Study note

Clinical presentation and diagnostic exclusion in dilated cardiomyopathy

THE CONTEXT
Dilated cardiomyopathy may present with heart failure or be detected during routine investigation.

Presentation and complications

FeatureDetails
Presentation
Patients either present with heart failure or are found to have the condition during routine investigation.
Complications
Arrhythmia, thromboembolism and sudden death may occur at any stage, but are more common in advanced disease.
Chest pain
Non-exertional chest pain is surprisingly common.

Essential diagnostic exclusion

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Coronary artery disease: Ventricular dysfunction due to coronary artery disease is a differential diagnosis and must be excluded before diagnosing dilated cardiomyopathy.
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