Dilated (Congestive) Cardiomyopathy (Systolic Dysfunction) | Causes, Symptoms, Diagnosis, Treatment | Cardiology Series…Dilated cardiomyopathy (the ventricle is dilated- eccenteric hypertrophy)- the heart is good at diastole, but poor at systole (usually with low ejection fraction)- leading to congestive symptoms (edema, hepatomegaly, jugular venous distension because of right ventricular dysfunction- as well as pulmonary edema, shortness of breath (dyspnea), orthopnea, paroxysmal nocturnal dyspnea, productive cough and even hemoptysis)…Many patients develop arrhythmias, headache, dizziness, fatigue (tired all the time), presyncope and syncope.
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