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There are three basic types of cardiomyopathy, which are distinguished by the kind of muscle problem involved:1. Dilated cardiomyopathy, in which the heart muscle becomes weak and the heart chambers subsequently enlarge (dilate).2. Hypertrophic (hyper means “over,” trophic means “nourishment”) cardiomyopathy,^ which the heart muscle itself/is much thicker than normal    3. Restrictive cardiomyopathy, in which the heart becomes stiff and cannot fill efficiently during diastole, the period of the heartbeat when the chambers fill with blood Dilated Cardiomyopathy (Weakened Squeezing Capacity)Charles is a 42-year-old commercial artist who recalls missing 2 days of work 4 months ago because of a “bad cold” with a runny nose, sore throat, and cough. Although these symptoms subsided, he never felt back to normal because he tended to be tired all the time. Six weeks ago he felt distinctly short-winded during a softball game at a company picnic; he stopped playing early so he could sit and catch his breath. Since then he has noted shortness of breath when climbing one flight of stairs. One week ago he began waking up in the middle of the night feeling breathless, which he found he could minimize by propping himself up on three pillows. For the past 2 days his ankles have been conspicuously swollen. Now he has been brought to the emergency room because he awoke gasping from an after-dinner nap and has been unable to catch his breath. The doctor told him and his wife that his lungs are filled with fluid and his heart is enlarged. He was given an intravenous injection of a diuretic to increase elimination of fluid by the kidneys and was admitted to the hospital for evaluation.*86\252\8*

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