Cardiomyopathy


What causes cardiomyopathy?
In clinical practice, the most common type of myocarditis is viral myocarditis. Due to a decrease in the body's resistance, the virus invades and damages the myocardium, causing localized and diffuse inflammatory damage to the heart muscle, which poses significant harm to the body. The early clinical symptoms of viral myocarditis often manifest primarily as respiratory and gastrointestinal symptoms, accompanied by palpitations and shortness of breath, necessitating the use of electrocardiograms and myocardial enzyme spectrum tests. Early detection, diagnosis, and treatment of viral myocarditis play a crucial role in the prognosis.


Can people with cardiomyopathy eat beef?
Patients with myocarditis can eat beef, but not too much. They should consume beef in small amounts. Beef is a type of meat with very high nutritional value, and it is a major source of high-quality protein, trace elements, and minerals for the human body. Eating beef regularly can improve the body's immunity and disease resistance. For patients with myocarditis, eating beef can help accelerate the repair of myocardial tissue. However, it is advisable not to eat fatty beef but instead choose lean meat and consume it in moderation. It is also important to pay attention to dietary structure, preferably eating easily digestible, high-protein nutritional foods, and increase the intake of vegetables and fruits, which can aid in the recovery from myocarditis.


What is dilated cardiomyopathy?
Dilated cardiomyopathy is a relatively common disease in our daily lives. So, what is dilated cardiomyopathy? It refers to a disease characterized primarily by an enlarged heart and a severe reduction in the heart's pumping function. The cause of dilated cardiomyopathy is often unclear. Its clinical symptoms typically present as symptoms of heart failure, such as exertional dyspnea, or severe orthopnea and profuse sweating. Additionally, arrhythmias are also a common manifestation of dilated cardiomyopathy, such as atrial fibrillation, frequent premature ventricular contractions, and ventricular tachycardia. If diagnosed with dilated cardiomyopathy, it is essential to visit the department of cardiology at a hospital for specialized treatment and to take medication as prescribed. (The use of medication should be under the guidance of a professional doctor.)


Can people with cardiomyopathy eat spicy food?
Generally speaking, patients with cardiomyopathy during stable phases may consider consuming spicy food, especially since these patients often have relatively poor appetites. Using mildly spicy food can potentially stimulate the appetite and improve nutritional status. However, from another perspective, excessive consumption of spicy food may cause patients to drink large amounts of water. Excessive intake could potentially increase the burden on cardiac function; therefore, it is not recommended for patients with cardiomyopathy to consume overly spicy foods. Patients with cardiomyopathy also have dietary restrictions, including a diet low in salt and fat, as overly salty diets can also exacerbate the burden on the heart and kidneys.


Dilated cardiomyopathy clinical manifestations
Dilated cardiomyopathy is a type of heart disease characterized clinically by a significant enlargement of the heart, a marked reduction in ejection fraction, and a significant decline in heart function. Common clinical manifestations of this disease often present as heart failure symptoms, including chest tightness and shortness of breath after activity, nocturnal paroxysmal breathing difficulties, inability to lie flat, as well as swelling of the lower limbs and abdominal wall, and even conditions such as pleural effusion and ascites. Additionally, it may be associated with various types of arrhythmias, such as premature beats and tachycardia, especially ventricular tachycardia, which are all manifestations of dilated cardiomyopathy.


What should patients with cardiomyopathy pay attention to?
Patients with cardiomyopathy need to rest adequately, avoid overexerting themselves, and not get overly emotional to keep their mood calm and prevent an increased burden on the heart, which could trigger heart failure. In their diet, they should consume easily digestible foods that are high in superior protein and eat plenty of fruits and vegetables. These foods can provide the high-quality proteins, vitamins, and trace elements needed by the body, enhancing immunity and disease resistance. In the event of thrombosis and myocardial cell repair, systematic medication treatment under a doctor's guidance is essential to promote myocardial repair.


Can people with cardiomyopathy run?
Whether a person with myocardial disease can run or not depends on the extent of myocardial damage and clinical symptoms. If the myocardial damage is severe and there are significant clinical symptoms of heart failure and arrhythmia, this group should not run and needs bed rest. If strenuous activity would worsen heart failure, the myocardial damage is mild, with no typical clinical symptoms, and does not affect daily activities, this group can engage in appropriate exercises like walking or running, but the duration should not be too long, about 20 to 30 minutes each time.


Is cardiomyopathy life-threatening?
Whether cardiomyopathy poses a threat to life depends on the severity of the condition. Mild myocardial damage, if detected early, diagnosed early, and treated with effective medications in a timely manner, generally has a good prognosis, poses no threat to life, and leaves no sequelae. Severe myocardial damage, due to lack of timely treatment, can lead to serious complications such as heart failure, arrhythmias, and cardiogenic shock, which can endanger life safety. Therefore, early diagnosis, early treatment, and prevention of complications are crucial treatment measures for cardiomyopathy.


Does cardiomyopathy require surgery?
Firstly, whether myocardial disease requires surgery, we need to clarify the type of myocardial disease and the stage of myocardial disease, that is, the stage of heart function that has been affected. There are many types of myocardial diseases, including dilated cardiomyopathy, ischemic cardiomyopathy, and restrictive cardiomyopathy, for instance. The treatment plans for different types of myocardial diseases are not exactly the same. For example, dilated cardiomyopathy is generally treated with medication, and only in the very late stages of dilated cardiomyopathy, or what is known as stage IV heart function, when conventional medication is ineffective, heart transplantation might be considered if a donor is available and conditions allow. However, currently, heart donors are extremely rare, making this option quite difficult to achieve. The latest advances in clinical research have introduced artificial mechanical hearts available for transplantation, but the costs of surgery are very high, and the technology is not very mature yet. Therefore, the chances and opportunities for surgery are not very great and must be decided based on the situation. For other conditions, such as ischemic cardiomyopathy, if it is clearly caused by severe ischemia, we might consider addressing the factors causing myocardial ischemia, such as performing a coronary angiography. If there is severe coronary artery stenosis, we might consider implementing a coronary artery stent or coronary artery bypass grafting to alleviate the ischemic factors. In cases like restrictive cardiomyopathy, if there are severe restrictive factors contributing to the disease, surgical treatment might also be pursued.


Can dilated cardiomyopathy be inherited?
We say that dilated cardiomyopathy is a type of cardiomyopathy characterized by enlargement of the left ventricle or both ventricles, accompanied by systolic dysfunction. Some cases of dilated cardiomyopathy are familial, with the main inheritance patterns being autosomal dominant, X-linked recessive, and more rarely, mitochondrial inheritance. The cause of most dilated cardiomyopathies is unclear, but potential causes include infections, non-infectious inflammation, endocrine metabolic disorders, genetics, psychological trauma, and poisoning, including alcohol poisoning. Alcoholism is a common cause of dilated cardiomyopathy in China. Clinically, dilated cardiomyopathy presents with cardiac enlargement, heart failure, arrhythmias, thromboembolism, and sudden death.