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Idiopathic Dilated Cardiomyopathy

What is the Prognosis for a Patient with Idiopathic Dilated Cardiomyopathy?

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• I checked with my cardiologist regarding CoQ10. He said there is no scientific evidence to support that it helps with the DCM and therefore does no suggest that his patients take it. However, he said that some of his patients take it and report feeling better. He said there is no evidence that it does any harm and if the patient believes it is helping he does not see any reason it should not be taken. As I said before you should always check with your personal MD before taking any supplements. Also had a good report from my doc!!! The meds appear to be working and EF is now between 30-40%. He says my target is 50% so hoping the progress continues. Much less edema and a bit more energy now. Yahoo!!
bayougal, Texas, USA, August 16, 2010

• To everyone wondering why they have this. It is possible that it is just a genetic thing we have and they will never be able to give us an exact answer as to why we got this condition. This is not what we want to hear. Most of us want a cause and a fix. I know I did when I got the diagnosis. With this condition we hope to stabilize it. The damage already caused will not resolve since it is the heart muscle itself that is affected. But as I said in another post, 80% of us will respond and stabilize on meds. That is very good odds in the medical world.
bayougal, Texas, USA, August 3, 2010

To Sandy 12 -- As a nurse who works in research, I would advise you to always check with your MD before adding any over the counter supplements. Although they are labeled as "all natural", etc, some can have significant interactions with RX meds. Years ago I had a very bad reaction to a natural OTC diet aid that everyone else in my office was taking and raving about. I did not know that it was the "natural" version of ephedrine and should not take it if you are prone to having a low blood sugar. While this may not be the case with the ones you are taking, it is always a good idea to have the MD check OTC PDR before you take them. Good luck.
bayougal, Texas, USA, August 3, 2010

• Has anyone with Dialated Cardiomyopethy also been diagnosed with Multiple Sclerosis on here? If so email me at walshfarm@hotmail.com please I need your help!
Michelle Walsh, MS Village Canada, Beechy, Sask, CANADA, August 3, 2010

• I am a 53 year old female who has been diagnosed with DCM in the past month after going to the MD for swelling in my feet. As no cause was identified, we are treating with Diavan, Coreg, Lasix, and Aldactone. EF was <25%. As my cardiologist explained, 80% of patients will improve on meds, 10% will remain unchanged, and 10% will worsen. I am hoping to be in the 80% group. Good luck to us all.
bayougal, Texas, USA, August 2, 2010

• i am 54 yr female with idiopathic cardiomyopathy and i have asked for a prognosis only once. they didn't know why i have this and they don't know for how long. my meds are lisinopril and carvedilol. also have had thyroid problems for 30 years. it's scary and i'm grateful for meds as I can now walk and talk but i don't know what else is going to happen.
kkelley239, Florida, USA, July 24, 2010

• I am a 53 old white male diagnosed with idiopathic dilated cardiomyopathy in March 2010. EF was 22%. I am on all the regular meds with no signs of improvement after 2 months and another eco. 6 days ago I decided to add 100mg of ubiquinone (co q10) 1000mg l-carnitine 2 times per day. I have not been back to my cardiologist yet. That will be next week and I will probably get chewed out, but I can tell you that I feel so much more energetic after starting the co q10 and l-carnitine that I don't care. I will continue taking even if he tells me not to. Good luck to all.
sandy12, Mississippi, USA, May 26, 2010

• I'm 33 and was recently diagnosed with DCM It was found during a routine echocardiogram which showed an EJ of 40% and a dilated left ventricle. I was put on Benicar for bp. Six month later my EJ improved to 50%. I work out rigorously 5 times a week and never felt symptoms. I am confused why I would have this. I guess it could be worse. Cardiologist said it could be from working out. Confused by that statement. He said I don't have to worry about my myocardium being stretched or thinned. Still confused by this. Help
Carbone1, Lakewood, Ohio, USA, May 18, 2010

