Dilated cardiomyopathy diagnostic study of choice: Difference between revisions
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{{Dilated cardiomyopathy}} | {{Dilated cardiomyopathy}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{AIA}} | ||
== Overview == | == Overview == | ||
[[Dilated cardiomyopathy]] may be diagnosed on [[echocardiography]] if case of the presence of left ventricular dilatation and left ventricular [[systolic dysfunction]] in the absence of abnormal loading conditions ([[hypertension]] and valve disease) or [[Coronary heart disease|coronary artery disease]] sufficient to cause global systolic impairment. | |||
== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
=== Study of choice === | === Study of choice === | ||
[ | [[Echocardiography]] is the gold standard test for the diagnosis of [[dilated cardiomyopathy]]. | ||
[ | |||
[ | ===== Diagnostic Results ===== | ||
The following finding(s) on performing [[echocardiography]] are confirmatory for [[dilated cardiomyopathy]].<ref name="pmid19889654">{{cite journal| author=Thomas DE, Wheeler R, Yousef ZR, Masani ND| title=The role of echocardiography in guiding management in dilated cardiomyopathy. | journal=Eur J Echocardiogr | year= 2009 | volume= 10 | issue= 8 | pages= iii15-21 | pmid=19889654 | doi=10.1093/ejechocard/jep158 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19889654 }}</ref> | |||
:* Dilation of the [[left ventricle]]; however, may include dilatation of all 4 [[cardiac chambers]] | |||
:* Left ventricular wall thickness usually is normal but given the dilation the LV mass is increased | |||
:* In addition, there is a global reduction in systolic function | |||
:* Occasionally, there may also be focal wall motion abnormalities even in patients without flow limiting [[coronary artery disease]] | |||
=== British Society of Echocardiography Criteria === | |||
The | According to the British Society of Echocardiography, [[dilated cardiomyopathy]] may be diagnosed on echocardiography in case of: | ||
* The presence of left ventricular dilatation and left ventricular [[systolic dysfunction]] | |||
*In the absence of abnormal loading conditions ([[hypertension]] and valve disease) or [[Coronary heart disease|coronary artery disease]] sufficient to cause global systolic impairment.<ref name="pmid28592613">{{cite journal| author=Mathew T, Williams L, Navaratnam G, Rana B, Wheeler R, Collins K et al.| title=Diagnosis and assessment of dilated cardiomyopathy: a guideline protocol from the British Society of Echocardiography. | journal=Echo Res Pract | year= 2017 | volume= 4 | issue= 2 | pages= G1-G13 | pmid=28592613 | doi=10.1530/ERP-16-0037 | pmc=5574280 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28592613 }}</ref> | |||
==References== | ==References== | ||
Latest revision as of 20:34, 13 January 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Abdelrahman Ibrahim Abushouk, MD[2]
Overview
Dilated cardiomyopathy may be diagnosed on echocardiography if case of the presence of left ventricular dilatation and left ventricular systolic dysfunction in the absence of abnormal loading conditions (hypertension and valve disease) or coronary artery disease sufficient to cause global systolic impairment.
Diagnostic Study of Choice
Study of choice
Echocardiography is the gold standard test for the diagnosis of dilated cardiomyopathy.
Diagnostic Results
The following finding(s) on performing echocardiography are confirmatory for dilated cardiomyopathy.[1]
- Dilation of the left ventricle; however, may include dilatation of all 4 cardiac chambers
- Left ventricular wall thickness usually is normal but given the dilation the LV mass is increased
- In addition, there is a global reduction in systolic function
- Occasionally, there may also be focal wall motion abnormalities even in patients without flow limiting coronary artery disease
British Society of Echocardiography Criteria
According to the British Society of Echocardiography, dilated cardiomyopathy may be diagnosed on echocardiography in case of:
- The presence of left ventricular dilatation and left ventricular systolic dysfunction
- In the absence of abnormal loading conditions (hypertension and valve disease) or coronary artery disease sufficient to cause global systolic impairment.[2]
References
- ↑ Thomas DE, Wheeler R, Yousef ZR, Masani ND (2009). "The role of echocardiography in guiding management in dilated cardiomyopathy". Eur J Echocardiogr. 10 (8): iii15–21. doi:10.1093/ejechocard/jep158. PMID 19889654.
- ↑ Mathew T, Williams L, Navaratnam G, Rana B, Wheeler R, Collins K; et al. (2017). "Diagnosis and assessment of dilated cardiomyopathy: a guideline protocol from the British Society of Echocardiography". Echo Res Pract. 4 (2): G1–G13. doi:10.1530/ERP-16-0037. PMC 5574280. PMID 28592613.