Introduction Dilated cardiomyopathy is a disease of heart muscle characterized by dilatation of the cardiac chambers and reduction in ventricular contractile function. Dilatation may be secondary to progression of any process that affects the myocardium. Myocyte damage leading to this condition results from a wide spectrum of genetic, inflammatory, toxic and metabolic causes, although most cases are idiopathic. The clinical manifestations of advanced dilated cardiomyopathy are those of congestive heart failure. The most common symptoms of low forward cardiac output include fatigue, lightheadedness, and exertional dyspnea. Pulmonary congestion results in dyspnea, and chronic venous congestion causes peripheral edema. Symptoms may develop insidiously and the patient may complain only of recent weight gain or shortness of breath on exertion. Recognition of affected persons early in the process allows for potentially earlier interventions in asymptomatic or minimally symptomatic patients, to prevent the development of symptoms and complications. With this paper, the case will be studied, and the osteopathic principle of the unity of the body will be kept in mind as the role of the family practice physician is considered with regard to early recognition and treatment. Osteopathically oriented problem solving and treatment plans seek to address the primary cause of disease using available evidence based practices, enhance the patients healing capacities. A 37-year old white male was admitted into emergency.
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In the paper “Non-ischemic dilated cardiomyopathy” the author provides a case of non-ischemic dilated cardiomyopathy in a 37 year old male who underwent mitral valve annuloplasty after the surgery. It was found that the disease was due to his chronic alcohol consumption…
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