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Date: January 2019


A definite diagnosis by a Consultant Cardiologist of cardiomyopathy resulting in the permanent loss of the ability to perform physical activities to at least Class III of the New York Heart Association (NYHA) classification. This means there is marked limitation of activities, with less than ordinary activity causing fatigue, palpitations or shortness of breath. The diagnosis must also be evidenced by:

  • electrocardiographic changes; and
  • echocardiographic abnormalities.

The evidence must be consistent with the diagnosis of cardiomyopathy.

For the above definition, the following are not covered:

  • all other forms of heart disease and/or heart enlargement;
  • myocarditis; and
  • cardiomyopathy related to alcohol or drug abuse.

No change since May 2012


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