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Cardiomyopathy: Overview of Symptoms and Treatment

Understand cardiomyopathy, its types, symptoms, and treatment options. Learn how this heart muscle disease affects cardiac function and what steps can help manage and improve heart health.

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Written by Dr. Siri Nallapu

Reviewed by Dr. Vasanthasree Nair MBBS

Last updated on 21st Aug, 2025

Heart health is crucial for overall well-being, and conditions like cardiomyopathy can significantly impact your life. If you or a loved one has been diagnosed with cardiomyopathy, it’s natural to have questions and concerns. This article will help you understand what cardiomyopathy is, its symptoms, causes, and available treatments, all in simple, easy-to-understand language.

What Is Cardiomyopathy?

Cardiomyopathy is a disease of the heart muscle that makes it harder for the heart to pump blood effectively. Over time, the heart muscle can become thick, stiff, enlarged, or weak, leading to complications like heart failure or irregular heartbeats (arrhythmias).

There are three main types of cardiomyopathy:

1. Dilated Cardiomyopathy (DCM): The heart chambers enlarge and weaken, reducing pumping efficiency.

2. Hypertrophic Cardiomyopathy (HCM): The heart muscle thickens, making it harder for the heart to fill with blood.

3. Restrictive Cardiomyopathy (RCM): The heart muscle becomes stiff, restricting proper filling.

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What Are the Symptoms of Cardiomyopathy?

Symptoms can vary depending on the type and severity of the condition. Some people may not notice symptoms in the early stages, while others may experience:

  • Shortness of breath, especially during physical activity or when lying down

  • Fatigue and weakness

  • Swelling in the legs, ankles, or feet (edema)

  • Irregular heartbeats (palpitations, fluttering, or skipped beats)

  • Dizziness or fainting

  • Chest pain (especially during exercise)

If you experience any of these symptoms, it’s important to consult a doctor for proper evaluation.

What Causes Cardiomyopathy?

The exact cause isn’t always clear, but several factors can contribute:

  • Genetics: Some types (like HCM) run in families.

  • High blood pressure (hypertension): Puts extra strain on the heart.

  • Heart valve problems: Can lead to muscle damage over time.

  • Previous heart attacks: Can weaken the heart muscle.

  • Chronic alcohol abuse or drug use: Can damage heart cells.

  • Infections or inflammatory conditions: Like myocarditis (heart inflammation).

  • Diabetes or thyroid disorders: Can affect heart function.

How Is Cardiomyopathy Diagnosed?

If your doctor suspects cardiomyopathy, they may recommend:

  • Echocardiogram (Echo): An ultrasound of the heart to check its structure and function.

  • Electrocardiogram (ECG/EKG): Measures electrical activity to detect irregular rhythms.

  • MRI or CT scan: Provides detailed images of the heart.

  • Blood tests: To check for underlying conditions.

  • Stress test: Monitors heart function during exercise.

Early diagnosis helps in managing the condition better.

How Is Cardiomyopathy Treated?

While cardiomyopathy is a chronic condition, treatments can help manage symptoms and improve heart function. Options include:

1. Medications

  • Beta-blockers or calcium channel blockers: Help control heart rate and blood pressure.

  • Diuretics ("water pills"): Reduce fluid buildup and swelling.

  • Blood thinners: Prevent clots in high-risk patients.

  • ACE inhibitors or ARBs: Help relax blood vessels and reduce strain on the heart.

2. Lifestyle Changes

  • Heart-healthy diet: Low in salt, processed foods, and saturated fats.

  • Regular, moderate exercise: As advised by your doctor.

  • Avoiding alcohol and smoking: These can worsen heart function.

  • Managing stress: Yoga, meditation, or deep breathing can help.

3. Medical Devices

  • Pacemaker or ICD (Implantable Cardioverter-Defibrillator): Helps regulate heart rhythm.

  • LVAD (Left Ventricular Assist Device): Supports heart pumping in severe cases.

4. Surgery (In Advanced Cases)

  • Heart transplant: For end-stage heart failure when other treatments fail.

Living with Cardiomyopathy: Tips for Better Heart Health

Below are the tips for better heart health,

  • Follow your doctor’s advice on medications and check-ups.

