Questions posted in the Heart Forum have been answered by doctors from The Cleveland Clinic Foundation.

Question Title: My Dad and cardiomyopathy

Forum: The Heart Forum
Topic: Cardiomyopathy

Hi, my dad has cardiomyopathy, and I would like some more inforatiom on this diease. He is only 52 years old. He has had this for about two years, and it has been getting worse. And he does not want to admit it. He is on a number of medications, I can't remember them all. He has been having more and more chest pains. At the moment, the doctor has him on a heart monitor, because he has been having irregluar heart beats. He is now on the Heart Transplant list. I do not know much about this, but I have been doing some research. I really want to know more about the heart transplant situation. Please send me a reply as soon as possible. Thank you.

Dear Wendy,

Thank you for your question. Basically cardiomyopathy is a "weakness" of the heart muscle that can be due to ischemia (lack of blood flow - the most common), viral (more common in young people), idiopathic (unknown cause but probably viral) and several rare conditions. It is usually diagnosed by history and an echocardiogram. Occasionally a heart muscle biopsy is performed. It may not be easy to predict or diagnosis prior to the onset.

Symptoms are shortness of breath, swelling in the legs, chest discomfort and palpitations and increased fatigue. Treatment is usually medical and in severe cases heart transplant. About a third of patients get worse with some going on to transplant. Another third stay the same and are managed well with medical therapy and the rest get better.

Q: How common is Dialated Cardiomyopathy as a result of a virus?
A: In young people it is probably the number one cause of cardiomyopathy. In older people it is less common.

Q: Is it serious or no big deal?
A: It is a serious condition and should be followed carefully.

Q: Should those of us that have it be concerned?
A: Concerned in regard to taking good care of yourself and following your doctor's advice.

A: How often should one (someone with cardiomyopathy) have their EF checked?
Q: This will vary from doctor to doctor but generally every 6 months to a year.

Q: Does the EF% have anything to do with a person's energy level?
A: Someone with a decreased EF may feel more fatigued.

Q: What is the average life years expectancy of a person with Dialated Cardiomyopathy?
A: This will vary considerably depending upon the severity of the illness. Some people may die within months to years and others go on to have normal lifespans.

Hope this helps. Feel free to write back with any additional questions.

Information provided here is for general educational purposes only. Only your doctor can provide specific diagnoses and treatments. If you would like to be seen at the Cleveland Clinic, please call 1-800-CCF-CARE for an appointment at Desk F15 with a cardiologist.

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