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Dilated cardiomyopathy: a review
1Department of Medicine, Toronto General Hospital/University Health Network, Toronto, Ontario, Canada.
Insights
Dilated cardiomyopathy (DCM) is a common heart condition with diverse causes. This review covers genetic and acquired origins, pathophysiology, and diagnostic strategies for DCM.
Area of Science:
- Cardiology
- Genetics
- Pathology
Background:
- Dilated cardiomyopathy (DCM) is a prevalent cardiac condition with a broad differential diagnosis.
- Numerous pathologies can manifest as DCM, complicating diagnostic approaches.
- Understanding the diverse etiologies is crucial for effective patient management.
Purpose of the Study:
- To provide a comprehensive review of dilated cardiomyopathy.
- To discuss genetic and acquired causes, pathophysiology, and diagnostic criteria for DCM.
- To outline an approach to the management of DCM.
Main Methods:
- Literature review of genetic and acquired causes of DCM.
- Discussion of the pathophysiology of myocardial damage.
- Analysis of pathological findings and diagnostic criteria.
- Review of current management strategies for DCM.
Main Results:
- DCM can arise from a wide spectrum of genetic and acquired conditions.
- Myocardial damage pathophysiology varies depending on the underlying cause.
- Diagnostic criteria aid in differentiating DCM from other cardiac pathologies.
- Management strategies are tailored to the specific etiology and patient presentation.
Conclusions:
- Dilated cardiomyopathy is a complex condition with multifactorial origins.
- Accurate diagnosis relies on integrating clinical, pathological, and etiological information.
- Effective management requires a thorough understanding of DCM's diverse causes and pathophysiology.
- This review aims to equip physicians with knowledge for diagnosing and managing DCM.
Abstract:
Dilated cardiomyopathy (DCM) is a common cardiac diagnosis that may result as a consequence of a variety of pathologies. The differential diagnosis remains quite broad since many pathologies can present as DCM, and as a result the approach to diagnosis may, at times, be quite difficult. This review article discusses genetic and acquired causes of DCM, pathophysiology of myocardial damage, pathology, and diagnostic criteria. An approach to management is also included, in the hope of informing physicians of a clinical entity that afflicts a substantial number of people worldwide.
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