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Systolic heart failure can develop when another condition damages the left ventricle, such as: Coronary artery disease. Diabetes. High blood pressure (hypertension). Previous heart attack (myocardial infarction). Abnormal heart rhythm. Heart valve disease. Myocarditis. The damage can create a scar in your heart muscle, stretch the ventricle or .
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Tests. Tests to diagnose dilated cardiomyopathy include: Echocardiogram. This is the main test for diagnosing dilated cardiomyopathy. Sound waves produce images of the heart in motion. An echocardiogram shows how blood moves in and out of the heart and heart valves. It can tell if the left ventricle is enlarged.
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