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Restrictive cardiomyopathy

Definition

Restrictive cardiomyopathy refers to a set of changes in how the heart muscle functions. These changes cause the heart to fill poorly (more common) or squeeze poorly (less common). Sometimes, both problems are present.

Alternative Names

Cardiomyopathy - restrictive; Infiltrative cardiomyopathy

Causes

In a case of restrictive cardiomyopathy, the heart muscle is normal size or slightly enlarged. Most of the time, it also pumps normally. However, it does not relax normally during the time between heartbeats when the blood returns from the body (diastole).

When the disease progresses, the heart may not pump blood strongly. The abnormal heart function can affect the lungs, liver, and other body systems. Restrictive cardiomyopathy may affect either or both of the lower heart chambers (ventricles). It is very often linked to a disease of the heart muscle.

Restrictive cardiomyopathy is a rare condition. The most common causes are amyloidosis and scarring of the heart from an unknown cause (idiopathic myocardial fibrosis). It also can occur after a heart transplant.

Other causes of restrictive cardiomyopathy include:

  • Carcinoid heart disease
  • Diseases of the heart lining (endocardium), such as endomyocardial fibrosis and Loeffler's syndrome (rare)
  • Iron overload (hemochromatosis)
  • Sarcoidosis
  • Scarring after radiation or chemotherapy
  • Scleroderma
  • Tumors of the heart

Symptoms

Symptoms of heart failure are most common. These symptoms often develop slowly over time. However, sometimes symptoms start very suddenly and are severe.

Common symptoms are:

Other symptoms may include:

  • Chest pain
  • Inability to concentrate
  • Low urine output
  • Need to urinate at night (in adults)

Exams and Tests

A physical exam may show:

  • Enlarged (distended) or bulging neck veins
  • Enlarged liver
  • Lung crackles and abnormal or distant heart sounds in the chest heard through a stethoscope
  • Fluid backup into the hands and feet
  • Signs of heart failure

Tests for restrictive cardiomyopathy include:

Restrictive cardiomyopathy may appear similar to constrictive pericarditis. A biopsy of the heart or cardiac catheterization may help confirm the diagnosis, but these tests are not done often.

Treatment

The condition causing the cardiomyopathy is treated when it can be found.

Few treatments are known to work well for restrictive cardiomyopathy. The main goal of treatment is to control symptoms and improve quality of life.

The following treatments may be used to control symptoms or prevent problems:

  • Blood thinning medicines
  • Chemotherapy (in some situations)
  • Diuretics to remove fluid and help improve breathing
  • Medicines to prevent or control abnormal heart rhythms
  • Steroids for some causes

A heart transplant may be considered if the heart function is very poor and symptoms are severe.

Outlook (Prognosis)

People with this condition often develop heart failure that gets worse. Problems with "leaky" heart valves may also occur.

People with restrictive cardiomyopathy may be heart transplant candidates. The outlook depends on the cause of the condition, but it is usually poor. Average survival after diagnosis is 9 years.

When to Contact a Medical Professional

Call your health care provider if you have symptoms of restrictive cardiomyopathy.

References

Hare JM. The dilated, restrictive, and infiltrative cardiomyopathies. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 68.


Review Date: 5/13/2014
Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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