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Ischemic cardiomyopathy is a type of cardiomyopathy caused by a narrowing of the coronary arteries which supply blood to the heart. [4] Typically, patients with ischemic cardiomyopathy have a history of acute myocardial infarction, [5] however, it may occur in patients with coronary artery disease, but without a past history of acute myocardial infarction.
Treatment is aimed toward preventing future adverse events and relieving symptoms. [12] Beneficial lifestyle modifications include smoking cessation, a heart healthy diet, and regular exercise. [13] Medications such as nitrates and beta-blockers may be useful for reducing the symptoms of coronary ischemia. [6]
Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage"), is a surgical procedure to treat coronary artery disease (CAD), the buildup of plaques in the arteries of the heart.
Restrictive cardiomyopathy may be caused by amyloidosis, hemochromatosis, and some cancer treatments. [4] Broken heart syndrome is caused by extreme emotional or physical stress. [3] Treatment depends on the type of cardiomyopathy and the severity of symptoms. [5] Treatments may include lifestyle changes, medications, or surgery. [5]
Dilated cardiomyopathy (DCM) – Cardiomyopathy caused by dilation of the heart, typically caused by "drugs and bugs." It is the most common form of non-ischemic cardiomyopathy and the dilatation of the heart results in larger chamber volumes & thinner myocardial walls, both of which decrease the ability to pump.
Michler RE, Surgical Management of Moderate Ischemic Mitral Regurgitation at the Time of Coronary Artery Bypass Grafting Remains Controversial. J Thoracic Cardiovasc Surg. 2018; 156:1498-1500; Michler RE. Surgical Options for the Management of Ischemic Cardiomyopathy. Current Treatment Options in Cardiovascular Medicine. 2013; 15:518-532.
Heart failure with preserved ejection fraction (HFpEF) is a form of heart failure in which the ejection fraction – the percentage of the volume of blood ejected from the left ventricle with each heartbeat divided by the volume of blood when the left ventricle is maximally filled – is normal, defined as greater than 50%; [1] this may be measured by echocardiography or cardiac catheterization.
Alcohol septal ablation (ASA) is a minimally invasive heart procedure to treat hypertrophic cardiomyopathy (HCM). [1]It is a percutaneous, minimally invasive procedure performed by an interventional cardiologist to relieve symptoms and improve functional status in eligible patients with severely symptomatic HCM who meet strict clinical, anatomic and physiologic selection criteria.
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