After approval by the health care provider, exercise to improve cardiovascular fitness. Dietary modifications may be recommended in some cases. There may be other signs of heart failure . An ECG may show enlargement, old MI , ischemic changes, arrhythmias , or other abnormality. A biopsy of the heart may be needed to rule out other disorders.
Treatment is focused on relief of symptoms and treatment of causative disorders.
Hospitalization may be required when symptoms of acute ischemic heart disease are present. Other medications may be appropriate to stabilize condition, including digoxin , diuretics , amrinone, or others. Activity is usually prescribed as bedrest until stable. Gradually, activity is increased as tolerated. A heart transplant may be recommended.