• Just a few days ago I found out I have a dilated left ventricle with an EF slightly less 40%. I was told it could have been caused by a virus or ischemic event(s). I'm still going through a Rule Out causes process and return to my Cardiologist in a few days. Are there any specific questions I should ask my Cardiologist? I'm a 42 year old male in great shape and no significant history of medical issues. I ran a marathon a few years back, swim team for 7 years and I've never had high BP and my lab work within limits. I'm really confused but more so in denial. Thanks for any suggestions you can give. Markanthonyhamm@aol.com
Mark Anthony Hamm, Children's Healthcare of Atlanta, Atlanta, Georgia, May 8, 2010

• I am only 13 yrs old, and am about to have open heart surgery. I have aortic valve regurgitation which has kinda caused dilated cardiomyopathy. at least i think that's how it works its really confusing. I have already had 2 surgeries to treat ventricular septal defect. can someone tell me what my chances are?? the doctor hasn't said much and I'm a bit scared to ask. please i wanna know. thanx :)
Jemma, Australia, March 26, 2010

• I was 26 when I was diagnosed with chf and primary dilated cardiomyopathy, in march of 2006. My ef was 10%. I've been on every medication under the sun for this. They can't up it or change anything because then my blood pressure drops down to heart failure rates. I have the icd put in in jan of 2008 when my ef dropped from 40% to 25-30% in 6 months. I've been through hell and back with this. But I have a will to live and fight this for my son.
Megan Lech, Jeromesville, Ohio, March 1, 2010

• Diagnosed on December 1st 2008 with EF of 15. Since that time have followed advice of my cardiologist regarding diet and exercise. Take carvedilol, lisinopril and digoxin. Supplements of CoQ10, Fish Oil, and low dose aspirin daily. Have progressed from thought of needing a transplant to normal. Just have to keep watch of what I eat and exercise. Having a positive outlook and saying a few helps out a lot. Keep positive and watch the sodium intake..... Have been able to shock both my doctors with the progress that I have made. Just don't give up. Miracles can happen! d(^-^)b
Jerry Kasch, Abreon Group, Indianapolis, Indiana, USA, January 28, 2010

• I was diagnosed with dilated cardiomyopathy 2 months ago. I am 47 and a mother of 4. I am on lisinopril 5mg once a day, coreg 6.25 twice a day, aspirin, and meds for hypothyroidism, which I've had since I was 11. Not sure why exactly I got this, but, suspect due to my thyroid disease and being on too much of one of those meds that was added 1.5 years ago. I think it damaged my heart. But, I also had flu really bad in spring for several weeks, and LOTS OF STRESS FOR 6 MONTHS PRIOR. Right now I suffer with A LOT of back pain. It seems to get better if I take more Coreg and lay down. Back pain and left arm pain were my presenting symptoms. My husband is an internist and sats that with the treatment with ace inhibitors & beta blockers life expectancy is way longer than previously. My cardiologist said to reduce my cholesterol or I could have some problems in 10 - 15 years, so I take that as a POSITIVE! He said I have no activity restrictions so I am going to exercise A LOT. I think thinking positive, praying, and giving to others is important. Live like you have only a little time, but, expect to live a long time! Get rid of resentments & love everybody!
Laura, Sioux Falls, South Dakota, USA, December 20, 2009

• My dad was diagnosed at 50 years old in 2003 with DCM and was a triathlete before this. He took it easy for a few years and just competed in his first triathlon since the diagnosis last month (Oct 09). He still trains but feels a bit tired after lots of training. I tell him it's his age!... he's now 56. He has his echo in March 2010 and I hope that his heart hasn't enlarged since his last check-up over a year ago. It's important to take each day as it comes and not let it be the main focus in your life. It will be interesting to see what his EF is.
Michelle, Melbourne, Australia, November 26, 2009

