Dilated cardiomyopathy history and symptoms

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Dilated cardiomyopathy Microchapters


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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in-Chief: Sachin Shah, M.D.


Common symptoms in the setting of dilated cardiomyopathy include chest pain, cough, fatigue, loss of appetite, and shortness of breath. A careful history is important in the setting of dilated cardiomyopathy in order to ascertain the etiology of the cardiomyopathy. The patient needs to be evaluated for a history of coronary artery disease, viral prodrome and infections, chemotherapy, HIV risk factors, pregnancy, medications, toxins, and substance abuse.

History and Symptoms


  • Symptoms of heart failure are most common. Usually, they develop slowly over time. However, sometimes symptoms start very suddenly and are severe.

Common symptoms

The common symptoms of dilated cardiomyopathy include:[4]

The clinical presentation of dilated cardiomyopathy is similar to that heart failure from any cause.[5]

Less Common Symptoms


  1. Jefferies JL, Towbin JA (2010). "Dilated cardiomyopathy". Lancet. 375 (9716): 752–62. doi:10.1016/S0140-6736(09)62023-7. PMID 20189027.
  2. Dec GW, Fuster V (1994). "Idiopathic dilated cardiomyopathy". N Engl J Med. 331 (23): 1564–75. doi:10.1056/NEJM199412083312307. PMID 7969328.
  3. Honigberg MC, Givertz MM (2019). "Peripartum cardiomyopathy". BMJ. 364: k5287. doi:10.1136/bmj.k5287. PMID 30700415.
  4. 4.0 4.1 Japp AG, Gulati A, Cook SA, Cowie MR, Prasad SK (2016). "The Diagnosis and Evaluation of Dilated Cardiomyopathy". J Am Coll Cardiol. 67 (25): 2996–3010. doi:10.1016/j.jacc.2016.03.590. PMID 27339497.
  5. "StatPearls". 2019. PMID 28722940.

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