Patient/caregiver was instructed regarding measures to prevent worsening of cardiomyopathy as follows:

  1. Individuals with history of co-existing thyroid disorders must observe compliance with periodical evaluation of thyroid function, medication intake, and lab draws, as ordered.
  2. Individuals with history of co-existing elevated cholesterol and coronary artery disease must observe compliance with heart healthy diet, periodical evaluation of cholesterol levels, and cholesterol lowering drugs, as ordered.
  3. Keep a close watch and report any progressively reducing urine volume output. Also, report any worsening episodes of confusion and altered levels of consciousness. Observe compliance with recommendations made for renal diet and fluid volume intake limitations, if any.
  4. Observe compliance with recommendations for heart healthy diet and fluid volume intake limitations, if any. Keep a close watch and report to your physician regarding any chest pain and/or discomfort, how mild it may be.