• To Lorena: I read your story and I am surprised that we share so much. I too have RA and was treated with ENBREL. My life has not been the same since. First was atrial fib, then endometrial precancer, congestive heart failure, atrial fib, lymphoma, then cardiogenic shock due to adriamycin. I have been dx with dilated cardiomyopathy due to the chemo. I had chemo from 10/08-3/09. Adriamycin discontinued after my EF went from 55% to 40% after 3 round. I went into cardiogenic shock the DAY AFTER I got my good PET scan results and had to have a interaortic balloon pump put in and then had to have a pacemaker/defib put in later that week. I also had pericardial effusion 2 weeks later when one of the wires poked through my heart muscle. I would love to discuss further with you.
Ingrid Kirschbaum, Island Lake, Illinois, USA, November 15, 2009

• I'm a 40 y/o female and I was dx with Dilated Cardiomyopathy and CHF last month. They said it was probably caused by a virus. I have 2 daughters 11 and 8 and it takes all I have to take care of them. My EF was 15% when I was dx. This is all new to me and I am very scared. I'm on lots of meds and I do what the dr's say but I still feel tired all the time. I'm just trying to get some facts about this but every website I pull up is very negative on the prognosis. Does anyone have any encouraging websites? And I am having trouble finding information on a low sodium diet.
Kandi Mcdonald, Texarkana, Texas, USA, November 2, 2009

• I was diagnosed last March 2009 and my EF was 15%. I started meds and at some point EF was 30% in July. Last week was back to 15%. I am not feeling well but doctors said just to wait and keep taking coreq 12.5 twice a day because when we tried 18 was too much for me. Please give me some advice, hope, information. I am 40 yrs old recently married and planting to become a father next year. I feel strong but sad...
S, Brooklyn, New York, USA, October 28, 2009

• I am an RN who's husband was recently dx'd with dilated cardiomyopathy. He has been on CoQ10 since 1990 for dental issues. Now that he is 63 and just rec'd this dx, he has been depressed but . . .I've told him that he has been walking 4 miles a day and asked him how he felt. He said he feels great so I told him to quit worrying about it. That is with an EF of 16. ALL of his MDs have commented on the fact that he has been taking 100 mg 3 x a day of the CoQ10. He will continue on it. It is protective of the kidneys and useful for dialysis pts too. We are going to take it one day at a time and he will take his Coreg and Lasix as ordered. I am convinced of the positive benefit of CoEnzymeQ10 in the treatment of cardiomyopathy. He went from 16% to 20% in a week after diuresing with Lasix (2 gallons of fluid lost). Now we wait for the heart cath and further ECHOs. My personal opinion is that CoQ10 can't hurt and there's lots of evidence that it helps. I prefer the TwinLab brand from Swanson Vitamins as it was used in the original tests at Wilford Hall in San Antonio that I read initially.
Crystal Griffith RN CCS, Baker, Florida, USA, August 11, 2009

• Long term idiopathic dilated Dilated Cardiomyopathy survivor. Originally diagnosed in 1998 with EF of 25%. Second opinion diagnosis was 35%. I went to a CM specialist at the Cleveland Clinic who put me on a regimen of several drugs with the most prominent being a 100MG of Coreg/day. That's right, a 100MG which was pretty controversial in 1998. Fast forward to today. EF is 65% with normal heart size and wall thickness. No restrictions but still take BP medication and 50MG of Beta blockers per day.. I am a happy 60 year old with a very active life style. I thank God every day for having a great doctor and being one of the lucky ones.
Bill K, Cleveland, Ohio, USA, August 11, 2009

• my husband is 33yrs old.his dialated cardiomiopathy was diagnosed in 2001. an ICD is implanted but now his E.F is 18%.he ia on good medication but health is going down day by day.plz pray for him.
Khadija, Punjab, Pakistan, August 4, 2009

• Diagnosed with dcm in 2007 on lisinopri,bisopolorol,furesmide,statins and amlodipine, also have left bundle branch block and mild heart failure. Always tired, very short of breath and low at moment my ef is now 60%. Any tips on dealing with everyday life and trying to stay positive. I am 40 and my cardiologist says that 5 years prognosis is rubbish.
Joanna M., United Kingdom, June 18, 2009

• My father was dianosed with a form of viral cardiomyopathy 3 years ago and is not doing very well to date. he is going down hill very fast i think, if anyone could give me any advice on whats going to happend or how long he might have because he doesnt like to talk about it, anythin would be greatly appreciated!!!
Brittney, Hodgenville, Kentucky, USA, April 20, 2009

