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Dilated cardiomyopathy, or DCM, is when the heart chambers enlarge and lose their ability to contract. It often starts in the left ventricle (bottom chamber). As the disease gets worse, it may spread to the right ventricle and to the atria (top chambers). As the heart chamber widens, it becomes weak and does not contract well.
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Echocardiographic features of DCM are left ventricular (LV) dilation and systolic dysfunction with impaired global contractility and normal LV wall thickness and LV diastolic dysfunction with elevation in LV filling pressure.
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