Treatment of cardiomyopathy - medications and healthy lifestyle

Author:
Bc. Lukáš Tóth
Bc. Lukáš Tóth
Healthcare worker

Also, the treatment is not exactly the same for every form of cardiomyopathy. Therefore, a thorough diagnosis is important.

When dilated cardiomyopathy is a treat:

  • physical strain reduction
  • less salt
  • healthy lifestyle
    • omission of smoking and alcohol, drugs
  • drugs:
    • ACE inhibitors, for blood pressure
    • Beta-blockers regulate blood pressure and heart rate
    • diuretics to promote urination
    • digoxin, to support heart function
    • anticoagulants - to prevent the formation of blood clots
  • in severe conditions, mechanical support of the blood circulation 
  • to heart transplantation

The treatment is essentially similar to that given for heart failure. Alternatively, a cardioverter-defibrillator is introduced to prevent severe arrhythmias. 

In hypertrophic cardiomyopathy:

  • regime measures and reduction of heavy physical activity, sports
  • healthy lifestyle - the omission of alcohol and smoking, drugs
  • drug therapy:
    • Beta-blockers
    • calcium channel blockers
    • antiarrhythmics
    • diuretics
    • ACE inhibitors
    • anticoagulant therapy
    • cardioversion - in arrhythmia

In symptomatic or mild form, pharmacological treatment may not be indicated. 

In any case, it is mainly a matter of preventing the occurrence of serious arrhythmias and thus death . Therefore, it is preventively implanted in high-risk people - I mplantable K ardioverter- D effibrillator = ICD, cardioverter-defibrillator. 

The risk criteria are:

  • syncope - apostasy
  • low blood pressure
  • arrhythmia attacks
  • severe hypertrophy over 30 mm myocardial thickness
  • occurrence of sudden death in the family
  • reduced left ventricular ejection fraction

Surgical treatment  includes several methods, such as:

  • myectomy - removal of a part of a muscle
  • septal ablation - a long name of the PTMs
    = L erkutánna t ransluminálna the eptálna m yokardiálna and BLAC
    • intentional occlusion of a specific artery
  • implantation of support mechanisms, ICD, also known as heart movement, Pace-Maker, defibrillator
  • heart transplantation after failure of other methods
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Bc. Lukáš Tóth
Bc. Lukáš Tóth
Healthcare worker
The secondary medical school in Nitra gave me the basis for my career in the field of health and diseases. Thanks to it, I worked for 2 years in the traumatology clinic and outpatient clinic at the Nitra Hospital. Since 2006 I was employed in the emergency medical service, where I stayed until 2017. I completed my bachelor's degree at the University of Constantine the Philosopher in Nitra in the field of emergency health care. The bachelor's degree allowed me to continue my mission as a paramedic. In the meantime, I got a job at the emergency line 155. I have been working in pre-hospital health care until today. I had an interest in people, health and even diseases in my childhood, which gave me the prerequisite to pursue this topic in adulthood. Studying and acquiring new information in practice provided me with a great basis for writing professional texts, in the form of articles that can be understood by ordinary people. Thus, my interest in the Health Portal has a solid foundation in years of practice and personal interest. Similarly, I am also interested in healthy eating, nutrition and overall healthy lifestyle. I fill my free time with family and sports.
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