• Well let's see. I am a 31 year old female who was diagnosed with dilated cardiomyopathy after the birth of my 2nd child on August 31, 1999 right after I turned 22. I have been on strong doses of Coreg, Enalapril, Furosemide, Digitek and Sprironolactone since the very beginning. I found out that I have diabetes as well. First off let me say that having a strong mind is very important when receiving news like this. I am in my 9th year of the disease and I have to say I feel great. The beginning was a bit rough but once I got into the mind frame of "I have a disease, it doesn't have me", I started to feel better. You must not let it get you down and enjoy every day that you get to continue to live. When you allow this condition to get into your head, that is when you start to go down hill. So my advice to you all is to keep your head up, keep a positive attitude and a positive outlook and you will defy all of the odds. My EF when I was diagnosed was 21%. Now it is 48%. I have setbacks every now and then but I never let them get the best of me. I always say..."I may not feel good today but tomorrow will be better". I have to say that it always is.
Alicia W., patient, Madison, Georgia, USA., February 2, 2009

• I'm very happy to have stumbled across this site and hope it's still active. I'm 47 yrs old I've been struggling through the medical system for more than 2 yrs, at which time I started becoming short of breath and unable to complete my regular workout. The shortness of breath continued to worsen and eventually I was referred to a cardiologist who dismissed an EF of 43% and decided I had some other cardiac abnormality. After not being able to prove this abnormality he basically sent me back to my family doc who luckily is terrific and I now have another cardiologist. I'm on lasix and coversyl. I also have rheumatoid arthritis so between that and the continuing fatigue and shortness of breath I've not been able to work in two years. I have a (l) ventricular dilated cardiomyopathy. We are speculating that it could be a late effect of a cancer chemo drug (adriamycin) I took in 1995. Is anyone else experiencing cardiomyopathy from this cause.
Lorena McManus, Winnipeg, Manitoba, Canada, January 11, 2008

• i am 23 years old and have been diagnosed with dilated cardiomyopathy due to viral illness and also have an ICD, i hope everyone can recover on medication and i wish everyone the best of luck, i have found a friendly community at www.cardiomyopathy.org. There is a message board for people and friends with this problem. my question is, my EF is 22 and appeared to be 15 on the last echo before i left, the 15 avg. was them verbally guessing the estimate while doing the echo.
Ryan, England, United Kingdom, December 23, 2007

• HEllo: I have a diagnosis of dilated cardiomyopathy with EF of 20%. Doctor saying I need implanted ICD. Not sure I like the idea. What is the operation like and does it mean my life will be cut shorter? Do others think it would be a good thing? Thanks.
Lynn M., Florida, USA, October 25, 2007

• my son was diagnosed with dilated cardiomyopathy in 2001. He is also on the highest dose of coreg, lanoxin, zestril, lasix, spiralactone, and a host of other medications. His EF now is 50%. He has since been diagnosed with diabetes and plantar fasciitis (as his feet hurt all the time). My question is does heart failure get better and then all of a sudden get worse? Will he ever be able to come off the medications? How long can you live with this disease? I was told he will need a new heart by the time he is 40 and he is 32 now and is this true? Please email me and let me know some of you that have experienced this. My son's father died of the same thing when his father was 25 years old.
Linda D., Georgia, USA, October 7, 2007

• I am 55 years old and was diagnosed with Idiopathic Dilated Cardiomyopathy in May of this year. I am currently on Carvedilol, Perindopril, Lasix, Amiodarone and Warfarin. I entered hospital with atrial fibrillation and an EF of 10-15%. After medication I am up to 25-30%My shortness of breath has abated but I have no energy and tired with the least exertion. I have read so many Mortality stats I don't know which to believe. My doctor says he just doesn't know how it will play out.
John F., Nova Scotia, Canada, July 24, 2007