  • Monitor symptoms and report any worsening to your healthcare provider.

  • Staying active but avoiding overexertion like walking, swimming, or light exercises are good.

  • Maintain a healthy weight to reduce strain on your heart.

  • Limit caffeine and alcohol, as they can trigger arrhythmias.

When to Seek Emergency Help

Call for medical help immediately if you experience:

  • Severe chest pain

  • Sudden shortness of breath

  • Fainting or extreme dizziness

  • Rapid or irregular heartbeat with weakness

Take Charge of Your Heart Health

At Apollo 24|7, you can book a heart health check-up or consultation with expert cardiologists. Early detection and care can make a big difference in living a healthier, more active life.

Conclusion

Cardiomyopathy can be managed with the right treatment and lifestyle adjustments. If you suspect symptoms or have a family history of heart disease, don’t delay, consult a cardiologist.

Consult a Top Cardiologist

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Tripti Deb, Cardiologist

Dr. Tripti Deb

Cardiologist

40 Years • MBBS, MD, DM, FACC, FESC

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

550

55 Cashback

1000

No Booking Fees

Dr. Vijayakumar Subban, Cardiologist

Dr. Vijayakumar Subban

Cardiologist

15 Years • MD, DM (Cardiology), FNB (Intreventional Cardiology), Fellowship in Interventional Cardiology (The Prince Charles Hospital, Brisbane, Australia), Fellowship in Intravascular Imaging and Physiology (Asan Medical Center, Seoul, Korea), Cardiac CT (SCCT- Level II), Cardiac MRI (SCMR- Level I)

Chennai

Apollo Hospitals Greams Road, Chennai

recommendation

97%

(150+ Patients)

1500

150 Cashback

1500

No Booking Fees

Consult a Top Cardiologist

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Tripti Deb, Cardiologist

Dr. Tripti Deb

Cardiologist

40 Years • MBBS, MD, DM, FACC, FESC

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

550

55 Cashback

1000

No Booking Fees

Dr. Deepesh Venkatraman, Cardiologist

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Cardiologist

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Chennai

Apollo Medical Centre Kotturpuram, Chennai

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No Booking Fees

Dr. Vijayakumar Subban, Cardiologist

Dr. Vijayakumar Subban

Cardiologist

15 Years • MD, DM (Cardiology), FNB (Intreventional Cardiology), Fellowship in Interventional Cardiology (The Prince Charles Hospital, Brisbane, Australia), Fellowship in Intravascular Imaging and Physiology (Asan Medical Center, Seoul, Korea), Cardiac CT (SCCT- Level II), Cardiac MRI (SCMR- Level I)

Chennai

Apollo Hospitals Greams Road, Chennai

recommendation

97%

(150+ Patients)

1500

150 Cashback

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No Booking Fees

Dr. Dayanashre N, General Physician

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General Physician

3 Years • MBBS

Bengaluru

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Consult a Top Cardiologist

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Tripti Deb, Cardiologist

Dr. Tripti Deb

Cardiologist

40 Years • MBBS, MD, DM, FACC, FESC

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

550

55 Cashback

1000

No Booking Fees

Dr. Deepesh Venkatraman, Cardiologist

Dr. Deepesh Venkatraman

Cardiologist

10 Years • MBBS, MD (Gen Med), DM (Cardio), DNB (Cardio)

Chennai

Apollo Medical Centre Kotturpuram, Chennai

600

90 Cashback

1000

No Booking Fees

Dr. Vijayakumar Subban, Cardiologist

Dr. Vijayakumar Subban

Cardiologist

15 Years • MD, DM (Cardiology), FNB (Intreventional Cardiology), Fellowship in Interventional Cardiology (The Prince Charles Hospital, Brisbane, Australia), Fellowship in Intravascular Imaging and Physiology (Asan Medical Center, Seoul, Korea), Cardiac CT (SCCT- Level II), Cardiac MRI (SCMR- Level I)

Chennai

Apollo Hospitals Greams Road, Chennai

recommendation

97%

(150+ Patients)

1500

150 Cashback

1500

No Booking Fees

Dr. Dayanashre N, General Physician

Dr. Dayanashre N

General Physician

3 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

500

75 Cashback

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