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It is defined by the presence of left ventricular dilatation and left ventricular systolic dysfunction in the absence of abnormal loading conditions (hypertension and valve disease) or coronary artery disease sufficient to cause global systolic impairment.
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Dilated cardiomyopathy (DCM) is a condition in which the left ventricle, the heart's main pumping chamber, is enlarged (dilated). As the chamber gets bigger, its thick muscular wall stretches, becoming thinner and weaker. This affects the heart's ability to pump enough oxygen-rich blood to the rest of the body.
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LV dilation can usually be accompanied by LV eccentric hypertrophy, with normal or only mildly increased LV wall thickness and increased LV mass (due to LV dilation). This feature is important for differential diagnosis between idiopathic DCM and other causes of dysfunction, such as end-stage hypertrophic cardiomyopathy and .
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