CARDIAC MUSCLE DISEASE
Dilated Cardiomyopathy
Dilated Cardiomyopathy (DCM) is a genetic cardiac muscle disease in which the heart muscle is dilated. As the muscle wall has become thinner and weaker, the enlarged heart is less able to pump blood around (heart failure). But a dilated heart muscle can have other causes, such as narrowed blood vessels, heart attacks and long-term high blood pressure.
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Possible signs and symptoms of DCM are:
Shortness of breath, problems by exercise, reduced endurance and fatigue
Heart palpitations and chest pain
Cardiac arrhythmia: severe arrhythmia can sometimes cause dizziness, fainting and even sudden cardiac death
In the course of life
The dilatation of the heart muscle can develop slowly throughout life, usually in adulthood but sometimes from the age of 10 years. The symptoms vary from gene carrier to gene carrier: some may experience severe heart problems while others have no symptoms at all. In case of symptoms, it is important to discuss it with your GP so that a cardiovascular examination can be carried out.
according to signs and symptoms
Possible treatments
Medication
Depending on symptoms, adequate medication can
be prescribed.
ICD / Pacemaker
If there is a risk of dangerous cardiac arrhythmia, an ICD can be implemented.
Heart surgery
In very severe cases, a VAD and/or heart transplant can be necessary.
Lifestyle
Patients with DCM should strongly avoid intense exercise and stress.
Cardiovascular examination
Echo
An ultrasound of the heart provides a clear image and sound of the function and shape of the heart muscle and valves.
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MRI Scan
The MRI examination, which generates radio wave (magnetic) signals, provides a clear picture of the heart (chambers).
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ECG
In an electrocardiogram, the electrical signals of the heartbeats are properly recorded and can be analyzed.
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• Cardiovascular examination may also include a Holter monitor test and/or an exercise test/cycle test.
Discuss it with your GP or cardiologist
If you’re experiencing some signs and symptoms, or if other family members have been found to have a predisposition for the genetic heart disease DCM, please discuss it with your GP/cardiologist so that additional cardiovascular examination can be assessed.
