What are the symptoms of late stage dilated cardiomyopathy?

Dilated cardiomyopathy is a relatively serious heart disease. It affects a large group of people, mostly middle-aged people. The disease develops slowly, and it is easy to find that the heart is enlarged during examination. There are also many symptoms in the late stage, and people often experience palpitations, shortness of breath, nausea, etc. Severe cases can cause fainting. If the patient continues to suffer from the disease, it will cause heart failure and death. If this disease occurs, timely treatment and intensive treatment are required.

What are the symptoms of late stage dilated cardiomyopathy?

1. Congenital heart disease:

In mild cases, there are no symptoms. Physical examination reveals squatting signs, clubbing of fingers (toes), pulmonary hypertension, and growth retardation in older children. The child was pale, breathless, had difficulty breathing, tachycardia, and obvious cyanosis at the tip of the nose, lips, and nail beds. Children with this disease often do not develop normally, and may show symptoms such as being thin, malnourished, and developmentally delayed. Some people experience chest pain and syncope. Some sweat output is abnormal.

2. Coronary heart disease:

Symptoms include a squeezing pain in the center of the chest that may spread to the neck, jaw, arms, back, and stomach. Other possible symptoms of an attack include dizziness, shortness of breath, sweating, chills, nausea, and fainting. Severe cases may result in death from heart failure.

3. Rheumatic heart disease:

There are often no obvious symptoms in the early stages of the disease, but in the later stages, severe symptoms include palpitations, shortness of breath, fatigue, cough, limb edema, and coughing up pink foamy sputum, until death from heart failure.

4. Acute cor pulmonale:

Patients often suddenly experience dyspnea, obvious cyanosis, suffocation, palpitations, severe coughing and hemoptysis. Most patients have moderate fever. In severe cases, it often leads to sudden death, or death from heart failure, shock, cardiac arrest or ventricular fibrillation. There is dullness to percussion in the area of ​​large lung infarction, and the breath sounds are weakened or accompanied by moist rales. If the lesion involves the pleura, pleural friction rubs or signs of pleural effusion may occur.

Precautions for use: (1) Myocardial disease is sensitive to digitalis drugs, so the dosage should be small and toxic reactions should be noted, or non-cardiac glycoside positive inotropic drugs should be used; (2) During the use of diuretics, attention must be paid to electrolyte balance; (3) When using drugs that suppress heart rate or electrocardioversion of tachyarrhythmias, one should be alert to the possibility of sick sinus syndrome; (4) A permanent artificial pacemaker can be installed for patients with chronic complete atrioventricular block and sick sinus syndrome; (5) During the use of antiarrhythmic drugs, electrocardiograms should be reviewed regularly; (6) During the use of anticoagulants, attention should be paid to bleeding symptoms, and coagulation time, prothrombin time and INR should be reviewed regularly.