What are the differences between obesity and cardiomyopathy?

Patient's question:

Recently, I have been experiencing abdominal obesity, and I'm very concerned that it might be cardiomyopathy. I would like to know the reasons for this, and what the differences are between obesity and cardiomyopathy? I look forward to your answer.

Doctor's answer:

The difference between obesity and cardiomyopathy is very significant. Obesity is being overweight, but with normal heart size and heart function, it is non-pathological obesity, requiring no medication treatment, only dietary control, and exercise is possible. After weight is controlled within the normal range, the prognosis is good, and the lifespan is the same as that of ordinary people. Cardiomyopathy is often accompanied by heart enlargement, heart dysfunction, requiring limited physical exercise, long-term medication treatment. Primary cardiomyopathy is generally incurable, even with regular medication, it can only delay the progression of the disease. After the onset of heart failure symptoms, the five-year survival rate is only 25%.

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