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    Dilated Cardiomyopathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Dilated Cardiomyopathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Dilated Cardiomyopathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook123 pages1 hour

    Dilated Cardiomyopathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Dilated Cardiomyopathy, Diagnosis and Treatment and Related Diseases
    Cardiomyopathy is the medical disease of the thickened or dilated heart muscle.

    Dilated cardiomyopathy is a disorder in which the heart muscle becomes weakened and enlarged or has another structural disorder as the cardiomyopathy becomes worse.
    As a result, the heart cannot pump adequate blood to the rest of the body.
    There are many types of cardiomyopathy.
    1.Dilated cardiomyopathy is the most frequent type.
    2.Hypertrophic cardiomyopathy
    3.Restrictive cardiomyopathy
    4.Others -refer causes
    Causes
    The most frequent causes of dilated cardiomyopathy are:
    1.Heart disease produced by a narrowing or blockage of the coronary arteries
    2.Poorly regulated high blood pressure
    There are many other causes of dilated cardiomyopathy, such as:
    1.Alcohol or cocaine abuse
    2.Diabetes, thyroid disease, or hepatitis
    3.Medicines that can be toxic to the heart, such as drugs used to treat cancer
    4.Abnormal heart rhythms that cause the heart to beat very fast for a long duration of time
    5.Autoimmune illnesses
    6.Disorders that run in families
    7.Infections that involve the heart muscle
    8.Heart valves that are either too narrow or too leaky
    9.During the last month of pregnancy or within 5 months after the baby is born.
    10.Exposure to heavy metals such as lead, arsenic, cobalt, or mercury
    Symptoms
    The symptoms of heart failure are most frequent.
    Frequent symptoms are:
    1.Chest pain or pressure (more probably with exercise)
    2.Cough
    3.Fatigue, weakness, faintness
    4.Irregular or rapid pulse
    5.Loss of appetite
    6.Shortness of breath with activity or after lying down (or being asleep) for a while
    7.Swelling of feet and ankles
    Diagnosis

    During the medical examination, the doctor may find:
    1.The heart is enlarged.
    2.Lung crackles (a sign of fluid buildup), heart murmur, or other abnormal sounds.
    3.The liver is possibly enlarged.
    4.Neck veins may be bulging.
    Heart enlargement or other disorders with the structure can be seen:
    1.Echocardiogram
    2.Cardiac stress tests
    3.Chest x-ray
    4.Coronary angiogram to look at blood flow to the heart
    5.CT scan of the heart
    6.MRI of the heart
    7.Nuclear heart scan (MUGA, RNV)
    8.Heart biopsy (rarely needed)
    Treatment:
    Non Medical Care:
    1.Rest
    2.Oxygen
    3.Low salt Diet
    4.Treat hypertension
    5.Treat angina with nitrates sublingually
    6.Cardiac rehabilitation with mild exercise (muscular and pulmonary)
    Some medicines can treat the symptoms:
    1.Angiotensin-converting enzyme (ACE) inhibitors
    2.Angiotensin II receptor blockers (ARBs)
    3.Beta-blockers
    4.Aldosterone antagonists
    5.Cardiac glycosides
    6.Diuretics
    7.Vasodilators
    8.Antiarrhythmics
    9.Human B-type natriuretic peptide
    10.Inotropic agents
    11.Neprilysin inhibitor
    12.Nitrates
    13.Anticoagulants may be used in selected patients
    Procedures and surgeries for the patient are:
    1.A pacemaker to help treat slow heart rates or help the heartbeat stay in sync
    2.A defibrillator that detects life-threatening heart rhythms and sends an electrical pulse to stop them (implantable cardioverter defibrillator)
    3.Heart bypass (CABG) surgery or angioplasty to improve blood flow to the damaged or weakened heart muscle
    4.Valve replacement or repair
    For advanced cardiomyopathy:
    1.A heart transplant may be advised if standard treatments have not worked and heart failure symptoms are very severe.
    2.Placement of a left ventricular assist device or artificial heart may be done.
    Newer methods still under investigations are:
    1.Gene therapies
    2.Myoblast transplantation
    3.Stem cells
    4.CardioMEMS is a wireless implantable pulmonary artery (PA) pressure monitoring system

    TABLE OF CONTENT
    Introd

    LanguageEnglish
    PublisherKenneth Kee
    Release dateApr 30, 2018
    ISBN9780463910672
    Dilated Cardiomyopathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Dilated Cardiomyopathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Dilated Cardiomyopathy,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2018 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Dilated Cardiomyopathy, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Dilated Cardiomyopathy)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Dilated Cardiomyopathy

      What is Dilated Cardiomyopathy?

      Cardiomyopathy is the medical disease of the thickened or dilated heart muscle.

      Dilated cardiomyopathy is a disorder in which the heart muscle becomes weakened and enlarged or has another structural disorder as the cardiomyopathy becomes worse.

      As a result, the heart cannot pump adequate blood to the rest of the body.

      There are many types of cardiomyopathy.

      Dilated cardiomyopathy is the most frequent type.

      Blausen_0165_Cardiomyopathy_Dilated.png Taken from Wikipedia

      What are the causes of Dilated Cardiomyopathy?

      Causes

      The most frequent causes of dilated cardiomyopathy are:

      1. Heart disease produced by a narrowing or blockage of the coronary arteries

      2. Poorly regulated high blood pressure

      There are many other causes of dilated cardiomyopathy, such as:

      1. Alcohol or cocaine abuse

      2. Diabetes, thyroid disease, or hepatitis

      3. Medicines that can be toxic to the heart, such as drugs used to treat cancer

      4. Abnormal heart rhythms that cause the heart to beat very fast for a long duration of time

      5. Autoimmune illnesses

      6. Disorders that run in families

      7. Infections that involve the heart muscle

      8. Heart valves that are either too narrow or too leaky

      9. During the last month of pregnancy or within 5 months after the baby is born.

      10. Exposure to heavy metals such as lead, arsenic, cobalt, or mercury

      This disorder can affect anyone at any age.

      It is most frequent in adult men.

      What are the symptoms of Dilated Cardiomyopathy?

      Symptoms

      The symptoms of heart failure are most frequent.

      They most often form slowly over a period.

      Sometimes symptoms begin very suddenly and are serious.

      Frequent symptoms are:

      1. Chest pain or pressure (more probably with exercise)

      2. Cough

      3. Fatigue, weakness, faintness

      4. Irregular or rapid pulse

      5. Loss of appetite

      6. Shortness of breath with activity or after lying down (or being asleep) for a while

      7. Swelling of feet and ankles

      How is Dilated Cardiomyopathy Diagnosed?

      Diagnosis

      During the medical examination, the doctor may find:

      1. The heart is enlarged.

      2. Lung crackles (a sign of fluid buildup), heart murmur, or other abnormal sounds.

      3. The liver is possibly enlarged.

      4. Neck veins may be bulging.

      Some laboratory tests may be done to detect the cause:

      1. Antinuclear antibody (ANA), erythrocyte sedimentation rate (ESR), and other tests to diagnose autoimmune illnesses

      2. Antibody test to identify infections such as Lyme disease and HIV

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