Cardiomyopathie V: Interprofessionele zorg

Medical management of cardiomyopathy includes lifestyle modifications such as following a low-salt diet, exercising as tolerated, and avoiding alcohol and tobacco to prevent further cardiac damage.

Treatments often involve ACE inhibitors to reduce afterload, beta-blockers, and aldosterone antagonists to control neurohormonal activity, and diuretics to reduce preload and alleviate symptoms.

Anticoagulants are used if there is a risk of blood clots, and dysrhythmias are treated with appropriate antiarrhythmics.

Severe cases require surgical interventions.

For example, severe hypertrophic cardiomyopathy may require a septal myectomy to remove a portion of the thickened septal wall that obstructs blood flow.

Alternatively, alcohol septal ablation, suitable for those unsuited for open-heart surgery, involves injecting alcohol into a coronary artery to induce controlled infarction and septal thinning.

For dilated cardiomyopathy, mitral valve repair or replacement is recommended to address secondary mitral regurgitation.

Lastly, end-stage heart failure from dilated cardiomyopathy may require ventricular assist device implantation or cardiac transplantation.