progression and improve your quality of life. […] In time, your heart can weaken and cardiomyopathy can lead to heart failure. Treatment can help. Some people with cardiomyopathy eventually need a heart transplant. […] Some people have no symptoms of cardiomyopathy and dont need treatment. Others experience symptoms as their disease progresses. […] Cardiomyopathy is a serious condition. Without treatment, it can be life-threatening. Its also a progressive condition, meaning it usually worsens over time.
  • #25 Cardiomyopathy: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/16841-cardiomyopathy
    Cardiomyopathy treatment can improve your outlook. If you have cardiomyopathy, seek treatment from a cardiologist (heart specialist). Medication, procedures or other treatments can increase your quality of life and help you live longer. […] Theres no cure for cardiomyopathy. However, you can manage the condition or slow its progression. Many people who make healthy lifestyle choices and seek medical treatment can live a high quality of life with cardiomyopathy. Taking the proper medications can drastically alter and improve the prognosis of cardiomyopathy. Many people can live normal and healthy lives with the right treatment. […] Lifestyle choices can affect how quickly cardiomyopathy progresses. To manage symptoms and increase your heart health, your provider may recommend: Achieving and maintaining an ideal weight for your height and age. Eating a heart-healthy diet, including reducing your sodium intake. Exercising regularly. Limiting alcohol intake. Managing and reducing stress. Quitting smoking.
  • #26 For Your Patients: Understanding Cardiomyopathy Progression | MedPage Today
    https://www.medpagetoday.com/medical-journeys/cardiomyopathy/102411
    For patients with many types of cardiomyopathy, the disease gradually progresses from being „at risk for heart failure” to have structural heart disease, initially without symptoms and then with symptoms. […] Your condition is considered heart failure (Stage C) when you have had symptoms of the conditions, the most common of which are shortness of breath (dyspnea); feeling tired (fatigue); reduced ability to tolerate physical activity; weak legs; waking up to urinate; and swelling (edema) in the feet, ankles, lower legs, and torso. […] Depending on which type of cardiomyopathy you have, how early it was diagnosed, and how well it is managed, you may reach a symptomatic stage quickly or after many years. […] Following your treatment plan closely and notifying your healthcare team of changes in your condition may help slow down progression to end-stage heart failure, which is when the disease no longer responds to the standard medications and devices used to treat the condition, and patients may require transplant or other specialized interventions.
  • #27 Hypertrophic Cardiomyopathy Symptoms: Signs to Look For
    https://www.healthline.com/health/heart/signs-of-hypertrophic-cardiomyopathy
    HCM symptoms can be divided into the following four stages: Stage I: This is usually when the disease is not yet showing any noticeable symptoms, though some early signs may appear. Stage II: In this stage, there is a noticeable thickening of the heart muscle, which shows excessive contraction but no significant scarring. The symptoms are usually caused by blockage of the lower part of the left ventricle from displacement of the mitral valve. You might begin to experience things like problems with your heart rate and swelling. Stage III: In this stage, you would develop signs of left-ventricular fibrosis or scarring, negatively affecting your hearts ability to pump blood. Symptoms can include shortness of breath, irregular heartbeat, and nausea. Stage IV: By this stage, you develop overt signs of left ventricular systolic dysfunction (LVSD). Symptoms include difficulty breathing, especially at night, swelling, weight gain, and chest pain.
  • #28 What Is Cardiomyopathy? | American Heart Association
    https://www.heart.org/en/health-topics/cardiomyopathy/what-is-cardiomyopathy-in-adults
    Cardiomyopathy is a disease of the heart muscle that makes it harder for the heart to pump blood to the rest of the body. […] As cardiomyopathy worsens, the heart becomes weaker. The heart becomes less able to pump blood throughout the body and incapable of maintaining a normal electrical rhythm. The result can be heart failure or irregular heartbeats called arrhythmias. A weakened heart also can cause other complications, such as heart valve problems. […] Some cases of cardiomyopathy have no signs or symptoms and need no treatment. In other cases, cardiomyopathy develops quickly with severe symptoms, and serious complications occur. Treatment is required in these instances. […] Treatments include lifestyle changes, medications, surgery, implanted devices to correct arrhythmias and other nonsurgical procedures. These treatments can control symptoms, reduce complications and prevent the disease from worsening.
