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[A practical approach to the diagnosis of cardiomyopathy: a roadmap from the phenotype]. 2020
Samuela Carigi, and
Simone Longhi, and
Francesca Marzo, and
Elisa Merli, and
Michela Bartolotti, and
Giulia Ricci Lucchi, and
Elisa Gardini, and
Filippo Del Corso, and
Elena Barbaresi, and
Milva Gobbi, and
Giovanna Di Giannuario, and
Daniele Grosseto, and
Silvia Amati, and
Rossella Ferrara, and
Filippo Ottani, and
Giancarlo Piovaccari
U.O. Cardiologia, Ospedale di Rimini, AUSL della Romagna.
Cardiomyopathies are a heterogeneous group of cardiac diseases for which diagnosis and treatment are not always simple. The diagnosis of cardiomyopathy, in particular the etiology, comes from an integration between symptoms and results collected by several instrumental exams. The brain storming for the diagnosis includes also the identification of the "red flags", i.e. the pathognomonic features for each etiology that can drive the choice of appropriate diagnostic tests and therapy. In this review, we provide a step by step approach in order to help cardiologists, not specifically dedicated to cardiomyopathies, to draw the diagnosis, therapy and follow-up. This approach will be accompanied by the consultation of other specialists to discuss together the results of the exams performed and to deepen extracardiac signs and symptoms.
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