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More Information. Dilated cardiomyopathy is myocardial dysfunction causing heart failure in which ventricular dilation and systolic dysfunction predominate. Symptoms include dyspnea, fatigue, and peripheral edema. Diagnosis is clinical and by elevated natriuretic peptides, chest x-ray, echocardiography, and MRI. Treatment is directed at the cause.
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Dilated cardiomyopathy (DCM) is the most common type, occurring mostly in adults younger than 50. It affects the heart's ventricles and atria, the lower and upper chambers of the heart. Frequently, the disease starts in the left ventricle, the heart's main pumping chamber. The heart muscle begins to dilate, stretching and becoming thinner.
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