Cardiomyopathy is disease in which the heart muscle becomes weakened, stretched, or has another structural problem. It often occurs when the heart cannot pump or function well.
Most people with cardiomyopathy have heart failure.
There are many types of cardiomyopathy, with different causes. Some of the more common ones are:
Procedures or surgeries may also be used, including:
Recently, implantable artificial heart pumps have been developed. These may be used for very severe cases. However, not all people need or are able to have this advanced treatment.
The outlook depends on many different things, including:
Heart failure is most often a long-term (chronic) illness. It may get worse over time. Some people develop severe heart failure. In this case, medicines, surgery, and other treatments may no longer help.
People with certain types of cardiomyopathy are at risk for dangerous heart rhythm problems.
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McKenna WJ, Elliott P. Diseases of the myocardium and endocardium. In Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 60.
McMurray JJV, Pfeffer MA. Heart failure: management and diagnosis. In Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 59.
O'Connor CM, Rogers JG. Heart failure: pathophysiology and diagnosis. In Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 58.
Review Date: 5/5/2016
Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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