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Чаще патология затрагивает левый желудочек, но в некоторых случаях поражение распространяется и на правый желудочек [5](https://www.acare.ru/zdorove-serdca-stati/lechenie-i-profilaktika-bolezney-serdca/kardiomiopatiya/). \n\nКардиомиопатии могут быть как первичными (идиопатическими), связанными с генетическими мутациями, так и вторичными, вызванными внешними факторами, такими как токсины, инфекции или системные заболевания [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/).\n\n\n\n## Виды\nНекоторые типы кардиомиопатий: \n* **Дилатационная кардиомиопатия (ДКМП)** — расширение полостей сердца с истончением стенок и снижением фракции выброса (менее 45%) [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). \n* **Гипертрофическая кардиомиопатия (ГКМП)** — утолщение стенок сердца, чаще всего межжелудочковой перегородки, с нарушением оттока крови [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). \n* **Рестриктивная кардиомиопатия** — утолщение и уплотнение стенок желудочков, что затрудняет их заполнение кровью [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). \n* **Аритмогенная правожелудочковая кардиомиопатия (АКПЖ)** — замещение миокарда фиброзно-жировой тканью, приводящее к аритмиям [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). \n* **Кардиомиопатия Такоцубо** — временное снижение сократительной функции, связанное со стрессом («синдром разбитого сердца») [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/).\n\n## Причины\nКардиомиопатии могут быть вызваны множеством причин, например: \n* **Генетические мутации** [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). Например, семейная дилатационная кардиомиопатия связана с мутациями генов, кодирующих белки саркомера [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). \n* **Токсические воздействия** [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). Например, алкогольная кардиомиопатия — длительное употребление алкоголя приводит к повреждению миокарда [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). \n* **Инфекции** [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). Вирусные инфекции (энтеровирусы, ВИЧ) могут вызывать миокардит, который в 15% случаев переходит в дилатационную кардиомиопатию [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/).\n\n## Симптомы\nСимптомы кардиомиопатий зависят от их типа и стадии [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). На ранних этапах заболевание может протекать бессимптомно, что затрудняет диагностику [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/). Однако со временем появляются следующие признаки: \n* одышка при физической нагрузке или в покое [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/); \n* боли в груди, напоминающие стенокардию [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/); \n* учащённое сердцебиение или аритмии [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/); \n* отёки на ногах, в брюшной полости или лёгких [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/); \n* обмороки, связанные с нарушениями ритма или недостаточным кровоснабжением [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/); \n* общая слабость и быстрая утомляемость [1](https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/).\n\n## Лечение\nТактика лечения зависит от типа кардиомиопатии [8](https://www.mediccity.ru/directions/648). Например: \n* **Медикаментозная терапия** — направлена на поддержание работы сердца, снижение симптомов и профилактику осложнений [13](https://premium-clinic.ru/kakie-metody-lecheniya-kardiomiopatii-suschestvuyut/). Лекарственные препараты подбираются в зависимости от типа кардиомиопатии и наличия сопутствующих заболеваний [13](https://premium-clinic.ru/kakie-metody-lecheniya-kardiomiopatii-suschestvuyut/). \n* **Хирургическое вмешательство** — в некоторых случаях требуется устранение механических препятствий в сердце или установка устройств, поддерживающих его работу [13](https://premium-clinic.ru/kakie-metody-lecheniya-kardiomiopatii-suschestvuyut/). \n* **Изменение образа жизни** — правильное питание, умеренная физическая активность, отказ от алкоголя и курения [13](https://premium-clinic.ru/kakie-metody-lecheniya-kardiomiopatii-suschestvuyut/).","linksData":[{"sourceId":1,"url":"https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/","shownUrl":"https://Medgorod-clinic.ru/stati/kardiomiopatii-ili-pochemu-serdtse-mozhet-uvelichivatsya-i-oslabevat--/","title":"Кардиомиопатии или почему сердце может увеличиваться и ослабевать? – статьи медицинского центра «Медгород»","shortUrl":"Medgorod-clinic.ru","isTranslated":false,"description":"","greenUrl":"Medgorod-clinic.ru"},{"sourceId":2,"url":"https://www.smclinic.ru/diseases/kardiomiopatiya/","shownUrl":"https://www.smclinic.ru/diseases/kardiomiopatiya/","title":"Кардиомиопатия – симптомы, причины, признаки, диагностика и лечение в «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":3,"url":"https://www.medicina.ru/patsientam/zabolevanija/kardiomiopatiya/","shownUrl":"https://www.medicina.ru/patsientam/zabolevanija/kardiomiopatiya/","title":"Кардиомиопатия: причины, симптомы, диагностика, лечение заболевания и период восстановления","shortUrl":"medicina.ru","isTranslated":false,"description":"","greenUrl":"medicina.ru"},{"sourceId":4,"url":"https://mc21.ru/articles/kardiomiopatiya/","shownUrl":"https://mc21.ru/articles/kardiomiopatiya/","title":"Кардиомиопатии: клинические рекомендации, особенности, лечение","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":5,"url":"https://www.acare.ru/zdorove-serdca-stati/lechenie-i-profilaktika-bolezney-serdca/kardiomiopatiya/","shownUrl":"https://www.acare.ru/zdorove-serdca-stati/lechenie-i-profilaktika-bolezney-serdca/kardiomiopatiya/","title":"Кардиомиопатия - что это такое, симптомы, диагностика и лечение | Статьи в блоге A:care","shortUrl":"acare.ru","isTranslated":false,"description":"","greenUrl":"acare.ru"},{"sourceId":6,"url":"https://polyclin.ru/articles/kardiomiopatiya/","shownUrl":"https://polyclin.ru/articles/kardiomiopatiya/","title":"Кардиомиопатия — симптомы, причины, лечение и диагностика","shortUrl":"polyclin.ru","isTranslated":false,"description":"","greenUrl":"polyclin.ru"},{"sourceId":7,"url":"https://polyclinika.ru/tech/kardiomiopatiya-prichiny-simptomy-diagnostika-lechenie/","shownUrl":"https://polyclinika.ru/tech/kardiomiopatiya-prichiny-simptomy-diagnostika-lechenie/","title":"Кардиомиопатия - причины, симптомы, признаки, формы, диагностика, лечение, клинические рекомендации","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":8,"url":"https://www.mediccity.ru/directions/648","shownUrl":"https://www.mediccity.ru/directions/648","title":"Кардиомиопатия (КМП). 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