Background: Cardiomyopathies are conditions that affect the heart muscle and can be caused by genetic flaws, damage to the heart's myocytes, or infiltration of myocardial tissues. The most prevalent phenotype and frequently the last common pathway of many cardiac injuries is dilated cardiomyopathy. In the lack of echocardiography, histology, and genetic testing, it is mostly unknown. Material and Methods: This was an analytical cross-sectional study of hospital data on Echocardiographic findings in 60 DCM patients who visited the cardiology unit for Echocardiographic evaluation between the May 2022 to April 2023 in Department of General Medicine, Sri Venkateswaraa Medical College Hospital & Research Centre, Puducherry, India. Patients under the age of 18 and those who refused to give consent were excluded. Results: Among the 60 patients enrolled, 40 were male and 20 were female, resulting in a male to female ratio of 1.6:1. Elderly persons (61-75 years old) with an average age of 60 were frequently involved, and the majority of them had congestive heart failure, 32. An echocardiogram revealed that 28 had a slightly dilated Left Ventricle. With an average Ejection fraction of 39.6%, the majority showed impaired Left Ventricular Systolic Function. There was no significant difference in average EF% between male and female, and there was no significant relationship between age and average EF%. Conclusion: The most prevalent cardiomyopathy phenotype is dilated cardiomyopathy, which is characterized by congestive heart failure. It is frequently misdiagnosed in our part of the world, but echocardiography can easily detect it.
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