Dishormonal cardiomyopathy represents the activity change of the myocardium, the cause of which is the disruption of the endocrine system. Usually this is due to the intense hormonal drugs or puberty.
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The disease develops when a deficiency of sex hormones, the deficiency of which affects the heart muscle. Although the nature of the myocardial lesions are not inflammatory, the efficiency still decreases.
Disorders of the endocrine system are the causes of dyshormonal cardiomyopathy Quite often, dishormonal cardiomyopathy is a consequence of dysfunction of the ovaries. This occurs in women during menopause. In addition, this form of the disease can cause other disorders of the endocrine system. There are many other diseases of the autonomic nervous system, leading to hormonal disturbance and myocardial damage before the permanent cessation of menstruation.
Due to the nature of the endocrine system, the hormonal cardiopathology found mainly in women. The average age of onset ranges from 45 to 50 years. The disease and possible in men, but much less frequently. Thus, we can assume that the main reason for the disease: menopause in women.
Symptoms of dyshormonal cardiomyopathy This disease, along with other cardiac pathologies are accompanied by retrosternal pain. However, feelings have a specific character. Almost 100% of patients with this form of cardiomyopathy celebrate the feeling of pulling a long pressure in the heart area. Often these pains become cutting.
Pain syndrome in the majority of cases there is in the left half of the chest. Exactly the same as in ordinary angina, the patient may complain of discomfort in my left shoulder blade or lower jaw. A little less often patients feel pain in the left hand. Such feelings are rapidly after ingestion of certain drugs.
The duration of pain is different and may reach several days. Almost always a feeling of discomfort in the heart area ceases to be disturbed while taking pain medications. A distinctive feature of the clinical manifestations dishormonal cardiomyopathy:
- pain not associated with physical activity;
- the pain is not removed by taking Nitroglycerin.
For these reasons, in this pathology should be ruled out myocardial infarction. In addition to the above symptoms, many found excessive sweating, the feeling of heat in the face, neck and upper chest.
Possible disorders of the autonomic nature:
- the decrease in blood pressure (blood pressure);
- noise in the ears;
- the feeling of “lump in throat”;
- various heart rhythm abnormalities.
Diagnosis of cardiomyopathy
Diagnostics of dyshormonal cardiomyopathy to determine the pathology is quite difficult due to the fact that almost all the diseases of cardiac system have similar symptoms. To confirm the diagnosis is necessary to consult a cardiologist. Even after the pulse, listen to heart tones, measuring blood pressure, the presence of cardiac diseases can only guess. To establish an accurate diagnosis, you must at least make a few tests:
- Ultrasound of the heart. Using this method we can only indirectly judge the work of the myocardium, but in addition to other diagnostic procedures the study was very informative.
- X-rays of the heart.
- MRI of the heart. Is performed when it is impossible to make a diagnosis and to exclude myocardial infarction.
The results described above, minimal research can clarify the diagnosis and to exclude the risk of other cardiovascular diseases. When the complete impossibility of determining the diagnosis with 100% certainty treatment as myocardial infarction.
The basis for the prevention of dilated cardiomyopathy is the exclusion of pathogenic factors that can cause disease. Recommendations for the prevention of the disease:
- Smoking cessation;
- moderate consumption of alcoholic beverages;
- the exclusion of self;
- normalization of body weight and getting rid of excess weight;
- active way of life.
In the presence of a hereditary predisposition or in case of diseases of the cardiovascular system at least one of the relatives, it is necessary to strengthen preventive measures. The appearance of the slightest suspicion or the first symptoms of heart disease requires urgent consultation with a cardiologist, since self-treatment may not only be ineffective but also damage to health.
The treatment of dyshormonal cardiomyopathy
Cardiomyopathy hormonal Genesis is treated mainly conservative (non-surgical) way. This is due to the fact that heart surgery is very dangerous and for their implementation requires huge experience and high qualification of doctors. Even with all the conditions of great threat to the life of the patient. In addition, required a complex and lengthy rehabilitation period. In connection with the complexities of this therapy, dishormonal cardiomyopathy treated by medication.
Due to the fact that the cardiac pathology is a direct consequence of disruption of the endocrine system, the mainstay of therapy is treatment of the disease. The first thing you need is a therapeutic diet. The next step is to restore electrolyte balance in the body. Drugs used for this purpose, contains trace minerals (potassium Chloride, Asparkam, Panangin).
Along with this assigned metabolic treatment to improve metabolism (Riboxin, ATP, some anabolic hormones). As with the vast variety of cardiac diseases in the development of heart failure using:
- beta-blockers (Metoprolol, Atenolol, Inderal, etc.);
- cardiac glycosides (Korglikon, Strofantin, …);
- diuretics (gidrokhlorisiazit, Indapamide, …).
In the presence of prolonged pain additionally prescribe different soothing herbal medicinal products (Valerian, sage), vitamins and vasodilators.
Obligatory consultation of the therapist, as with a correct understanding of their disease avoiding stress can significantly increase the effectiveness of therapy. Correct and timely approach to the treatment of dyshormonal cardiomyopathy will provide a favorable prognosis.