• I am a 53 year old professional. dxed 1 year ago during insurance PE, EF= 19%. Was in bigimini. Had ICD put in, on correg and altace, Lot better, EF about 60%. Have beem back at work full time for 11 months. Doing well, but boy, at end of day I am tired. My wife is told I am doing well and doesn't understand, if I'm doing so well, why I don't get up and do some things in the yard like I used to. No win deal.
R.G., April 24, 2006

• Hello! I have a 3 1/2 year old daughter who was diagnosed with Dilated Cardiomyopathy in January 2006. She has her tonsils taken out on Dec 29/05 and the doctor discovered an irregular heartbeat. A stress test was done and it was discovered her septum has a major defect causing loss of blood flow. Her ejection factor is somewhere between 28-33. Her doctors say this is unusual and one doctor said he has never seen this before. Do any of you have information on young children having this disease? What is the expected life for a child with this? She is now on medication for her heart and blood pressure. She is not showing any symptoms. Any information or story you can provide would be helpful. Thanks!
Charlene Frizzell, Moncton, New Brunswick, Canada, February 22, 2006

• My mother died at age 54 of cardiomyopathy. I am 53 and was diagnosed 8 months ago. I am in early stages. I am on Coreg and my EF has increased about 5 pts. Does anyone else have shortness of breath on this drug? Do you have double vision? I have other neurological problems (familial) that may have caused my cardiomyopathy. This problem runs in my mother's family. I am a college professor and I had to quit work this semester because of my fatigue and depression. I also have fibromyalgia.
Jan, Muncie, IN, October 23, 2005

• I was diagnosed in April 2004 with Idiopathic Dilated Cardiomyopathy with an EF of 19%. I was treated by my local cardiologist as well as the clinic at St. Vincents Hospital heart/lung unit (Victor Chang Unit). I was prescribed Carvedilol, Tritace, Lasix, Aldactone, Asprin, Digoxin, and Progout(to control the Uric Acid) for the condition. My ejection fraction improved from 19% to 67% over the period April to March 2005, this has reduced to 50% since May 2005 and remains stable. I have subsequently returned to work. I am 51 years of age. The learned medical professionals believe I had a predisposition to the disease given my father(deceased 1963) and both siblings suffer from a form of the disease, the trigger in my case is unknown. A rehabilitation program run by the local hospital was of enormous benefit in raising fitness levels (safely) and adjusting to life with a poorly functioning enlarged heart. As for the stats on death rates - they bear no relation to how you deal with your illness. AVOID BECOMING ONE! Take control of managing your health, seek to do the best you can in those things you can control, ie, diet, (safe) exercise, positive activities,the advice you receive from all your health professionals - and let the statistics take care of themselves
P. J. Travers, Patient, Sydney, Australia, October 18, 2005

• Forget "70% dead in 5 years"--For a technical discussion of prognosis and survival of people diagnosed with various kinds of cardiomyopathies, see: UNDERLYING CAUSES AND LONG-TERM SURVIVAL IN PATIENTS WITH INITIALLY UNEXPLAINED CARDIOMYOPATHY. Felker GM, Thompson RT, et.al. New England Journal of Medicine:2000. Vol. 332 (15) pages 1077-1084. Figure 1 on page 1081 uses survival curves to graphically display relative survival rates of different diagnoses. These analyses were done using patient data from 1982-1997, so these patients were not getting some of the very advanced therapies now available. Idiopathic cardiomyopathy, which includes viral cardiomyopathies, has a curve that levels out at about ten years with about 57% surviving more than 13-14 years--the cut-off point for this particular dataset. Please see a qualified specialist who can help you live with this disease as comfortably as possible. As demonstrated by people posting to this chat, it is possible to improve your functional status and overall health with good medical care and good self-care.
SEC, Bandon, Oregon, October 02, 2005

