The illness is also in the veterinary medicine well-known, there however usually hereditary. See in addition Dilatative Kardiomyopathie (veterinary medicine)

A cause

One differentiates between primary forms, a whose cause is unknown, and secondary forms with the following causes:

1. infectious
   1. viral
      1. Coxsackie - viruses
      2. Influenzaviren
      3. Adenoviren
      4. Echo viruses
   2. bacterially
      1. Staphylococci
      2. Enterokokken
      3. Borrelia burgdorferi
   3. Mushrooms
   4. Protozoen
      1. Toxoplasmose
      2. Chagas illness
2. toxically
   1. Alcohol
   2. Anthrazykline
   3. Phosphorus
3. ischemically
   1. rezidivierende Infarkte
   2. Mikroangiopathie
4. metabolically
   1. BeriBeri
   2. Malnutrition
5. immunologically
   1. systemic Lupus of erythematodes
   2. Panarteriitis nodosa
   3. progressive systemic Sklerose
   4. Dermatomyositis
6. endokrin
   1. Hypothyreose
   2. Hyperthyreose
   3. Akromegalie

Symptoms/diagnosis

The symptoms of the heart insufficiency are the center of attention by a reduction of the ejection parliamentary group of the left ventricle on up to 30 per cent. By the extension of the heart it comes to a relative Mitralinsuffizienz and/or Trikuspidalinsuffizienz. At the end of the Diastole it comes by contraction of the forecourt to a third heart clay/tone, whereby one notices into the Auskultation a gallopp rhythm. The Pulsamplitude is small. In the ELECTROCARDIOGRAM one finds a link thigh block and an indication of the Hypertrophie of the left ventricle. In the Echokardiographie sees one a strong extension of the ventricles. In the Herzmuskelbiopsie cannot one the types fibrosierend, vaguely fibrosierend and fokal fibrosierend differentiate between. The moreover one sees narrow heart muscle cells with large core-important complications is heart insufficiency, heartbeat disturbances and Thrombenbildung in the extended heart caves.

Therapy

With the secondary forms the causal illness is treated. Otherwise heart insufficiency and heartbeat disturbances are treated medicamentous with ACE Hemmer and beta blockers. The moreover a prophylaxis of the Thrombenbildung is indicated. In the case of illness progressing further the Herztransplantation is possible.

See also

Kardiomyopathie

Articles in category "Dilatative Kardiomyopathie"

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