Dilated cardiomyopathy can be treated by targeting the cause of the disease (anti-infection, correction of electrolyte disorders, etc.), drugs (vasodilatation, enhancement of myocardial contractility, etc.), and surgery (implantation of pacemakers, cardioverter-defibrillators, etc.).
1. The cause of dilated cardiomyopathy is unknown. Besides genetic factors, it may also be related to infection, alcoholism, endocrine and metabolic disorders. Therefore, anti-infection, alcohol cessation, treatment of corresponding endocrine diseases, correction of electrolyte disorders and other treatments can be carried out to address the cause of the disease.
2. Because patients with dilated cardiomyopathy are often accompanied by heart failure in the late stage, drugs against heart failure should be used as early as possible, such as β-blockers (propranolol, metoprolol), ACE Ⅰ (captopril, enalapril), ARB (valsartan, irbesartan), diuretics (hydrochlorothiazide, furosemide), etc. Surgery is also feasible, such as implantation of cardiac implants. Surgical treatment, such as implantation of pacemaker, is also feasible.
3. Some patients may have arrhythmia, such as atrial fibrillation, anticoagulation (warfarin, rivaroxaban, etc.) is feasible. In addition, for some patients with high risk of sudden cardiac death, cardioverter-defibrillator can be implanted to reduce the risk of sudden death.
If you feel unwell, you should consult a doctor in time, and the treatment of disease and the use of drugs should be under the guidance of a specialized doctor.