• I was diagnosed with dilated cardiomyopathy in Feb/2005 with an EF of 15%. I am a 46-year-old female. The doctors believe this condition is a result of Novantrone, a chemotherapy drug I took from 08/2002 - 04/2004 to try and slow down the progression of my Multiple Sclerosis. I started on some medications: Lisinopril, Digoxin, Coreg, and Lasix. I haved limited mobility, but try to exercise and watch my diet. Yesterday another echo showed I still have an EF of 15%. My neurologist believes over time my EF should improve. My cardiologist believes if it was going to improve from being off the chemo drug, it would have already improved. The cardologist is recommending that I get an ICD. The prognosis for this condition are not very encouraging ( mortality rate - 5 years?). Are these numbers reliable when you consider my age? I have three children, ages 12, 9 and 7. Are there other options available? Is there more things I should be doing? I want to do everything possible to see my kids grown.
Cheri Wolfe, Birmingham, Alabama, September 21, 2005

• I am 54 year woman diagnosed 11/2 years ago with cardiomophathy. My ejection factor was 20% at diagnosis and has improved to 27% in the last year and a half. I am taking co-reg, digitek, & altace. What is my prognosis? I have read so many conflicting reports that I am confused. I just want an honest report as to life expectency.
Sharon Bonnette, Navarre, FL, United States, September 17, 2005

• I currently celebrated my 43 birthday and have been diagnosed with Congestive Heart Failure and Idiopathic Dilated Cardiomyopathy in November 2002 with an enjection fraction of 15%. The Doctors were wonderful, they didn't know what the causes were, they gave me a 25% chance of getting better or worse and a 50% chance of staying the same. Six Months of monthly doctors appointments, and a second Echocardiogram I was up to 35% on the enjection fraction, Last December 2004 I had another test completed it was at 37%. I am on four drugs, Digoxin, Lasik, Metropol, Lotensin. They say it may have been a virus, they also say that I have to be patient and continue to exercise, sleep eat right and take the drugs. I have added vitamins (one a day) and CoQ10. As to longevity, I try not to think about it, it's depressing. But am going to believe that as long as the symptoms don't manafest themselves it's another day and that's a good ting
Melissa Strandberg, Patient, Highlands Ranch, Colorado, September 09, 2005

• I am 56 yr old female dx with IDC in March 2005 poss cause adriamycin for tx of Hodgkins.E fract 20-25% taking lasix,altace,synthroid,and toprol-xl,watching NA intake and fluid restriction.in 5 months E fract improved to 30-45%.Due to b/p meds tired and very low stamina.I have been trying to increase by walking daily. Was scheduled for defib/pacemaker but due to improvement was put on hold.Problem:phy wants me to return to work full time as nurse in large hosp. I am very scared I will die because of the phy work and strain. I was having great difficulty trying to do my job. I feel alot better and am breathing so much better. Now that I am up to 30-45% what are my chances of having sudden death due to arrythemias. I am considered class 3 almost a 2. Help?
Betty Martin, Smithville,Tn, August 10, 2005

• I have a very dear friend that has just been diagnosed with viral cardiomopathy he is 54 years old. was feeling well until about 3 months ago. his ef today was 25. I work in the medical field but his own doctor has not been honest with him about what he has. I have seen his reports because I work for his internist, who happens to be very much into natural medicine. His cardiologist has not told him the consequences of his disease
Pearl Stafford, Naples, Florida, January 12, 2005

• I was 38 when diagnosed with Dilated Cardiomyopathy. I am now 45 female. I had an EF of about 33%. I am now at EF 55%. I was told by cardiologist that he had a pt that was good for 10 yrs & then the condition came back. He said 33% get better 33% get worse 33% stay the same. By the way I outlived my cardiologist. He died of a sudden heart attack. I take lopressor 50mg/2x day.cozaar, kdur, lanoxin,lasix, & ambien 5mg at nite.they think virus or childbirth could have brought it on. Never any clear answers. Its a wait & see condition. I was told yrs ago if my condition didn't improve heart trans.or possible pacemaker.
Angela, Long Island, New York, 09 Dec 2003

• I was just diagnosed with dilated cardiomyopathy with an EF of 40%. I turned 43 yesterday and am the mother of a 3 year old. I was told today from a doctor friend that his cardiomopathy patient went from a EF of 20% and being non-mobile to 35%just from taking CoQ10. He said the dose can vary from 30-100mg per day. His patient feels good now. I am going to ask my doctor about it this week, because he believes in alternative treatments.
Lori, Chicago, Illinois, USA, 20 Jan 2002

