Cardiomyopathies 2: diagnosis, treatment and practice implications

This article has been double-blind peer reviewed

In this article…

• Characteristic features of different cardiomyopathies on electrocardiograms

• Rationale behind the use of various drugs to treat cardiomyopathies

• Self-care behaviours and lifestyle changes recommended for patients with cardiomyopathies

Author

Selina Jarvis is research nurse and former Mary Seacole development scholar, Kingston University and St George’s, University of London, and King’s Health Partners, Guy’s and St Thomas’ NHS Foundation Trust.

Abstract

Cardiomyopathies are diseases characterised by structural and functional abnormalities of the myocardium. There are various types and subtypes, which means that tests, treatments and patient advice will differ accordingly. The first article in this two-part series on cardiomyopathies described their classification, pathophysiology and clinical presentation. This second article covers diagnostic investigations, management options and implications for practice. Nurses have a central role to play in informing, advising and supporting patients.

Citation

Jarvis S (2019) Cardiomyopathies 2: diagnosis, treatment and practice implications. Nursing Times; 115: 8, 31-35.

Key points

To correctly diagnose cardiomyopathies, several investigations may be needed

The diagnostic investigations for cardiomyopathies include electrocardiograms, biochemistry and imaging

Treatments encompass pharmacological and non-pharmacological approaches

The use of cardiac devices in patients who have cardiomyopathies is becoming more common

The role of nurses in encouraging patients to adopt self-care behaviours is key