The heart works harder to compensate for the loss of contractility, eventually leading to congestive heart failure. There is dilation of the chambers of the ventricles of the heart with some increase (hypertrophy) in the heart muscle mass, and a loss of the normal contracting abilities of the ventricles. Dilated cardiomyopathy, or DCM, occurs when the heart muscle is thin, weak, and does not contract properly.
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