How to distinguish ischemic cardiomyopathy from dilated cardiomyopathy

Dilated cardiomyopathy generally refers to dilated cardiomyopathy, ischemic cardiomyopathy and dilated cardiomyopathy can be distinguished by physical examination, coronary angiography, cardiac radionuclide scanning and other methods.

1, physical examination

ischemic cardiomyopathy heart auscultation can appear the first heart sound weakened, heard and diastolic late galloping rhythm. Dilated cardiomyopathy heart auscultation for heart sound weakened, often heard the third or fourth heart sound, may be accompanied by intercardiac systolic murmurs.

2, coronary angiography

coronary angiography can understand the situation of vascular stenosis, help distinguish ischemic cardiomyopathy and dilated cardiomyopathy.

3, cardiac radionuclide scanning

can be seen myocardial ischemia, visually distinguish ischemic cardiomyopathy and dilated cardiomyopathy.