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ischemic cardiomyopathy…

 

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ischemic heart disease, cardiomyopathy, ischemic, patients, condition have weakened heart pumps, due to previous heart attacks, due to current blockages, the coronary arteries, a build-up of cholesterol, plaque, arteries that bring oxygen to heart muscle tissue, term "ischemic" means that an organ, in this case the heart muscle, has not received enough blood, oxygen, "cardio" refers, heart, "myopathy" means muscle-related disease, ischemic cardiomyopathy, medical term that doctors use to describe patients, congestive heart failure, result of coronary artery disease, ischemic cardiomyopathy results, the arteries that bring blood, oxygen, heart, coronary arteries, blocked, ischemic cardiomyopathy, common cause of congestive heart failure, patients, diagnosis, at one time have had a heart attack, angina, unstable angina, a few patients, ischemic cardiomyopathy, most common type of cardiomyopathy, in the us, affects approximately 1 out of 100 people, most often middle-aged to elderly men, older age ranges, gender difference becomes less pronounced, risks include having a personal, family history of heart attack, angina, unstable angina, atherosclerosis, or other coronary artery diseases, high blood pressure, smoking, diabetes, high fat diet, high blood cholesterol, obesity, stress, all precipitate ischemic heart disorders, chest pain, experienced under the sternum, radiate, neck, jaw, shoulder, arm, feel tight, pressure, crushing, squeezing, not be relieved by rest, nitroglycerin, sensation of feeling the heart beat, palpitations, irregular, rapid pulse, shortness of breath, shortness of breath that occurs after lying, cough, fatigue, weakness, faintness, decreased alertness, concentration, decreased urine output, excessive urination at night, overall swelling, breathing difficulty, lying, physical examination normal, reveal signs of fluid buildup, leg swelling, enlarged liver, "crackles", in the lungs, extra heart sounds, an elevated pressure, in the neck vein, other signs of heart failure, diagnosis, a test shows a decreased ejection fraction, pumping function, the heart, a normal ejection fraction is around 55-65%, most patients, disorder have ejection fractions much less than this, tests, measure ejection fraction, echocardiogram, ventriculogram performed, a cardiac catheterization, gated spect, mri of chest, an ecg, enlargement, previous heart attack, blood supply, heart, arrhythmias, abnormalities, a biopsy, the heart is rarely needed to rule out other disorders, lab tests, rule out other disorders, to assess the condition, the heart, cbc, coronary risk profile, blood chemistries, cardiac biochemical markers, ck-mb, troponin, treating the underlying cause, hospitalization required, severe, condition is so common, serious, several types of medications have been found to help patients live longer, ace-inhibitors, captopril, lisinopril, beta-blockers, metoprolol, carvedilol, aldosterone, diuretics, "water pills", digoxin, frequently used, patients, cardiac catheterization performed, bypass surgery, angioplasty, "balloon procedure", goal of these treatments, improve blood flow, weakened heart muscle, a number of studies have shown, heart failure symptoms, improved, a special type of pacemaker, paces both the right, left sides of heart, biventricular pacing, cardiac resynchronization therapy, ask provider, a candidate, a heart transplant recommended, patients, failed all the standard treatments, still have very severe symptoms, implantable, artificial heart pumps have been developed, very few patients, able, undergo either of these advanced treaments, smoke, drink alcohol excessively, habits increase the workload, the heart, very serious disorder, patients, not have a normal lifespan, prognosis, many forms of cancer, very important to discuss particular situation, arrhythmias, lethal arrhythmias, cardiogenic shock, have symptoms that ischemic cardiomyopathy, chest pain is present, not relieved by rest, nitroglycerin, prevent ischemic cardiomyopathy, avoid getting heart disease, stop smoking, eat a healthy diet, maintain a healthy weight, exercise, excessive drinking, doctor to control blood pressure, cholesterol, diabetes.



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