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Cardiomyopathy

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The pathophysiology of cardiomyopathies is better understood at the cellular level with advances in molecular techniques. Mutant proteins can disturb cardiac function in the contractile apparatus (or mechanosensitive complexes). Cardiomyocyte alterations and their persistent responses at the cellular
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Cardiomyopathies are generally varied individually. Different factors can cause Cardiomyopathies in adults as well as children. To exemplify, Dilated Cardiomyopathy in adults is associated with Ischemic Cardiomyopathy, Hypertension, Valvular diseases, and Genetics. While in Children, Neuromuscular
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Maron BJ, Udelson JE, Bonow RO, Nishimura RA, Ackerman MJ, Estes NA, Cooper LT, Link MS, Maron MS (1 December 2015). "Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 3: Hypertrophic Cardiomyopathy, Arrhythmogenic Right
461:(AHA) definition divides cardiomyopathies into primary, which affect the heart alone, and secondary, which are the result of illness affecting other parts of the body. These categories are further broken down into subgroups which incorporate new genetic and molecular biology knowledge. 354:
affected 2.5 million people. Hypertrophic cardiomyopathy affects about 1 in 500 people while dilated cardiomyopathy affects 1 in 2,500. They resulted in 354,000 deaths up from 294,000 in 1990. Arrhythmogenic right ventricular dysplasia is more common in young people.
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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. Other diseases that cause heart muscle dysfunction are excluded, such as
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A more clinical categorization of cardiomyopathy as 'hypertrophied', 'dilated', or 'restrictive', has become difficult to maintain because some of the conditions could fulfill more than one of those three categories at any particular stage of their development.
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As of 2013, cardiomyopathies are defined as "disorders characterized by morphologically and functionally abnormal myocardium in the absence of any other disease that is sufficient, by itself, to cause the observed phenotype." Types of cardiomyopathy include
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Treatment may include suggestion of lifestyle changes to better manage the condition. Treatment depends on the type of cardiomyopathy and condition of disease, but may include medication (conservative treatment) or iatrogenic/implanted
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diseases, neuromuscular disorders, inborn errors of metabolism, malformation syndromes and sometimes are unidentified. Non-genetic cardiomyopathies can have definitive causes such as viral infections, myocarditis and others.
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can cause cardiomyopathies, which can completely reverse with a timely diagnosis. In addition to acquired causes, molecular biology and genetics have given rise to the recognition of various genetic causes.
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for recurring dysrhythmias that cannot be eliminated by medication or mechanical cardioversion. The goal of treatment is often symptom relief, and some patients may eventually require a
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Westphal JG, Rigopoulos AG, Bakogiannis C, Ludwig SE, Mavrogeni S, Bigalke B, et al. (2017). "The MOGE(S) classification for cardiomyopathies: current status and future outlook".
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Arbustini E, Narula N, Dec GW, Reddy KS, Greenberg B, Kushwaha S, Marwick T, Pinney S, Bellazzi R, Favalli V, Kramer C, Roberts R, Zoghbi WA, Bonow R, Tavazzi L (3 December 2013).
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Ventricular Cardiomyopathy and Other Cardiomyopathies, and Myocarditis: A Scientific Statement From the American Heart Association and American College of Cardiology".
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Treatment depends on the type of cardiomyopathy and the severity of symptoms. Treatments may include lifestyle changes, medications, or surgery. Surgery may include a
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diseases such as Becker muscular dystrophy, including X-linked genetic disorder, are directly linked with their Cardiomyopathies.
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not formally included in the classification, due to ischemic cardiomyopathy being a direct result of another cardiac problem
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Maron BJ, Towbin JA, Thiene G, Antzelevitch C, Corrado D, Arnett D, Moss AJ, Seidman CE, Young JB (11 April 2006).
3326: 3107: 1389:"Infantile Onset Hypertrophic Cardiomyopathy Secondary to PRKAG2 Gene Mutation is Associated with Poor Prognosis" 3402: 3397: 3321: 3748: 3624: 3553: 3385: 3121: 3743: 3536: 3519: 3452: 3372: 2751: 800: 567: 33: 2727: 3586: 3031: 555: 273: 132: 3568: 3056: 3041: 691: 602: 458: 281: 142: 3115: 3646: 3343: 3311: 3238: 2965: 769: 343: 987: 3770: 3596: 3526: 3316: 3213: 3194: 3024: 2797: 2644: 794: 640: 368: 336: 289: 152: 1019: 3841: 3803: 3777: 3765: 3753: 3738: 3472: 3414: 3218: 3199: 2851: 2791: 2744: 2100: 1146: 950: 866: 686: 653: 430: 312: 98: 911: 831: 3392: 3358: 3301: 3279: 3101: 3083: 3019: 2886: 2839: 2767: 1845: 736: 596: 277: 137: 2684: 1192: 470:
level cause changes that are correlated with sudden cardiac death and other cardiac problems.
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Pathophysiology of heart disease: a collaborative project of medical students and faculty
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In many cases, the cause cannot be determined. Hypertrophic cardiomyopathy is usually
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GBD 2015 Disease and Injury Incidence and Prevalence Collaborators (8 October 2016).
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Shortness of breath or trouble breathing, especially with physical exertion
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Stained microscopic section of heart muscle in hypertrophic cardiomyopathy
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enlarge and weaken. In restrictive cardiomyopathy the ventricle stiffens.
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Adam A, Nicholson C, Owens L (2008). "Alcoholic dilated cardiomyopathy".
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GBD 2013 Mortality and Causes of Death Collaborators (17 December 2014).
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Séguéla PE, Iriart X, Acar P, Montaudon M, Roudaut R, Thambo JB (2015).
