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2D Echocardiogram of a severe dilated cardiomyopathy with severe decreased ejection fraction. Ischemic cardiomyopathy is a type of cardiomyopathy caused by a narrowing of the coronary arteries which supply blood to the heart.Typically, patients with ischemic cardiomyopathy have a history of acute myocardial infarction, however, it may occur in patients with coronary artery disease, but without a past history of acute myocardial infarction. This cardiomyopathy is one of the leading causes of sudden cardiac death. Tips For Evaluation Ischemic Cardiomyopathy In Echocardiography: 1. Obtain multiple views 2. Expect segmental wall motion abnormalities 3. Evaluate systolic wall thickness. 4. Look for thin, bright akinetic wall segments 5. Spontaneous echo contrast may be seen Symptoms of Ischemic Cardiomyopathy from: http://www.nytimes.com/health/guides/... Patients with this condition often have had symptoms of angina or a heart attack. Sometimes, patients do not notice any symptoms. Symptoms of heart failure usually develop slowly over time. Common symptoms include: Cough Fatigue, weakness, faintness Irregular or fast pulse, or a sensation of feeling the heart beat (palpitations) Loss of appetite Shortness of breath, especially with activity Shortness of breath that occurs after lying down Swelling of feet and ankles (in adults) Swelling of the abdomen (in adults) Waking up from sleep after a couple of hours due to shortness of breath. Definitions: Akinesis: A slowness or loss of normal motor function resulting in impaired muscle movement. Ischemia: deficient supply of blood to a body part (as the heart or brain) that is due to obstruction of the inflow of arterial blood (as by the narrowing of arteries by spasm or disease)