Dilated Cardiomyopathy Treatment

In children with dilated cardiomyopathy (DCM), treatment is primarily focused on heart failure. The treatment goals are to:

  • Control symptoms of congestive heart failure
  • Improve heart function and contracting ability
  • Prevent complications such as blood clots or arrhythmias
  • Prevent damage to other organs

Common medications include:

  • Angiotensin converting enzyme (ACE) inhibitors or anti-congestive medications such as captopril, enalapril and spironolactone. These relax the arteries in the body and decrease the amount of work the heart needs to pump blood to the body.
  • Diuretics such as Lasix and aldactone
  • Digoxin to improve the pumping function of the heart
  • Beta-blockers
  • Anticoagulation medications such as warfarin to prevent blood clotting
  • Anti-arrhythmic medications such as amiodarone

For advanced stages of heart failure, other interventions may be necessary such as:

  • Implantable pacemaker or defibrillator
  • Mechanical ventilator support (intubation)
  • Cardiac assist devices (ECMO, LVAD, BIVAD)
  • Heart transplantation

To learn more about these treatment options, read the sections on Medication, Implantable DevicesMechanical Cardiac Assist Devices, and Heart Transplantation.

Hypertrophic Cardiomyopathy Treatment

 

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