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Among the diagnostic procedures done to determine a cardiomyopathy are:
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GBD 2015 Mortality and Causes of Death Collaborators (8 October 2016).
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Law ML, Cohen H, Martin AA, Angulski AB, Metzger JM (February 2020).
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Ciaccio EJ, Lewis SK, Biviano AB, Iyer V, Garan H, Green PH (2017).
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of and injury to heart tissue due in part to its infiltration by
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of and injury to heart tissue due in part to its infiltration by
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Swelling in the ankles, feet, legs, abdomen and veins in the neck
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Gorla S, Raja K, Garg A, Barbouth D, Rusconi P (December 2018).
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Cardiomyopathies can be classified using different criteria:
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Chest pain, especially after physical exertion or heavy meals
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Cimiotti D, Budde H, Hassoun R, Jaquet K (8 January 2021).
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Bakalakos A, Ritsatos K, Anastasakis A (1 September 2018).
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Heart murmurs (unusual sounds associated with heartbeats)
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Advances in Heart Research and Application: 2013 Edition
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may occur. Those affected are at an increased risk of
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Catecholaminergic polymorphic ventricular tachycardia
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Lipshultz SE, Messiah SE, Miller TL (5 April 2012).
832:"What Are the Signs and Symptoms of Cardiomyopathy?" 339:is caused by extreme emotional or physical stress. 45:showing thickening, dilatation, and subendocardial 2766: 1786: 1700: 1619: 1613: 1586: 3833: 1735: 1694: 2225: 2223: 1837: 562:Arrhythmogenic right ventricular cardiomyopathy 2361:Reviews in Endocrine & Metabolic Disorders 1982: 1744:"Cardiovascular involvement in celiac disease" 323:. Restrictive cardiomyopathy may be caused by 2752: 2405: 2357:"Diabetic cardiomyopathy, causes and effects" 1327: 1151:Journal of the American College of Cardiology 906: 904: 902: 900: 898: 896: 894: 892: 861: 859: 857: 2412:Journal of Molecular and Cellular Cardiology 2264: 2220: 1883:Llamas-EsperĂłn GA, Llamas-Delgado G (2022). 1876: 1566:(19th ed.). 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McGraw-Hill Professional. p. 1884. 1564:Harrison's Principles of Internal Medicine 1122:Harrison's principles of internal medicine 889: 854: 286:arrhythmogenic right ventricular dysplasia 148:Arrhythmogenic right ventricular dysplasia 32: 2509: 2439: 2388: 2296: 2247: 2057: 2039: 2016: 1959: 1949: 1908: 1820: 1810: 1793:Simpson S, Rutland P, Rutland CS (2017). 1769: 1759: 1718: 1538: 1520: 1479: 1461: 1420: 1363: 1345: 1288: 1247: 1097: 1045: 1010: 934: 813: 49:noticeable as increased whiteness of the 1983:Harvey PA, Leinwand LA (8 August 2011). 1555: 1062: 973: 768:for those prone to fatal heart rhythms, 536: 528: 481: 362: 2095: 2093: 1985:"Cellular mechanisms of cardiomyopathy" 1215: 1211:from the original on 14 September 2016. 533:Structural categories of cardiomyopathy 375:The presentation of cardiomyopathy is: 3834: 2803:Spontaneous coronary artery dissection 2475: 2155: 2153: 2151: 998:from the original on 15 September 2016 961:from the original on 15 September 2016 842:from the original on 15 September 2016 236:is a group of primary diseases of the 2740: 2456: 2406:Marian AJ, Roberts R (1 April 2001). 2129: 667:Secondary/extrinsic cardiomyopathies 358: 3127:Nonbacterial thrombotic endocarditis 2270: 2090: 1328:Rath A, Weintraub R (23 July 2021). 