Ischemic cardiomyopathy
Alternative names:
cardiomyopathy - ischemic
Treatment:
Treatment is focused on relief of symptoms and treatment of causative disorders. Hospitalization may be required when symptoms of acute ischemic heart disease are present.
Medications include nitroglycerin and analgesics (such as morphine) to control pain and relieve the workload of the heart. Other medications may be appropriate to stabilize condition, including digoxin, diuretics, amrinone, or others.
Devices such as the intraaortic balloon pump (IABP) may be needed for a short time to assist circulation in cases of life-threatening heart failure.
Causes of ischemia (for example, atherosclerosis or clots in the coronary artery) should be treated.
Activity is usually prescribed as bedrest until stable. Gradually, activity is increased as tolerated.
A heart transplant may be recommended.
If you smoke or drink alcohol, stop doing so, because these habits increase the workload of the heart.
Expectations (prognosis):
The outcome varies. The disorder is chronic and the condition may deteriorate rapidly.
Complications:
Calling your health care provider:
Go to the emergency room or call the local emergency number (such as 911) if symptoms indicate ischemic cardiomyopathy may be present, or if chest pain is present and not relieved by rest or nitroglycerin.
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