BROKEN HEART SYNDROME

CARDIOMYOPATHY ( BROKEN HEART SYNDROME )

Cardiomyopathy ( Broken Heart Syndrome ) refers to diseases of the heart muscle .In cardiomyopathy, the heart muscle becomes enlarged, thick or rigid.

As cardiomyopathy worsens, the heart becomes weaker.Its less able to pump blood through the body and maintain normal electrical rhythm. This can lead to heart failure or irregular heartbeats called arrhythmias. In turn heart failure can cause fluid build up in the lungs, ankles, feet, legs or abdomen. It could be acquired or inherited. Many times the cause of cardiomyopathy is not known.

Cardium Advanced Health Care Clinic | Heart Hospital In Mumbai

Cirrhosis Diagnosis

The Diagnosis of liver disease can be important before converting into liver cancer. The diagnosis of cirrhosis specialized tests such as

1) liver function tests

2) liver biopsy

3) CT scan

4) MRI (magnetic resonance imaging)

5) Ultrasound

Cirrhosis Treatments

The Cirrhosis liver damage can not be treated completely but we can stop it and avoid convert into liver cancer. The antibiotic on the liver cirrhosis can not stop completely but it can prevent liver cancer.

If Liver cirrhosis can not be controlled the last option is liver transplant surgery. Dr. Prasad Bhate is the best liver transplant surgeon at the Aditya Birla Hospital Pune has More than 10 years experience in liver surgery.

The Liver Cirrhosis can not be controlled then Dr. Bhate can give correct suggestions for treatment.

Your treatment may include:

  • Eating a healthy diet, low in sodium
  • Not having alcohol or illegal drugs
  • Managing any health problems that happen because of cirrhosis

Fibrosis Of The Liver-

If left untreated, the inflamed liver will start to scar. As excess scar tissue grows, it replaces healthy liver tissue. This process is called fibrosis.

Fibrosis can occur in many tissues within the body, typically as a result of inflammation or damage, and examples include:

Lungs, Liver, Heart, Brainknee, shoulder, other joints, skin

Dr. Prasad Bhate has treated all the liver diseases such as cirrhosis, Fibrosis, and other disease at Aditya Birla Hospital and Dr. Bhates Gastro liver Clinic Baner.

If you faced the symptoms regarding liver disease then you can book an appointment with our clinic.

Diagnostic Tests

Diagnosis is typically done by echocardiogram .In some cases TEE can be done.

Other tests

  • ECG
  • Cardiac MRI
  • Stress tests
  • Holtyerband event monitor
  • Genetic testing

In some cases cardiac catheterisation and coronary angiography can be done

Dilated Cardiomyopathy(DCM)

It is a primary myocardial disease.The cause of dilated cardiomyopathy is still unknown.About one third of the people who have dilated cardiomyopathy inherit it from their parents. DCM is characterised by dilated left ventricle with systolic dysfunction that is not caused by ischemic or valvular heart disease.Investigating a patient with DCM ,a full history,including risk factors for coronary artery disease should be acquired.Personal history is very important therefore if possible spouse’s input is very valuable.

Causes of Dilated Cardiomyopathy(DCM)

  • Idiopathic (50%)
  • Myocarditis(9%)
  • Ischemic heart disease(9%)
  • Infiltrative disease(5%)
  • Peripartum (7%)
  • Hypertension (4%)
  • HIV infection(4%)
  • Connective tissue disease(3%)
  • Substance abuse (3%)
  • Doxorubicin (1%)
  • Others (10%)

Symptoms of Dilated Cardiomyopathy(DCM)

  • Fatigue
  • Heart failure like symptoms like shortness of breath (dyspnea).
  • Reduced ability to exercise because of swelling in the ankles and legs.
  • Chest pain
  • Heart murmurs

Risk Factors of Dilated Cardiomyopathy(DCM)

  • Men (20-50yrs)> Women
  • Heart attack
  • Family history
  • Immune system disorders like lupus
  • Muscular dystrophy

Complications of Dilated Cardiomyopathy(DCM)

  • Heart failure
  • Heart valve regurgitation
  • Fluid build up(edema)
  • Arrhythmia
  • Sudden cardiac death
  • Emboli

Prevention And Treatment for Dilated Cardiomyopathy(DCM)

  • Healthy lifestyle habits can help you prevent or minimise effects of DCM
  • Medical management

Intervention

  • Cardiac resynchronisation by biventricular pacemaker.
  • ICD (implantable cardioverter defibrillator.These are suggested for people at risk for life threatening arrhythmias.
  • Surgery -in case of coronary artery disease or valve disease.
  • Heart transplant -only for end stage heart failure

Other Cardiomyopathies

  • Restrictive cardiomyopathy (RCM) :
    RCM’S is a heterogenous group of diseases characterised by non dilated left ventricle often with well preserved ejection fraction .The predominant manifestation is a diastolic dysfunction as a result of myocardial disease.
  • Hemochromatosis :
    Too much iron build up and deposition of extra iron can damage the organs.
  • Sarcoidosis :
    A disease that causes inflammation and can affect various organs in the body .Abnormal immune response can cause sarcoidosis.
    Some cancer treatments such as radiation and chemotherapy
    Arrythmogenic right ventricular dysplasia.