867:"Who Is at Risk for Cardiomyopathy?" 772:(VADs) for severe heart failure, or 2355:Boudina S, Abel ED (1 March 2010). 2236:Archives of Cardiovascular Diseases 2208:from the original on 20 August 2016 2148: 877:from the original on 16 August 2016 549:Primary/intrinsic cardiomyopathies 13: 3423:Accelerated idioventricular rhythm 2348: 1194:Practical Cardiovascular Pathology 14: 3853: 2573: 2340:from the original on 29 May 2016. 2178:10.1161/CIRCULATIONAHA.106.174287 2111:from the original on 28 July 2016 2040:Braunwald E (15 September 2017). 922:from the original on 28 July 2016 746:Obesity-associated cardiomyopathy 524: 397:Arrhythmias (abnormal heartbeats) 394:Fainting during physical activity 2710: 1864:from the original on 27 May 2013 1634:10.7748/ns2008.05.22.38.42.c6565 988:"How Is Cardiomyopathy Treated?" 3108:Subacute bacterial endocarditis 2313: 2277:Current Opinion in Rheumatology 2123: 2042:"Cardiomyopathies: An Overview" 2033: 1976: 1925: 1587:Lilly, Leonard S., ed. (2011). 1580: 1496: 1437: 1380: 1321: 1264: 1185: 252:may occur, due to the onset of 227:354,000 with myocarditis (2015) 1277:Hellenic Journal of Cardiology 1138: 1114: 568:Left ventricular noncompaction 1: 3625:Pulseless electrical activity 3554:Multifocal atrial tachycardia 3428:Catecholaminergic polymorphic 2059:10.1161/CIRCRESAHA.117.311812 1393:Journal of Pediatric Genetics 1240:10.1016/S0140-6736(14)61682-2 1090:10.1016/s0140-6736(16)31012-1 1038:10.1016/S0140-6736(16)31678-6 951:"What Causes Cardiomyopathy?" 806: 350:. In 2015 cardiomyopathy and 2542:10.1161/CIR.0000000000000239 2478:"Inherited cardiomyopathies" 2289:10.1097/BOR.0000000000000303 1450:Journal of Clinical Medicine 801:Basic Research in Cardiology 754: 477: 464: 207:Depends on type and symptoms 7: 1989:The Journal of Cell Biology 1701:Domont F, Cacoub P (2016). 1163:10.1016/j.jacc.2013.08.1644 783: 556:Hypertrophic cardiomyopathy 412:Cardiomyopathies can be of 274:hypertrophic cardiomyopathy 133:Hypertrophic cardiomyopathy 16:Disease of the heart muscle 10: 3858: 3569:Wandering atrial pacemaker 3116:non-infective endocarditis 3057:Endocardial fibroelastosis 2249:10.1016/j.acvd.2015.01.006 770:ventricular assist devices 692:Hypereosinophilic syndrome 603:Restrictive cardiomyopathy 486:Normal sinus rhythm on EKG 459:American Heart Association 437:, or abnormalities of the 282:restrictive cardiomyopathy 143:Restrictive cardiomyopathy 3786: 3729: 3647:hexaxial reference system 3638: 3605: 3592:Jervell and Lange-Nielsen 3577: 3535: 3494: 3471: 3445: 3413: 3371: 3352: 3251: 3237: 3137: 3122:Libman–Sacks endocarditis 3091: 3077: 2993: 2942: 2935: 2872: 2827: 2784: 2775: 2670: 2592: 2373:10.1007/s11154-010-9131-7 2134:. Elsevier. p. 396. 1672:10.1007/s10741-017-9641-4 1290:10.1016/j.hjc.2018.05.008 912:"Types of Cardiomyopathy" 407: 344:ventricular assist device 223: 211: 203: 161: 125: 97: 69: 57: 40: 31: 26: 3527:Ventricular fibrillation 2798:Coronary artery aneurysm 2494:10.1253/circj.cj-14-0893 1347:10.3389/fped.2021.708732 795:Fibrosing cardiomyopathy 641:Eosinophilic myocarditis 369:ventricular fibrillation 290:Takotsubo cardiomyopathy 153:Takotsubo cardiomyopathy 3804:Diastolic heart failure 3778:Athletic heart syndrome 3739:Ventricular hypertrophy 3473:Pre-excitation syndrome 3327:Left posterior fascicle 2852:Acute coronary syndrome 2792:Coronary artery disease 2132:Robbins Basic Pathology 1334:Frontiers in Pediatrics 797:(disease in great apes) 687:Endomyocardial fibrosis 654:Ischemic cardiomyopathy 431:coronary artery disease 313:coronary artery disease 3322:Left anterior fascicle 3102:infective endocarditis 2887:Hibernating myocardium 2768:Cardiovascular disease 2461:. Scholarly Editions. 