Stephen J. Schueler, M.D.

Ischemic Cardiomyopathy Overview

What is ischemic cardiomyopathy?
A person with ischemic cardiomyopathy has weakness of the heart, caused by a reduced supply of oxygen to the heart muscle. Over time, the weakness worsens, leading to congestive heart failure. About 1 out of 100 adults over the age of 60 have ischemic cardiomyopathy.

What are the symptoms of ischemic cardiomyopathy?
Early symptoms include cough, weakness, and fatigue. Additional symptoms include leg swelling, weight gain, difficulty breathing when lying flat, increasing shortness of breath with activity, and waking in the middle of the night short of breath.

How does the doctor treat ischemic cardiomyopathy?
Treatment for ischemic cardiomyopathy includes medications to remove excess water from the body, and medications that stimulate the heart to pump more effectively. Additional treatment includes restricting the amount of fluid in the diet, as well as a diet low in salt, fat, and cholesterol.

Continue to Ischemic Cardiomyopathy Incidence

Last Updated: Aug 19, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Ischemic Cardiomyopathy References
  1. Morrison DA. What is the evidence for percutaneous coronary intervention or coronary artery bypass graft in ischemic cardiomyopathy? Am Heart Hosp J. 2005 Summer;3(3):175-81. [16106138]
  2. Moustakidis P, Cupps BP, Pomerantz BJ, Scheri RP, Maniar HS, Kates AM, Gropler RJ, Pasque MK, Sundt TM. Noninvasive, quantitative assessment of left ventricular function in ischemic cardiomyopathy. J Surg Res. 2004 Feb;116(2):187-96. [15013355]
  3. O'Connor CM, Velazquez EJ, Gardner LH, Smith PK, Newman MF, Landolfo KP, Lee KL, Califf RM, Jones RH. Comparison of coronary artery bypass grafting versus medical therapy on long-term outcome in patients with ischemic cardiomyopathy (a 25-year experience from the Duke Cardiovascular Disease Databank). Am J Cardiol. 2002 Jul 15;90(2):101-7. [12106836]
  4. Yao SS, Qureshi E, Nichols K, Diamond GA, Depuey EG, Rozanski A. Prospective validation of a quantitative method for differentiating ischemic versus nonischemic cardiomyopathy by technetium-99m sestamibi myocardial perfusion single-photon emission computed tomography. Clin Cardiol. 2004 Nov;27(11):615-20. [15562931]
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