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Background
- Heart is dilated with poor contraction and EF
Causes
- Idiopathic (25% of CHF)
- Viral/chronic myocarditis (most common identifiable cause)
- Other causes
Clinical Features
Differential Diagnosis
Evaluation
Workup
- CXR
- Cardiomegaly, pulmonary venous htn
- ECG
- LV hypertrophy, poor R wave progression
- Ultrasound
- Bedside (for gross function)
- TTE/TEE for EF
Diagnosis
- Typically on cardiac ultrasound (echo)
Management
- Treat the underlying diseae
- Similar to CHF exacerbation
- Ensure exacerbation not due to ischemia
Disposition
See Also
External Links
References