2424:10.1006/jmcc.2001.1340 1405:10.1055/s-0038-1657763 764:for slow heart rates, 597:Dilated cardiomyopathy 542: 534: 487: 372: 278:dilated cardiomyopathy 138:Dilated cardiomyopathy 3486:Wolff–Parkinson–White 3446:Premature contraction 3344:Adams–Stokes syndrome 3047:Loeffler endocarditis 2857:Myocardial infarction 2001:10.1083/jcb.201101100 1901:10.24875/ACM.21000301 1812:10.3390/vetsci4010019 1761:10.4330/wjc.v9.i8.652 619:Stress cardiomyopathy 540: 532: 485: 366: 337:Broken heart syndrome 3653:Right axis deviation 3615:Sudden cardiac death 2973:Pericardial effusion 2916:Ventricular aneurysm 2046:Circulation Research 1522:10.3390/ijms22020558 1084:(10053): 1459–1544. 1032:(10053): 1545–1602. 266:sudden cardiac death 258:irregular heart beat 250:swelling of the legs 117:Sudden cardiac death 112:Irregular heart beat 89:Swelling of the legs 3658:Left axis deviation 3515:Atrial fibrillation 3510:Ventricular flutter 3433:Torsades de pointes 3307:Bundle branch block 3266:Sick sinus syndrome 3052:Cardiac amyloidosis 3037:Tachycardia-induced 2892:Myocardial stunning 2840:Prinzmetal's angina 2809:Coronary thrombosis 2482:Circulation Journal 2273:"Viral myocarditis" 1951:10.1155/2012/796926 737:Friedreich's ataxia 242:shortness of breath 79:Shortness of breath 51:inside of the heart 3761:Atrial enlargement 3559:Pacemaker syndrome 3481:Lown–Ganong–Levine 3403:Junctional ectopic 3398:AV nodal reentrant 2904:Myocardial rupture 2814:Coronary vasospasm 2671:External resources 2476:Towbin JA (2014). 1463:10.3390/jcm9020520 732:Muscular dystrophy 670:Metabolic/storage 580:and the very rare 543: 535: 488: 373: 359:Signs and symptoms 3829: 3828: 3821:Obstructive shock 3725: 3724: 3672:Short QT syndrome 3639:Other / ungrouped 3630:Sinoatrial arrest 3545:Ectopic pacemaker 3441: 3440: 3261:Sinus bradycardia 3233: 3232: 3229: 3228: 2978:Cardiac tamponade 2931: 2930: 2921:Dressler syndrome 2819:Myocardial bridge 2705: 2704: 2468:978-1-4816-8280-0 2457:Acton QA (2013). 2333:978-1-4471-2365-1 2172:(14): 1807–1816. 2141:978-1-4377-1781-5 1857:978-0-07-143225-2 1847:Hurst's the heart 1720:10.1111/liv.13064 1598:978-1-60547-723-7 1573:978-0-07-180215-4 1204:978-1-60547-841-8 1157:(22): 2046–2072. 1131:978-1-264-26850-4 774:catheter ablation 702:Diabetes mellitus 582:Short QT syndrome 333:cancer treatments 231: 230: 215:2.5 million with 177:Heavy alcohol use 21:Medical condition 3849: 3794:Cardiac fibrosis 3686:T wave alternans 3579:Long QT syndrome 3373:Supraventricular 3369: 3368: 3302:Intraventricular 3249: 3248: 3089: 3088: 2940: 2939: 2785:Coronary disease 2782: 2781: 2761: 2754: 2747: 2738: 2737: 2714: 2713: 2590: 2589: 2569: 2536:(22): e273–280. 2523: 2513: 2472: 2453: 2443: 2402: 2392: 2342: 2341: 2317: 2311: 2310: 2300: 2271:Rose NR (2016). 2268: 2262: 2261: 2251: 2227: 2218: 2217: 2215: 2213: 2157: 2146: 2145: 2130:Vinay K (2013). 2127: 2121: 2120: 2118: 2116: 2097: 2088: 2087: 2061: 2037: 2031: 2030: 2020: 1980: 1974: 1973: 1963: 1953: 1929: 1923: 1922: 1912: 1889:Arch Cardiol Mex 1880: 1874: 1873: 1871: 1869: 1841: 1835: 1834: 1824: 1814: 1790: 1784: 1783: 1773: 1763: 1739: 1733: 1732: 1722: 1698: 1692: 1691: 1655: 1646: 1645: 1617: 1611: 1610: 1584: 1578: 1577: 1559: 1553: 1552: 1542: 1524: 1500: 1494: 1493: 1483: 1465: 1441: 1435: 1434: 1424: 1384: 1378: 1377: 1367: 1349: 1325: 1319: 1318: 1292: 1268: 1262: 1261: 1251: 1234:(9963): 117–71. 1219: 1213: 1212: 1189: 1183: 1182: 1142: 1136: 1135: 1118: 1112: 1111: 1101: 1069: 1060: 1059: 1049: 1017: 1008: 1007: 1005: 1003: 994:. 22 June 2016. 984: 971: 970: 968: 966: 957:. 22 June 2016. 947: 932: 931: 929: 927: 918:. 22 June 2016. 908: 887: 886: 884: 882: 873:. 22 June 2016. 863: 852: 851: 849: 847: 838:. 22 June 2016. 828: 778:heart transplant 609:Brugada syndrome 578:Long QT syndrome 371:, seen on an ECG 367:The arrhythmia, 348:heart transplant 321:viral infections 36: 24: 23: 3857: 3856: 3852: 3851: 3850: 3848: 3847: 3846: 3832: 3831: 3830: 3825: 3816:Rheumatic fever 3782: 3721: 3634: 3601: 3573: 3531: 3490: 3467: 3437: 3409: 3356: 3348: 3242: 3225: 3133: 3082: 3073: 2989: 2983:Hemopericardium 2927: 2868: 2862:Unstable angina 2835:Angina pectoris 2828:Active ischemia 2823: 2771: 2765: 2735: 2734: 2733: 2715: 2711: 2706: 2701: 2700: 2666: 2665: 2601: 2576: 2488:(10): 2347–56. 