Can dilated cardiomyopathy be inherited?

Written by Liu Ying
Cardiology
Updated on September 13, 2024
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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.

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Written by Zhang Yue Mei
Cardiology
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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.

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Written by Li Hai Wen
Cardiology
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Can myocarditis cause dizziness?

Cardiomyopathy is a fairly common disease in our daily lives. From a medical perspective, cardiomyopathy can usually be divided into dilated cardiomyopathy, hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, and restrictive cardiomyopathy. When cardiomyopathy is present for a long time, it may cause a decline in the heart’s pumping function, leading to a reduction in cardiac output and resulting in heart failure. In such cases, due to insufficient blood supply to the brain, patients often experience symptoms of dizziness. If diagnosed with cardiomyopathy, under the guidance of a doctor, regulated medication can often significantly improve symptoms, including dizziness. (Specific medication usage should be conducted under the guidance of a doctor; do not self-medicate.)

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Written by Liu Ying
Cardiology
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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.

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Written by Tang Li
Cardiology
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What is the prognosis of hypertrophic cardiomyopathy?

The prognosis of hypertrophic cardiomyopathy varies greatly, and it is the primary cause of sudden death in adolescents and athletes because it can progress to end-stage heart failure. Additionally, a small percentage may experience heart failure, atrial fibrillation, and embolism, but many patients have mild symptoms and can have a life expectancy close to normal. For the treatment of hypertrophic cardiomyopathy, adequate sudden death risk assessment and ICD prevention should be conducted. Because hypertrophic cardiomyopathy is the most common cause of sudden cardiac death in young people and athletes, an ICD can effectively prevent the occurrence of sudden death. Preventing high-risk factors, including previous cardiac arrest, one or more sudden deaths in first-degree relatives, severe left ventricular hypertrophy, and findings of repetitive non-sustained ventricular tachycardia on a 24-hour Holter monitor, low blood pressure during exercise, and unexplained syncope, especially during exercise, poses a high risk of sudden death in these patients.

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Written by Zhang Yue Mei
Cardiology
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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.