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Dilated Cardiomyopathy – Prof. Gerry Carr-White

This is a recording from the Cardiomyopathy UK 2022 Conference. Our conference events bring together leading cardiomyopathy clinicians to present and respond to audience questions. In this video, Professor Gerry Carr-White - Vice President of Cardiomyopathy UK, discusses Dilated Cardiomyopathy (DCM). Key Topics: 00:00:47 – What is dilated cardiomyopathy? 00:02:43 – What is the ‘Spectrum of DCM’? 00:03:25 – What is myocarditis? 00:04:00 – What is heart failure? 00:08:12 – What does a dilated cardiomyopathy look like on imaging tools? 00:09:10 – What is restrictive cardiomyopathy? 00:09:32 – What is arrhythmogenic cardiomyopathy? 00:12:07 – How many people have dilated cardiomyopathy? 00:12:38 – What causes dilated cardiomyopathy? 00:14:52 – How is dilated cardiomyopathy managed? 00:17:08 – What genes cause dilated cardiomyopathy? 00:22:38 – What is the non-pharmacological management of dilated cardiomyopathy? 00:25:30 – What are the pharmacological therapies for dilated cardiomyopathy? 00:29:53 - Beta-blockers 00:35:00 – Can you stop taking medicines when you feel better? 00:36:18 – What are the mental health issues associated with cardiomyopathy? 00:38:08 – Sexual dysfunction and dilated cardiomyopathy 00:39:19 – Vaccines and dilated cardiomyopathy 00:40:18 – Equality and diversity in dilated cardiomyopathy 00:40:51 – Self-care and monitoring dilated cardiomyopathy 00:43:40 – Compliance with medicines for dilated cardiomyopathy 00:45:00 – Drugs to avoid in dilated cardiomyopathy 00:45:19 – Salt and fluid restriction in dilated cardiomyopathy 00:46:44 – Carers of those with dilated cardiomyopathy 00:47:09 – Palliative care in dilated cardiomyopathy 00:48:32 – Devices: defibrillators, pacemakers, LVAD and CRT implants 00:51:56 – COVID and dilated cardiomyopathy 00:52:20 – New therapies in dilated cardiomyopathy 00:53:12 – Coronary artery disease and dilated cardiomyopathy 00:54:47 – Lifestyle – smoking, weight, exercise, alcohol and diet 00:55:43 – Preparing for your appointments – what you should do and ask Audience questions: 00:58:08 – How different are outcomes depending on whether you attend a specialist or general cardiac centre? 01:00:00 – My ejection fraction has always been between 25-28%. Is there anything else I can do to increase my ejection fraction? 01:01:40 – Is short-term memory affected by medicines used to treat dilated cardiomyopathy? 01:03:15 – Is it necessary to have an MRI before having an ICD fitted? 01:05:20 – You mentioned two drugs that are less likely to cause sexual dysfunction – what were those? 01:06:44 – Will ICDs be MRI-compatible in the future? 01:08:20 – What is the strength of evidence for dapagliflozin in dilated cardiomyopathy? 01:10:11 – How much should me ejection fraction increase once I start the drug regime? Does exercise increase ejection fraction? 01:13:04 – Do the contrast agents used in some MRI or CT scans cause or worsen eczema? 01:14:01 – Should everyone with dilated cardiomyopathy be genetically tested? 01:16:00 – I suffer from extreme fatigue. Is there an other things I can do to reduce the fatigue? 01:17:46 – Can there be more than one cause of a dilated cardiomyopathy? 01:19:31 – How important is fluid restriction? How often should ejection fraction be monitored? 01:20:58 – Should you avoid high altitudes with dilated cardiomyopathy? 01:21:46 – Is there any new technology available to monitor ejection fraction at home? 01:23:33 – Is therapy for dilated cardiomyopathy with left bundle branch block (LBBB) any different? Join us for our DCM Online Support Group hosted by our Cardiomyopathy Specialist nurses at https://www.cardiomyopathy.org/dcm-on... You can also access free information, find out about all our support groups and speak with Cardiomyopathy Specialist Nurses at www.cardiomyopathy.org #cardiomyopathy #dilated #DCM

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