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Complications

By Mayo Clinic staff

Having cardiomyopathy may produce the following complications:

  • Heart failure. Heart failure means your heart can't pump enough blood to meet your body's needs. The thickened, stiffened or weakened heart muscle due to cardiomyopathy can become unable to pump or can obstruct blood flow out of the heart.
  • Blood clots. Any of the types of cardiomyopathy may make you more susceptible to blood clots in your heart. If clots are pumped out of the heart and enter your circulatory system, they can block the blood flow to vital organs, including your heart and brain. If clots develop on the right side of your heart, they may travel to your lungs. To reduce your risk, your doctor may prescribe a blood thinner (anticoagulant medication), such as aspirin, clopidogrel (Plavix) or warfarin (Coumadin).
  • Heart murmur. Because people with dilated cardiomyopathy have an enlarged heart, two of the heart's four valves — the mitral and tricuspid valves — may not close properly, leading to a backflow of blood. This flow creates sounds called heart murmurs. Heart murmurs are not necessarily harmful, but they should be monitored by your doctor.
  • Cardiac arrest and sudden death. All forms of cardiomyopathy can lead to abnormal heart rhythms. Some of these heart rhythms are too slow to sustain the circulation, and some are too fast to allow the heart to beat properly. In either case, these abnormal heart rhythms can result in fainting or, in some cases, sudden death from a complete cessation of heartbeats, called cardiac arrest.

DS00519

March 8, 2008

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