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Warning-sign checks

Idiopathic dilated cardiomyopathy: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services if you have:

    • Severe breathlessness at rest or sudden difficulty breathing
    • Chest pain that is new, severe or does not settle
    • Fainting, especially during activity or with palpitations
    • A sustained rapid heartbeat with weakness, chest pain or breathlessness
    • Coughing up pink, frothy fluid
    • Signs of stroke, such as facial drooping, arm weakness or speech difficulty
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    These symptoms do not prove that cardiomyopathy is the cause, but they need urgent assessment.

    Contact your usual heart failure or medical team promptly if breathlessness or swelling is getting worse, you are waking short of breath, your weight rises quickly from fluid, or normal activities become noticeably harder.

    Also report new palpitations or medication side effects.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up remains important when you feel well.

    It allows treatment and implanted devices to be checked and gives an opportunity to monitor heart function.

Every sign above is quoted from the sofidex article on Idiopathic dilated cardiomyopathy. If you are not sure, err upward — it is always reasonable to be checked.