  • #29 Cardiomyopathy | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/blood-heart-circulation/cardiomyopathy.html
    Different types of cardiomyopathies affect the heart in different ways. Depending on the type, the condition may cause your heart muscle to weaken, enlarge, thicken, or stiffen. […] If the disease worsens, it can become more difficult for the heart to pump blood, sometimes leading to a condition known as heart failure, which means that the weakening or stiffness has started to cause other symptoms such as water retention. […] Additionally, a heart with cardiomyopathy can have a harder time beating normally, which can result in abnormal heart rhythms called arrhythmias. Arrhythmias may not necessarily lead to noticeable symptoms but can still increase the risk for sudden cardiac death, stroke, and other complications. Other complications of cardiomyopathy may include heart valve problems and pulmonary hypertension.
  • #29 Cardiomyopathy | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/blood-heart-circulation/cardiomyopathy.html
    Catching cardiomyopathy early and getting proper treatment from experts gives you the best chance to live a healthy life. Some people never experience serious problems related to their inherited cardiomyopathy and may just need regular checkups. Some may need medications and possibly an implanted device or procedure to protect against arrhythmia. A small number of people with severe cardiomyopathy may need an implantable pump for mechanical support of the heart or a heart transplant. […] Generally, cardiomyopathy treatment tries to reduce symptoms so they do not interfere with your day-to-day life, target the cause of the disease, when possible, slow or prevent damage to the heart muscle and the electrical system, help the heart function better, and protect against dangerous complications such as arrhythmia, heart failure, sudden cardiac arrest, or stroke.
  • #30 Childhood Cardiomyopathy: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/pediatrics/heart/cardiomyopathy
    In pediatric patients, heart failure could appear as a cold, flu, asthma, or stomachache. Some children may have no symptoms at all. Symptoms may not appear in the early stages, but as the disease progresses, patients may experience the following symptoms: Shortness of breath, Fatigue, Exercise intolerance, Chest pressure, Rapid breathing, Dizziness or fainting, Rapid or irregular heartbeat, Swelling or bloating of the abdomen, Swelling of the extremities. […] Infants may experience additional symptoms such as: Poor weight gain, Extreme sleepiness, Difficulty feeding, Excessive sweating. […] Cardiomyopathy affects adults and children alike, and adults experience the same symptoms.
  • #31 Cardiomyopathy | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/cardiomyopathy
    Noncompaction is the most unpredictable type of cardiomyopathy. In young children, it can cause a poorly functioning heart and symptoms of illness, while in older children and adults, it may not cause any symptoms. […] Symptoms of cardiomyopathy vary widely in type and severity. […] Sometimes infants have symptoms of cardiomyopathy shortly after birth. These symptoms can include: Difficulty breathing, Sweating while feeding or difficulty with feeding, Poor weight gain, Irritability, lethargy, unresponsiveness or seeming “out of it.” […] Sometimes symptoms don’t appear until the child is older. These symptoms can include: Heart murmur, or abnormal heart sound when a doctor listens with a stethoscope, Difficulty exercising, difficulty breathing and/or chest pains with exercise, Dizziness or fainting, Unusual fatigue, Heart palpitations, Vomiting or decreased appetite, Unexplained weight gain. […] Heart transplantation can be considered in children with symptoms of heart failure that interfere with daily activities and growth.
  • #32 Cardiomyopathy: Symptoms, Causes, and Treatment
    https://www.webmd.com/heart-disease/muscle-cardiomyopathy
    Cardiomyopathy can lead to heart failure and the backup of blood into your lungs or other parts of your body. […] Cardiomyopathy tends to get worse over time and may lead to heart failure and the backup of blood into your lungs or other parts of your body. […] You can have cardiomyopathy that’s so mild you don’t have any symptoms at all. Or you might notice: Shortness of breath, Long-lasting fatigue, Chest pain, A heartbeat that flutters or that feels fast or pounding, Swollen legs or ankles, A bloated belly, Dizziness or fainting, Coughing when you lie down. […] These symptoms are likely to get worse if you don’t get treatment. […] The outlook for people with cardiomyopathy depends on what type they have and how serious it is. It can range from mild to life-threatening. It tends to get worse as time goes on. […] While there’s no cure for cardiomyopathy, treatment can improve symptoms and help prevent or slow down complications.
