Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation of You seems to have suffered from-dilatation cardiomyopathy with LVEP-19% needs to be evaluated for its causes and assessment of cardiac muscle and its stress.Only after this assessment it could be decided if your case could be managed wholy on dietary controls with support of important medicines,so as to recover your case with long term symptomatic correction based on dietary controls. Work up on above lines suggested, would help in resolving the issues,as the status of cardiac muscles is unknown in your specific case. Many other causes accompanying Cardiomyopathy like hormonal/ toxic /alcoholic need to be ruled out in planning further care in your case. Second opinion with attending Cardiologist with good institutional support on these lines would resolve if your dilated cardiomyopathy could be treated naturally on dietary regimens. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS