Cardiomyopathy of recent onset

Cardiomyopathy of recent onset, EF < 50 %, NYHA class II-IV

Etiology

• Ischemic (non invasive testing, coronarography)
• Rhythmic (ECG, Holter monitoring, ET)
• Alcool or drugs
• Drugs (chemotherapy, antidepressive agents, phenothiazines, anti TNF)
• Infectious (VIH, Borreliose, Cocksakie, Chagas, jellyfish, snakes, scorpions)

Treatment

• IEC (sartans) + diurétiques si rétention hydrique
• ß-blockers for heart rate > 70 bpm m
• ICD if EF < 30 %

Persistance of symptoms

• Eplerenone (Inspra) or spironolacton (Aldactone)
• Ibravardine (Procoralan) if HR > 70 bpm
• Pacemaker CRT if QRS > 120 ms