2469: 2351: 2349:Further reading 2346: 2345: 2334: 2318: 2314: 2269: 2265: 2228: 2221: 2211: 2209: 2158: 2149: 2142: 2128: 2124: 2114: 2112: 2099: 2098: 2091: 2038: 2034: 1981: 1977: 1938:Biochem Res Int 1930: 1926: 1881: 1877: 1867: 1865: 1858: 1842: 1838: 1791: 1787: 1748:World J Cardiol 1740: 1736: 1699: 1695: 1656: 1649: 1618: 1614: 1599: 1585: 1581: 1574: 1560: 1556: 1501: 1497: 1442: 1438: 1385: 1381: 1326: 1322: 1269: 1265: 1220: 1216: 1205: 1191: 1190: 1186: 1143: 1139: 1132: 1120: 1119: 1115: 1070: 1063: 1018: 1011: 1001: 999: 986: 985: 974: 964: 962: 949: 948: 935: 925: 923: 910: 909: 890: 880: 878: 865: 864: 855: 845: 843: 830: 829: 814: 809: 786: 757: 722:Noonan syndrome 707:Hyperthyroidism 683:Endomyocardial 677:Hemochromatosis 673:Fabry's disease 574:Channelopathies 527: 519:Genetic testing 480: 467: 410: 391:Lightheadedness 361: 329:hemochromatosis 199: 182:Tobacco smoking 157: 121: 93: 22: 17: 12: 11: 5: 3855: 3845: 3844: 3842:Cardiomyopathy 3827: 3826: 3824: 3823: 3818: 3813: 3812: 3811: 3809:Cardiac asthma 3806: 3796: 3790: 3788: 3784: 3783: 3781: 3780: 3775: 3774: 3773: 3768: 3758: 3757: 3756: 3751: 3746: 3735: 3733: 3727: 3726: 3723: 3722: 3720: 3719: 3717:Strain pattern 3714: 3713: 3712: 3707: 3702: 3690: 3689: 3688: 3676: 3675: 3674: 3662: 3661: 3660: 3655: 3642: 3640: 3636: 3635: 3633: 3632: 3627: 3622: 3617: 3611: 3609: 3607:Cardiac arrest 3603: 3602: 3600: 3599: 3594: 3589: 3587:Andersen–Tawil 3583: 3581: 3575: 3574: 3572: 3571: 3566: 3561: 3556: 3551: 3541: 3539: 3533: 3532: 3530: 3529: 3524: 3523: 3522: 3512: 3507: 3505:Atrial flutter 3501: 3499: 3492: 3491: 3489: 3488: 3483: 3477: 3475: 3469: 3468: 3466: 3465: 3460: 3455: 3449: 3447: 3443: 3442: 3439: 3438: 3436: 3435: 3430: 3425: 3419: 3417: 3411: 3410: 3408: 3407: 3406: 3405: 3400: 3390: 3389: 3388: 3377: 3375: 3366: 3350: 3349: 3347: 3346: 3341: 3340: 3339: 3334: 3329: 3324: 3319: 3314: 3304: 3299: 3298: 3297: 3292: 3287: 3277: 3268: 3263: 3257: 3255: 3246: 3235: 3234: 3231: 3230: 3227: 3226: 3224: 3223: 3222: 3221: 3216: 3204: 3203: 3202: 3197: 3185: 3184: 3183: 3178: 3166: 3165: 3164: 3159: 3154: 3141: 3139: 3135: 3134: 3132: 3131: 3130: 3129: 3124: 3112: 3111: 3110: 3097: 3095: 3086: 3075: 3074: 3072: 3071: 3066: 3065: 3064: 3059: 3054: 3049: 3044: 3039: 3034: 3029: 3028: 3027: 3015:Cardiomyopathy 3012: 3011: 3010: 3008:Chagas disease 2999: 2997: 2991: 2990: 2988: 2987: 2986: 2985: 2980: 2970: 2969: 2968: 2959: 2948: 2946: 2937: 2933: 2932: 2929: 2928: 2926: 2925: 2924: 2923: 2918: 2908: 2907: 2906: 2896: 2895: 2894: 2889: 2878: 2876: 2870: 2869: 2867: 2866: 2865: 2864: 2859: 2849: 2848: 2847: 2842: 2831: 2829: 2825: 2824: 2822: 2821: 2816: 2811: 2806: 2800: 2795: 2788: 2786: 2779: 2773: 2772: 2764: 2763: 2756: 2749: 2741: 2728:Cardiomyopathy 2716: 2709: 2708: 2707: 2703: 2702: 2699: 2698: 2696:Cardiomyopathy 2687: 2675: 2674: 2672: 2668: 2667: 2664: 2663: 2652: 2641: 2626: 2602: 2597: 2596: 2594: 2593:Classification 2587: 2586: 2580:Cardiomyopathy 2575: 2574:External links 2572: 2571: 2570: 2524: 2473: 2467: 2454: 2418:(4): 655–670. 2403: 2350: 2347: 2344: 2343: 2332: 2312: 2263: 2219: 2147: 2140: 2122: 2089: 2052:(7): 711–721. 2032: 1995:(3): 355–365. 1975: 1924: 1895:(3): 377–389. 1875: 1856: 1836: 1785: 1754:(8): 652–666. 1734: 1693: 1666:(6): 743–752. 1660:Heart Fail Rev 1647: 1612: 1597: 1579: 1572: 1554: 1495: 1436: 1399:(4): 180–184. 1379: 1320: 1283:(5): 254–261. 1263: 1214: 1203: 1184: 1137: 1130: 1113: 1061: 1009: 972: 933: 888: 853: 811: 810: 808: 805: 804: 803: 798: 792: 785: 782: 766:defibrillators 756: 753: 752: 751: 750: 749: 748: 747: 741: 740: 739: 734: 728:Neuromuscular 726: 725: 724: 716: 715: 714: 709: 704: 696: 695: 694: 689: 681: 680: 679: 674: 665: 664: 663: 662: 661: 651: 638: 621: 613: 612: 611: 606: 600: 591: 590: 589: 584: 570: 565: 559: 526: 525:Classification 523: 522: 521: 516: 513: 511:Echocardiogram 508: 503: 498: 497:Family history 495: 479: 476: 466: 463: 447:celiac disease 409: 406: 405: 404: 401: 398: 395: 392: 389: 386: 383: 380: 360: 357: 234:Cardiomyopathy 229: 