  • #33 Cardiomyopathy – Wikipedia
    https://en.wikipedia.org/wiki/Cardiomyopathy
    Early on there may be few or no symptoms. […] As the disease worsens, shortness of breath, feeling tired, and swelling of the legs may occur, due to the onset of heart failure. […] An irregular heart beat and fainting may occur. […] Those affected are at an increased risk of sudden cardiac death. […] The presentation of cardiomyopathy is: Shortness of breath or trouble breathing, especially with physical exertion, Fatigue, Swelling in the ankles, feet, legs, abdomen and veins in the neck, Dizziness, Lightheadedness, Fainting during physical activity, Arrhythmias (abnormal heartbeats), Chest pain, especially after physical exertion or heavy meals, Heart murmurs (unusual sounds associated with heartbeats). […] Cardiomyopathies are either confined to the heart or are part of a generalized systemic disorder, both often leading to cardiovascular death or progressive heart failure-related disability. […] Treatment depends on the type of cardiomyopathy and the severity of symptoms. […] The goal of treatment is often symptom relief, and some patients may eventually require a heart transplant.
  • #34 Early Signs and Symptoms of DCM — Reduced Heart Muscle Function
    https://dcmfoundation.org/about-dilated-cardiomyopathy/dilated-cardiomyopathy-and-symptoms-of-heart-failure/mild-symptoms-class-ii/
    A person with Dilated Cardiomyopathy (DCM) may notice that they fatigue easier or have mild shortness of breath during usual physical activities. This may cause slight limitation, meaning they need to stop and rest sooner, or more often, during usual activities. […] Most people with mild, or Class II, symptoms are still able to work. […] This is hard to predict. For some people with DCM, symptoms will stay the same or improve slightly. While for others, symptoms may progress with time. Occasionally there are other people who may have an improvement in their symptoms to such a degree that they no longer have symptoms. What is predictable is that the chances of symptoms getting worse, and/or a person dying sooner, are much higher for people who do not take the essential medications.
  • #35 A Guide to 5 Signs of Cardiomyopathy?
    https://www.primehv.com/heart-health/5-signs-of-cardiomyopathy/
    Cardiomyopathy typically causes fatigue, dizziness, shortness of breath, weakness, and swelling of legs and feet. More concerning symptoms include fainting, heart palpitations, high blood pressure, and chest pain. […] Dilated cardiomyopathy usually creates the typical symptoms of cardiomyopathy, but also carries the risk of stroke-causing blood clots. […] Restrictive cardiomyopathy causes severe fatigue and shortness of breath, making physical activity – or just sitting – exhausting. […] Hypertrophic cardiomyopathy puts you at elevated risk of experiencing strong palpitations and shortness of breath.
  • #36 What Is Cardiomyopathy? Symptoms, Causes, Diagnosis, Treatment, and Prevention
    https://www.everydayhealth.com/cardiomyopathy/
    Some people who have cardiomyopathy never have symptoms. Others may not show signs early on, but do have symptoms later in the course of the disease. Signs and symptoms of cardiomyopathy include: Shortness of breath or trouble breathing […] Fatigue […] Swelling in the ankles, feet, legs, abdomen, and veins in the neck […] Arrhythmias or palpitations […] Syncope (fainting or briefly passing out) […] Dizziness […] Lightheadedness […] Fainting during physical activity […] Chest pain, especially after physical exertion or heavy meals […] Heart murmurs (unusual sounds associated with heartbeats) […] Heart failure (typically in the later stages of cardiomyopathy). […] For some people, signs and symptoms of cardiomyopathy tend to get worse without treatment. In some cases, the disease worsens quickly. Other people may have no symptoms or mild symptoms for a long time before the condition worsens. In serious cases, cardiomyopathy is a major cause of heart failure and one of the most common conditions leading to heart transplantation. […] However, some people who have cardiomyopathy but do not show any signs or symptoms may not need any treatment. In fact, dilated cardiomyopathy that comes on suddenly may improve on its own in some cases.
  • #37 Cardiomyopathy: Symptoms, treatment, and causes
    https://www.medicalnewstoday.com/articles/327456
    In some cases, usually mild ones, there are no symptoms of cardiomyopathy. […] However, as the condition progresses, a person may experience the following symptoms with varying degrees of severity: fatigue, shortness of breath, swelling of the legs and ankles, heart palpitations, dizziness, fainting. […] Cardiomyopathy is a serious condition. Without treatment, it can weaken the heart and, in some cases, cause a life-threatening condition called cardiac arrest. […] The intention of cardiomyopathy treatment is to control symptoms, slow the progression of the condition, and prevent sudden cardiac death. […] Lifestyle changes can help reduce the severity of conditions that may have led to cardiomyopathy. They may also slow the progression of the disease. […] Treatment usually consists of lifestyle changes and medications. Additional treatment in more severe cases may include implanted devices or surgery.
