What are the treatments for dilated cardiomyopathy (DCM)?

Cardiomyopathy 00:35 min watch Published 5 March 2026 Dr Ravi Assomull, Consultant Cardiologist

The cornerstone of treatment for dilated cardiomyopathy is guideline-directed medication. Dr Ravi Assomull explains the main drug classes used to treat the condition, including ACE inhibitors, beta blockers, SGLT2 inhibitors and aldosterone antagonists, as well as when device therapy may be considered.

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Transcript

The pillar of treatment for DCM is tablet therapy. We typically use four different categories of medications. These include ACE inhibitors, beta blockers, SGLT2 inhibitors, and another group of medications called aldosterone antagonists.

In those patients where the DCM is severe and they meet criteria, other treatments with an ICD or cardiac resynchronisation therapy device, which is a form of special pacemaker, may also have a role.

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