It is associated with:
- alcohol excess
- hypertension
- coxsackie virus
- HIV
- doxorubicin
- haemochromatosis
- sarcoidosis
Possible presentations include fatigue, dyspnoea or AF.
Clinically there may be a displaced apex, S3 gallop, TR or MR
The ECG may show poor R wave progression
Treatment is as per heart failure. ?cardiac transplant
Now on to coeliac disease...