  • #38 Cardiomyopathy: What Are the Signs, What Are the Symptoms? | MedPage Today
    https://www.medpagetoday.com/medical-journeys/cardiomyopathy/96965
    Symptoms largely follow those traditionally associated with heart failure: dyspnea on exertion or when lying flat, fatigue, edema in the lower extremities, syncope, weakness or lightheadedness, and cough. […] In restrictive cardiomyopathy, the heart becomes stiff, scarred, or both. It typically presents with classic symptoms of heart failure, such as ascites, peripheral edema, and elevated jugular venous pressure. […] Dilated cardiomyopathy is characterized by an enlarged and poorly contractile left ventricle in the absence of hypertension, valvular, congenital, or ischemic heart disease. Symptoms can range from none to those typical for heart failure with reduced ejection fraction. […] Myocarditis — inflammatory cardiomyopathy — can stem from a variety of toxins, drugs, and infections, gaining popular notoriety as stemming from COVID-19 or, rarely, from vaccination against it. Signs and symptoms may include chest pain, exertional dyspnea, fatigue, syncope, palpitations, ventricular tachyarrhythmias, and conduction abnormalities.
  • #38 Cardiomyopathy: What Are the Signs, What Are the Symptoms? | MedPage Today
    https://www.medpagetoday.com/medical-journeys/cardiomyopathy/96965
    Hypertrophic cardiomyopathy, defined by left ventricular hypertrophy without chamber dilation, can cause left ventricular outflow tract obstruction or mitral valve dysfunction from septal thickening. While often asymptomatic early on, characteristic signs and symptoms include atypical chest pain, such as during meals, dehydration, or on exertion; dyspnea and fatigue, especially in adults upon exertion; and sudden cardiac death. […] For these three main categories, the AHA acknowledged that patients can shift from one to the other as a consequence of remodeling in the natural course of their disease. […] Some 15% of heart failure in older adults may actually be unrecognized transthyretin amyloid cardiomyopathy (ATTR-CM), in which misfolded transthyretin (formerly known as pre-albumin) protein forms deposits in the myocardium.
  • #39 Cardiomyopathy: Knowing What Symptoms to Watch For
    https://hunterdoncardiovascular.com/uncategorized/cardiomyopathy-knowing-what-symptoms-to-watch-for/
    Swelling of the lower extremities and heart rate abnormalities are usually the first signs of cardiomyopathy. Next, you may notice symptoms including shortness of breath, nausea, and irregular heart rate. Late-stage cardiomyopathy is characterized by symptoms including weight gain, chest pain, and difficulty breathing, especially at night. […] Call 911 if you experience fainting, difficulty breathing, heart palpitations, or chest pain that lasts longer than a few minutes. These symptoms indicate a potentially life-threatening emergency that requires immediate treatment.
  • #40 What Is Cardiomyopathy – Victor Chang Cardiac Research Institute
    https://www.victorchang.edu.au/heart-disease/cardiomyopathy
    The symptoms of cardiomyopathy can include: Breathlessness with exertion or at rest […] It is important to detect and treat cardiomyopathy as early as possible, regardless of the severity of your symptoms. This may protect the heart from deteriorating rapidly.
  • #41 Cardiomyopathy: Symptoms, Causes, and Treatments
    https://resources.healthgrades.com/right-care/heart-health/cardiomyopathy
    In some cases, cardiomyopathy can be life threatening. Seek immediate medical care (call 911) for these serious symptoms: chest pain or pressure, difficulty breathing, fainting, very rapid or irregular heartbeats. […] Without treatment, cardiomyopathy can lead to complications and even death. […] When treating cardiomyopathy, there are several treatment goals, including: keeping cardiomyopathy from getting worse, managing conditions that cause or contribute to cardiomyopathy, preventing complications, relieving symptoms. […] How cardiomyopathy affects life expectancy depends on the form of the disease a person has. […] People with dilated cardiomyopathy, which is the most common type of cardiomyopathy, are most likely to develop heart failure. About half of these people die within 5 years of developing heart failure.
