Conversation: The conversation between human and AI assistant.
[|Human|] hi,my name is swati. S . Nandanwar m frm india..my age is 41, height 5.0(150 cm), weight-58kg,mymedacial history-diabetis,& dialated cardio mayopathi with low ejection fraction is only 20 percent from last four years......! Please informe thru my email coz iam not regular user of this site my email add is  YYYY@YYYY or  YYYY@YYYY                                            ,thankyou
[|AI|]  Hello SWAT, after you have ruled out heart blockages by doing an angiography (which is the most common reason in diabetic patients) , the next is what is called microvascular disease may cause dilated cardiomyopathy.  Due to diabetes there are certain degenerative changes in the heart muscle vasculature which will cause slow deterioration of heart function causing dilated cardiomyopathy.  Medicine optimization would cause reversibility and control of symptoms.  If the EKG finding are favorable, and you have symptoms Inspire of medical therapy a form of pacemaker (cardiac resynchronization therapy) may help improve the heart function. A more detailed evaluation is needed for the same. Regards Chat Doctor.