• My 36-year-old brother has chf and cardiomyopathy. He is also on coreg and a host of other medications. He really has problems with the fluids. He is now in atrial fib. They tried to do a carioversion on him yesterday with no success. They plan to take him back again next mondaY to try it again. Is there anyone out there who has gone through this and has found a successful method to keeping off the fluids and getting back into sinus rhythm? Please write. Some people have been telling us to try the co-q10. They say it works wonders? Can anyone tell us about this from personal experience? we are desperate and need help. Thanks
Sammi, Denver, Colorado, USA, February 9, 2000
 
• I also have dilated cardiomyopathy, and a number of other diseases. I am recommending that you visit and join our family of CHFer's at Jon's Place. Jon has over 200 pages with explanations of symptoms, helpful information, and a forum that will help you get through this very tough disease. Most of us get depressed, and are always trying to figure the questions that you are asking. Even the doctors don't always know just how long we may live. But keep a positive attitude Charles. Check it out at http://www.geocities.com/Heartland/Hills/2571/jonsplace.htm. Tell em Doug sent ya! Good luck.
Doug Knuth, Michigan, USA, March 27, 1999

• Hello, I am also a heart patient, 36 years old with similar problems. For a more detailed look at my condition go to www.healthyheartmarket.com. I am on a medication called Coreg that seems to be improving my condition. My EF 3 years ago was 10, now it is up to 27. My doctors believe that with the introduction of Coreg, and taking good care of myself, i.e. exercise and low sodium diet (see my website) I can beat the statistics. These mortality statistics seem to be changing day by day. Feel free to contact me for more info and other resources.
Pete E., Healthy Heart Market, Minnesota, USA, December 13, 1998

• What is the prognosis for a patient with Idiopathic Dilated Cardiomyopathy?
THE PATIENT: 48 year old white male, 6' tall, weighs 195lbs and lives in Dallas, Texas
THE MEDICAL HISTORY/CONDITION: Idiopathic Dilated Cardiomyopathy (Dr. suspects viral caused) which was originally diagnosed in Feb 95 with 40% Ejection Fraction. Was also diagnosed as having Crohn's Disease at same time. Diagnosis made a Mayo Clinic in Rochester, MN. Prescribed 10 mg Lisinopril and a Beta Blocker (I have forgotten dosage).
June 95: Echocardiogram shows EJ at 55%. Local Doctor takes me off of all medicines.
October 95: Sudden Death episode in restaurant. Was dead 15-20 minutes with CPR performed by nurses who were also in restaurant. Before leaving hospital an ICD was implanted and testing showed an EF of 35%. Prescribed 10mg of Zestril (Lisinopril).
June 96: EF 45%
Sept. 96: Sudden Death aborted by ICD
Nov 96: Holter monitor reports 1,000+ PVC's and 3 brief episodes of V-Tach.
March 97: Atrial Fibrillation for 60+ hours leading into Ventricular Fibrillation aborted by ICD.
January 98: Scheduled stress echo test.
THE QUESTIONS: While I am typically a very positive person, I find myself in need of information which will allow me the opportunity to carefully weigh all of the relevant information about my illness. These questions, therefore, purposely exclude the possibilities of a heart transplant or other new surgery techniques that seem to offer a greater chance of extending life.
(1) Fairly extensive Internet and library research in Dilated Cardiomyopathy reveals studies that indicate that 70-75%+ die within 5 years. What are the death rates for the next five years and ten years?
(2) My ICD fairly well rules out death by Cardiac Arrest/Ventricular Fibrillation/Sudden Death. Does this mean that if I fall into the statistical percentage of those who die that it will be as a result of heart failure?
(3) With the understanding that heart failure can be rather slow or swift in its failing process, what are the typical problems associated with congestive heart failure (organ failure, etc…)?
Charles Taylor, patient, Dallas, Texas, USA, December 17, 1997

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