Cardiology Letters 2025, 34(1):41-49

Restrictive cardiomyopathy - an overview according to the latest guidelines

Zuzana Bujdošová

Fakultná nemocnica s polikliniku J. A. Reimana, Prešov, Slovenská republika

Restrictive cardiomyopathy is still considered to be the least common form of cardiomyopathy in daily clinical practice. Various myocardial diseases are included, characterized by noncompliant, stiffened ventricular walls that resist diastolic filling, and leading to heart failure. In developed countries the most common etiology of restrictive cardiomyopathy is cardiac amyloidosis, cardiac sarcoidosis, cardiomyopathy developed in hemochromatosis, hypereosinophilia and radiation induced heart disease. Diagnosis of restrictive cardiomyopathy should include the patient´s anamnesis, ecg and echocardiography, laboratory tests, and cardiac magnetic resonance imaging. Sometimes it is necessary to continue with invasive hemodynamic examination and endomyocardial biopsy. The speckle-tracking echocardiography method is important because of the specific patterns in some types of restrictive cardiomyopathy. Therapy in restrictive cardiomyopathy is divided into the therapy of cardiac failure and specific therapy, differing in etiology of the restrictive cardiomyopathy.

Keywords: restrictive cardiomyopathy; cardiac amyloidosis; cardiac sarcoidosis; hemochromatosis; hypereosinophilia; echocardiography

Published: January 1, 2025  Show citation