  • #42 Hypertrophic Cardiomyopathy Symptoms | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/heart-and-vascular/conditions-and-treatments/hypertrophic-cardiomyopathy/symptoms
    A majority of people with hypertrophic cardiomyopathy (HCM) have no symptoms, or very mild symptoms, and lead normal, active lives. […] However, some people with HCM can experience a variety of concerning symptoms, especially during or just after exercise or exertion, including: Chest pain, Heart murmur, typically heard by your doctor during an exam, Heart palpitations, which may be due to an abnormal heart rhythm, Lightheadedness and/or fainting, Shortness of breath. […] A minority of patients with HCM who have no symptoms have an increased risk of sudden death, often at a young age, and often during competitive sports.
  • #43 Patient education: Hypertrophic cardiomyopathy (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hypertrophic-cardiomyopathy-beyond-the-basics
    The most common symptoms include: Breathlessness (dyspnea) on exertion, Chest pain may occur at rest or associated with exertion, Fainting (syncope) and near-fainting (presyncope), Palpitations, awareness of the heart beat or feeling a „forceful” heart beat, Lightheadedness when sitting or standing up, Exertional fatigue or lack of energy (ie, not having the appropriate exertional stamina for certain activities). […] People with no or only minor symptoms generally have a better prognosis than those with more severe symptoms, although people with symptoms due to obstruction who have septal reduction therapy typically have significant improvement in symptoms and normal longevity. However, the severity of symptoms does not necessarily correlate with the extent of cardiac involvement or the risk of sudden death.
  • #44 Hypertrophic Cardiomyopathy | Cornell University College of Veterinary Medicine
    https://www.vet.cornell.edu/departments-centers-and-institutes/cornell-feline-health-center/health-information/feline-health-topics/hypertrophic-cardiomyopathy
    A serious and potentially life-threatening consequence of HCM is the formation of blood clots in the heart. […] Although relatively rare, cats with HCM are at risk for sudden death. […] The prognosis (predicted outcome) for cats with HCM is variable. Cats that do not display any clinical signs are often able to survive for years with only mildly compromised heart function. […] As noted above, HCM is most commonly a progressive disease, and findings that suggest a worse prognosis include congestive heart failure, thromboembolism, and hypothermia (low body temperature). […] Thickening ventricular walls Hypertrophic cardiomyopathy causes the hearts ventricular walls to thicken (hypertrophy), decreasing the efficiency of heart function and predisposing the patient to congestive heart failure and blood clot formation.
  • #45 Early signs and symptoms of hypertrophic cardiomyopathy
    https://www.medicalnewstoday.com/articles/early-detection-hypertrophic-cardiomyopathy
    Many people will not experience symptoms until the disease has progressed. […] Identifying HCM as soon as possible is important. This is because, in some cases, the first indication that HCM is present can be sudden cardiac death. […] Not everyone with HCM will experience symptoms, but early diagnosis is important due to the risk of complications and sudden cardiac death.
  • #46 Inherited Cardiomyopathy Symptoms | Temple Health
    https://www.templehealth.org/services/conditions/inherited-cardiomyopathy/symptoms
    Symptoms of inherited cardiomyopathy are different from person to person. Some people have no symptoms, while others have an irregular heartbeat. Other symptoms patients may experience include: shortness of breath, fatigue, dizziness, fainting, chest pain and a cough while lying down. […] Because of this variation, early screening for patients with a family history of hypertrophic cardiomyopathy is recommended.
  • #47 What is Hypertrophic Cardiomyopathy | OHSU
    https://www.ohsu.edu/knight-cardiovascular-institute/about-hypertrophic-cardiomyopathy-care-ohsu
    Hypertrophic cardiomyopathy (also known as HCM) is the most common genetic heart condition. It occurs when a muscle in your heart thickens and makes it harder for your heart to pump blood. […] HCM can be difficult to diagnose. It may take years for symptoms to appear, or you may have no symptoms at all. HCM can also affect people differently. […] When your heart cant pump efficiently, less blood gets to your muscles and organs. This can cause symptoms like shortness of breath and chest pain. […] Symptoms of hypertrophic cardiomyopathy might not look the same for everyone. The most common signs are: Shortness of breath, Rapid or irregular heartbeat, Heart palpitations, Tiredness, Chest pain, Fatigue, Fainting, Brain fog, Muscle pain. […] You might have experienced some of these symptoms for years before you get diagnosed. Or you may have no symptoms at all. Many patients dont know they have hypertrophic cardiomyopathy until a family member is diagnosed with it. […] Like many chronic conditions, HCM can be managed but not cured. The earlier we catch it, the easier it can be to manage your symptoms. If you have symptoms, your doctor will work with you to find the treatment option thats best for you.