Cardiomyopathy
Disease of the heart muscle that makes it harder for the heart to pump blood, which can lead to heart failure.
Quick Summary
Breathlessness, tiredness, swollen ankles, palpitations, chest pain and fainting.
Medicines for heart failure and rhythm, lifestyle changes, devices and sometimes heart transplant.
Family history, high blood pressure, heart attacks, alcohol, some infections and pregnancy.
Overview
Types include dilated (enlarged, weak heart), hypertrophic (thick heart muscle) and restrictive cardiomyopathy.
Some types run in families, and relatives may need screening.
Symptoms
Breathlessness
With activity or lying down.
Tiredness
Low energy.
Swelling
Ankles and legs.
Fainting
Especially during exercise: get checked.
Causes & Risk Factors
Biological Causes
Genetic changes, damage from other diseases, alcohol, infections or pregnancy.
Key Risk Factors
- Family history Inherited forms.
- Alcohol Heavy drinking.
- Other conditions High blood pressure and heart attacks.
Management & Treatment
01. Medicines
Heart failure and rhythm medicines.
02. Devices
Pacemakers or defibrillators.
03. Lifestyle
Avoid alcohol and follow exercise advice.
Frequently Asked Questions
Should my family be checked?
How is it diagnosed?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Cardiomyopathy(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Cardiomyopathy(opens in a new tab) · NHS