228: 225: 221: 220: 213: 209: 208: 205: 201: 200: 198: 197: 194: 189: 184: 179: 174: 169: 165: 163: 159: 158: 156: 155: 150: 145: 140: 135: 129: 127: 123: 122: 120: 119: 114: 109: 103: 101: 95: 94: 92: 91: 86: 81: 75: 73: 67: 66: 61: 55: 54: 43:left ventricle 38: 37: 29: 28: 27:Cardiomyopathy 20: 15: 9: 6: 4: 3: 2: 3854: 3843: 3840: 3839: 3837: 3822: 3819: 3817: 3814: 3810: 3807: 3805: 3802: 3801: 3800: 3799:Heart failure 3797: 3795: 3792: 3791: 3789: 3785: 3779: 3776: 3772: 3769: 3767: 3764: 3763: 3762: 3759: 3755: 3752: 3750: 3747: 3745: 3742: 3741: 3740: 3737: 3736: 3734: 3732: 3728: 3718: 3715: 3711: 3710:ST depression 3708: 3706: 3703: 3701: 3698: 3697: 3696: 3695: 3691: 3687: 3684: 3683: 3682: 3681: 3677: 3673: 3670: 3669: 3668: 3667: 3663: 3659: 3656: 3654: 3651: 3650: 3649: 3648: 3644: 3643: 3641: 3637: 3631: 3628: 3626: 3623: 3621: 3618: 3616: 3613: 3612: 3610: 3608: 3604: 3598: 3595: 3593: 3590: 3588: 3585: 3584: 3582: 3580: 3576: 3570: 3567: 3565: 3562: 3560: 3557: 3555: 3552: 3550: 3546: 3543: 3542: 3540: 3538: 3534: 3528: 3525: 3521: 3518: 3517: 3516: 3513: 3511: 3508: 3506: 3503: 3502: 3500: 3498: 3493: 3487: 3484: 3482: 3479: 3478: 3476: 3474: 3470: 3464: 3461: 3459: 3456: 3454: 3451: 3450: 3448: 3444: 3434: 3431: 3429: 3426: 3424: 3421: 3420: 3418: 3416: 3412: 3404: 3401: 3399: 3396: 3395: 3394: 3391: 3387: 3384: 3383: 3382: 3379: 3378: 3376: 3374: 3370: 3367: 3364: 3360: 3355: 3351: 3345: 3342: 3338: 3337:Trifascicular 3335: 3333: 3330: 3328: 3325: 3323: 3320: 3318: 3315: 3313: 3310: 3309: 3308: 3305: 3303: 3300: 3296: 3293: 3291: 3288: 3286: 3283: 3282: 3281: 3278: 3276: 3272: 3269: 3267: 3264: 3262: 3259: 3258: 3256: 3254: 3250: 3247: 3245: 3240: 3236: 3220: 3219:regurgitation 3217: 3215: 3212: 3211: 3210: 3209: 3205: 3201: 3200:regurgitation 3198: 3196: 3193: 3192: 3191: 3190: 3186: 3182: 3181:regurgitation 3179: 3177: 3174: 3173: 3172: 3171: 3167: 3163: 3162:regurgitation 3160: 3158: 3155: 3153: 3150: 3149: 3148: 3147: 3143: 3142: 3140: 3136: 3128: 3125: 3123: 3120: 3119: 3118: 3117: 3113: 3109: 3106: 3105: 3104: 3103: 3099: 3098: 3096: 3094: 3090: 3087: 3085: 3080: 3076: 3070: 3067: 3063: 3060: 3058: 3055: 3053: 3050: 3048: 3045: 3043: 3040: 3038: 3035: 3033: 3030: 3026: 3023: 3022: 3021: 3018: 3017: 3016: 3013: 3009: 3006: 3005: 3004: 3001: 3000: 2998: 2996: 2992: 2984: 2981: 2979: 2976: 2975: 2974: 2971: 2967: 2963: 2960: 2958: 2955: 2954: 2953: 2950: 2949: 2947: 2945: 2941: 2938: 2934: 2922: 2919: 2917: 2914: 2913: 2912: 2909: 2905: 2902: 2901: 2900: 2897: 2893: 2890: 2888: 2885: 2884: 2883: 2880: 2879: 2877: 2875: 2871: 2863: 2860: 2858: 2855: 2854: 2853: 2850: 2846: 2845:Stable angina 2843: 2841: 2838: 2837: 2836: 2833: 2832: 2830: 2826: 2820: 2817: 2815: 2812: 2810: 2807: 2804: 2801: 2799: 2796: 2793: 2790: 2789: 2787: 2783: 2780: 2778: 2774: 2769: 2762: 2757: 2755: 2750: 2748: 2743: 2742: 2739: 2731: 2730: 2729: 2723: 2719: 2697: 2693: 2692: 2688: 2686: 2682: 2681: 2677: 2676: 2673: 2669: 2662: 2658: 2657: 2653: 2651: 2647: 2646: 2642: 2640: 2636: 2635: 2631: 2627: 2625: 2621: 2617: 2613: 2612: 2608: 2604: 2603: 2600: 2595: 2591: 2585: 2581: 2578: 2577: 2567: 2563: 2559: 2555: 2551: 2547: 2543: 2539: 2535: 2531: 2525: 2521: 2517: 2512: 2507: 2503: 2499: 2495: 2491: 2487: 2483: 2479: 2474: 2470: 2464: 2460: 2455: 2451: 2447: 2442: 2437: 2433: 2429: 2425: 2421: 2417: 2413: 2409: 2404: 2400: 2396: 2391: 2386: 2382: 2378: 2374: 2370: 2366: 2362: 2358: 2353: 2352: 2339: 2335: 2329: 2325: 2324: 2316: 2308: 2304: 2299: 2294: 2290: 2286: 2282: 2278: 2274: 2267: 2259: 2255: 2250: 2245: 2242:(4): 258–68. 