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Dilated cardiomyopathy. (A) Short-axis CT image shows severe dilation of the left ventricle with end-diastolic diameter of 7.1 cm; (B) 4-chamber CT image also shows severe dilation of the left ventricle. The ejection fraction in this patient was 15% and the constellation of findings is consistent with dilated cardiomyopathy. CT, computed .
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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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