The cardiomyopathies. A pathophysiologic approach to therapeutic management Academic Article Article uri icon


MeSH Major

  • Cardiomegaly
  • Hypertension


  • "Cardiomyopathies" are a disparate group of myocardial disorders, usually of unknown or obscure origin, characterized by systolic or diastolic myocardial dysfunction but involving conditions of widely divergent pathophysiology. For purposes of devising appropriate clinical management, a useful classification scheme can be created with reference to the type of pathophysiologic abnormality exhibited. On this basis, three major types can be identified: (1) congestive (poor systolic function, normal diastolic function, left ventricular dilatation without the expected degree of compensatory hypertrophy), (2) hypertrophic (supernormal systolic function, subnormal diastolic function, and pronounced left ventricular hypertrophy, usually asymmetric, without dilatation), and (3) restrictive (normal or near-normal systolic function and subnormal diastolic function, usually mild symmetrical left ventricular, without dilatation). Noninvasive identification of these pathophysiologic features can be useful in optimizing management programs.

publication date

  • December 1983



  • Academic Article


Digital Object Identifier (DOI)

  • 10.1001/archinte.143.11.2157

PubMed ID

  • 6685465

Additional Document Info

start page

  • 2157

end page

  • 62


  • 143


  • 11