Patient/caregiver was instructed regarding complications of dilated cardiomyopathy as follows:
- Heart failure: Persistent back-up of fluid in the heart chambers can lead to increased workload on the heart, progressive deterioration of heart function, further weakening of heart muscle, and heart failure. Patients can present with symptoms of heart failure, such as, fluid retention in the chest leading to difficulty in gas exchange in the lungs, swelling of the extremities with pitting edema, and grossly limited exercise tolerance with exacerbation of episodes of shortness of breath.
- Arrhythmia: Damaged heart muscle, secondary to poor blood and oxygen supply, can lead to palpitations and arrhythmias. Individuals with history of arrhythmia can be at increased risk for presentation with fluttering in the chest, abnormal heartbeat, poorly felt pulse, dizziness, chest pain, altered levels of consciousness, and fainting.
- Acute weight gain: Fluid back-up and edema due to cardiomyopathy can contribute to acute weight gain.