2241: 2237: 2233: 2226: 2224: 2207: 2203: 2199: 2195: 2191: 2187: 2183: 2179: 2175: 2171: 2167: 2163: 2156: 2154: 2152: 2143: 2137: 2133: 2126: 2110: 2106: 2105:nhlbi.nih.gov 2102: 2096: 2094: 2085: 2081: 2077: 2073: 2069: 2065: 2060: 2055: 2051: 2047: 2043: 2036: 2028: 2024: 2019: 2014: 2010: 2006: 2002: 1998: 1994: 1990: 1986: 1979: 1971: 1967: 1962: 1957: 1952: 1947: 1943: 1939: 1935: 1928: 1920: 1916: 1911: 1906: 1902: 1898: 1894: 1890: 1886: 1879: 1863: 1859: 1853: 1849: 1848: 1840: 1832: 1828: 1823: 1818: 1813: 1808: 1804: 1800: 1796: 1789: 1781: 1777: 1772: 1767: 1762: 1757: 1753: 1749: 1745: 1738: 1730: 1726: 1721: 1716: 1712: 1708: 1704: 1697: 1689: 1685: 1681: 1677: 1673: 1669: 1665: 1661: 1654: 1652: 1643: 1639: 1635: 1631: 1627: 1623: 1616: 1608: 1604: 1600: 1594: 1590: 1583: 1575: 1569: 1565: 1558: 1550: 1546: 1541: 1536: 1532: 1528: 1523: 1518: 1514: 1510: 1506: 1499: 1491: 1487: 1482: 1477: 1473: 1469: 1464: 1459: 1455: 1451: 1447: 1440: 1432: 1428: 1423: 1418: 1414: 1410: 1406: 1402: 1398: 1394: 1390: 1383: 1375: 1371: 1366: 1361: 1357: 1353: 1348: 1343: 1339: 1335: 1331: 1324: 1316: 1312: 1308: 1304: 1300: 1296: 1291: 1286: 1282: 1278: 1274: 1267: 1259: 1255: 1250: 1245: 1241: 1237: 1233: 1229: 1225: 1218: 1210: 1206: 1200: 1196: 1195: 1188: 1180: 1176: 1172: 1168: 1164: 1160: 1156: 1152: 1148: 1141: 1133: 1127: 1123: 1117: 1109: 1105: 1100: 1095: 1091: 1087: 1083: 1079: 1075: 1068: 1066: 1057: 1053: 1048: 1043: 1039: 1035: 1031: 1027: 1023: 1016: 1014: 997: 993: 989: 983: 981: 979: 977: 960: 956: 952: 946: 944: 942: 940: 938: 921: 917: 913: 907: 905: 903: 901: 899: 897: 895: 893: 876: 872: 868: 862: 860: 858: 841: 837: 833: 827: 825: 823: 821: 819: 817: 812: 802: 799: 796: 793: 791: 788: 787: 781: 779: 775: 771: 767: 763: 745: 744: 742: 738: 735: 733: 730: 729: 727: 723: 720: 719: 718:Cardiofacial 717: 713: 710: 708: 705: 703: 700: 699: 697: 693: 690: 688: 685: 684: 682: 678: 675: 672: 671: 669: 668: 666: 659: 655: 652: 650: 646: 642: 639: 637: 633: 629: 625: 622: 620: 617: 616: 614: 610: 607: 604: 601: 598: 595: 594: 592: 588: 585: 583: 579: 575: 571: 569: 566: 563: 560: 557: 554: 553: 551: 550: 548: 547: 546: 539: 531: 520: 517: 514: 512: 509: 507: 504: 502: 499: 496: 494:Physical exam 493: 492: 491: 484: 475: 471: 462: 460: 455: 451: 448: 445:). Untreated 444: 440: 436: 432: 426: 423: 419: 415: 402: 399: 396: 393: 390: 387: 384: 381: 378: 377: 376: 370: 365: 356: 353: 349: 345: 340: 338: 334: 330: 326: 322: 318: 314: 310: 306: 302: 297: 295: 291: 287: 283: 279: 275: 269: 267: 263: 259: 255: 254:heart failure 251: 247: 243: 239: 235: 226: 222: 218: 214: 210: 206: 202: 195: 193: 190: 188: 185: 183: 180: 178: 175: 173: 170: 167: 166: 164: 160: 154: 151: 149: 146: 144: 141: 139: 136: 134: 131: 130: 128: 124: 118: 115: 113: 110: 108: 107:Heart failure 105: 104: 102: 100: 99:Complications 96: 90: 87: 85: 84:Feeling tired 82: 80: 77: 76: 74: 72: 68: 65: 62: 60: 56: 52: 48: 44: 39: 35: 30: 25: 19: 3731:Cardiomegaly 3705:ST elevation 3692: 3678: 3664: 3645: 3549:Ectopic beat 3497:fibrillation 3332:Bifascicular 3206: 3187: 3168: 3144: 3114: 3100: 3093:Endocarditis 3032:Hypertrophic 3014: 2966:Constrictive 2952:Pericarditis 2910: 2898: 2881: 2726: 2725: 2724:profile for 2721: 2689: 2678: 2654: 2643: 2628: 2605: 2533: 2529: 2485: 2481: 2458: 2415: 2411: 2367:(1): 31–39. 2364: 2360: 2322: 2315: 2283:(4): 383–9. 2280: 2276: 2266: 2239: 2235: 2210:. Retrieved 2169: 2165: 2131: 2125: 2113:. Retrieved 2104: 2049: 2045: 2035: 1992: 1988: 1978: 1941: 1937: 1927: 1892: 1888: 1878: 1866:. Retrieved 1846: 1839: 1802: 1798: 1788: 1751: 1747: 1737: 1713:(5): 621–7. 1710: 1706: 1696: 1663: 1659: 1628:(38): 42–7. 1625: 1621: 1615: 1588: 1582: 1563: 1557: 1512: 1508: 1498: 1453: 1449: 1439: 1396: 1392: 1382: 1337: 1333: 1323: 1280: 1276: 1266: 1231: 1227: 1217: 1193: 1187: 1154: 1150: 1140: 1121: 1116: 1081: 1077: 1029: 1025: 1000:. Retrieved 991: 963:. Retrieved 954: 924:. Retrieved 915: 879:. Retrieved 870: 844:. Retrieved 835: 758: 657: 645:inflammation 628:inflammation 544: 489: 472: 468: 457:The current 456: 452: 439:heart valves 435:hypertension 427: 422:cytoskeletal 411: 374: 341: 309:heavy metals 298: 270: 238:heart muscle 233: 232: 187:Heavy metals 18: 3597:Romano–Ward 3564:Parasystole 3463:Ventricular 3415:Ventricular 3354:Tachycardia 3271:Heart block 3253:Bradycardia 3079:Endocardium 3042:Restrictive 3003:Myocarditis 2944:Pericardium 2680:MedlinePlus 2530:Circulation 2166:Circulation 1868:11 November 649:eosinophils 632:lymphocytes 624:Myocarditis 552:Congenital 515:Stress test 443:Hepatitis C 352:myocarditis 331:, and some 325:amyloidosis 217:myocarditis 192:Amyloidosis 3495:Flutter / 3458:Junctional 3393:Junctional 3386:Multifocal 3359:paroxysmal 3275:Sinoatrial 3244:arrhythmia 3239:Conduction 2995:Myocardium 2691:Patient UK 2656:DiseasesDB 1944:: 796926. 1801:(Review). 1750:(Review). 1709:(Review). 1662:(Review). 1624:(Review). 1622:Nurs Stand 1515:(2): 558. 1456:(2): 520. 1340:: 708732. 807:References 762:pacemakers 712:Acromegaly 698:Endocrine 501:Blood test 294:ventricles 244:, feeling 64:Cardiology 3754:Pulmonary 3537:Pacemaker 3208:pulmonary 3189:tricuspid 3025:Alcoholic 2566:207639288 2550:1524-4539 2502:1347-4820 2432:0022-2828 2381:1389-9155 2186:0009-7322 2068:1524-4571 2009:0021-9525 1805:(1): 19. 1707:Liver Int 1607:649701807 1531:1422-0067 1472:2077-0383 1413:2146-4596 1356:2296-2360 1299:1109-9666 1002:31 August 965:31 August 926:31 August 881:31 August 846:31 August 755:Treatment 636:monocytes 615:Acquired 576:like the 478:Diagnosis 465:Mechanism 418:sarcomere 388:Dizziness 319:use, and 301:inherited 212:Frequency 204:Treatment 59:Specialty 3836:Category 3620:Asystole 3520:Familial 3214:stenosis 3195:stenosis 3176:stenosis 3157:stenosis 3152:prolapse 2874:Sequelae 2777:Ischemia 2558:26621644 2520:25186923 2450:11273720 2399:20180026 2338:Archived 2307:27166925 2258:25858537 2212:1 August 2206:Archived 2194:16567565 2109:Archived 2084:36384619 2076:28912178 2027:21825071 1970:22924131 1919:35772124 1862:Archived 1831:29056678 1780:28932354 1729:26763484 1688:36117047 1680:28721466 1642:18578120 1549:33429969 1490:32075145 1431:30430036 1374:34368032 1315:44146977 1307:29807197 1258:25530442 1209:Archived 1179:43240625 1171:24263073 1108:27733281 1056:27733282 996:Archived 959:Archived 920:Archived 875:Archived 840:Archived 790:Myopathy 784:See also 262:fainting 71:Symptoms 47:fibrosis 3020:Dilated 2962:Chronic 2770:(heart) 2718:Scholia 2650:D009202 2511:4467885 2441:2901497 2390:2914514 2298:4948180 2202:6660623 2115:25 July 2018:3153638 1961:3423823 1910:9262289 1822:5606618 1799:Vet Sci 1771:5583538 1540:7827163 1481:7074327 1422:6234042 1365:8342800 1249:4340604 1099:5388903 1047:5055577 414:genetic 382:Fatigue 317:cocaine 305:alcohol 172:Genetic 168:Unknown 41:Opened 3700:J wave 3453:Atrial 3381:Atrial 3170:aortic 3146:mitral 3138:Valves 3084:valves 2936:Layers 2805:(SCAD) 2720:has a 2685:001105 2584:Curlie 2564:  2556:  2548:  2518:  2508:  2500:  2465:  2448:  2438:  2430:  2397:  2387:  2379:  2330:  2305:  2295:  2256:  2200:  2192:  2184:  2138:  2082:  2074:  2066:  2025:  2015:  2007:  1968:  1958:  1917:  1907:  1854:  1829:  1819:  1778:  1768:  1727:  1686:  1678:  1640:  1605:  1595:  1570:  1547:  1537:  1529:  1488:  1478:  1470:  1429:  1419:  1411:  1372:  1362:  1354:  1313:  1305:  1297:  1256:  1246:  1228:Lancet 1201:  1177:  1169:  1128:  1106:  1096:  1078:Lancet 1054:  1044:  1026:Lancet 743:Other 593:Mixed 564:(ARVC) 408:Causes 288:, and 248:, and 224:Deaths 219:(2015) 196:Stress 162:Causes 3787:Other 3771:Right 3749:Right 3363:sinus 3312:Right 3062:Viral 2957:Acute 2911:weeks 2882:hours 2794:(CAD) 2722:topic 2616:I25.5 2562:S2CID 2198:S2CID 2080:S2CID 1684:S2CID 1311:S2CID 1175:S2CID 992:NHLBI 955:NHLBI 916:NHLBI 871:NHLBI 836:NHLBI 605:(RCM) 599:(DCM) 558:(HCM) 256:. 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Index


left ventricle
fibrosis
inside of the heart
Specialty
Cardiology
Symptoms
Shortness of breath
Feeling tired
Swelling of the legs
Complications
Heart failure
Irregular heart beat
Sudden cardiac death
Hypertrophic cardiomyopathy
Dilated cardiomyopathy
Restrictive cardiomyopathy
Arrhythmogenic right ventricular dysplasia
Takotsubo cardiomyopathy
Genetic
Heavy alcohol use
Tobacco smoking
Heavy metals
Amyloidosis
myocarditis
heart muscle
shortness of breath
tired
swelling of the legs
heart failure

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