Dilatation of both left and right ventricles, soft myocardium, with rupture of the left ventricular myocardium.

In general, enlargement of both the left and right ventricles, softening of the myocardium, and rupture of the left ventricular myocardium may be caused by conditions such as hypertension, dilated cardiomyopathy, aortic valve insufficiency, myocardial ischemia, or coronary atherosclerotic heart disease. If patients experience discomfort symptoms, it is recommended to seek timely medical attention at a hospital to avoid delaying treatment. The specific analysis is as follows:

1. Hypertension

Hypertension increases pressure in the aorta and large arteries. Since the left ventricle must pump blood into these high-pressure vessels, it needs to generate greater force, thereby increasing cardiac afterload. Over time, this can lead to the aforementioned changes. Treatment may include medications such as amlodipine and atorvastatin calcium tablets, nifedipine soft capsules, or felodipine tablets, taken under medical guidance.

2. Dilated Cardiomyopathy

The exact cause of dilated cardiomyopathy remains unknown in most cases, classified as idiopathic. In others, it may be associated with viral infections, autoimmune responses, alcohol consumption, toxins, or genetic factors. Patients may take medications such as furosemide tablets, hydrochlorothiazide tablets, or amiodarone hydrochloride tablets as directed by their physician.

3. Aortic Valve Insufficiency

Aortic regurgitation (not mitral regurgitation as previously mentioned) leads to volume overload in the left ventricle and left atrium, which may result in bilateral ventricular enlargement, myocardial softening, and left ventricular myocardial rupture. Treatment may include diuretic medications such as telmisartan and hydrochlorothiazide tablets, spironolactone tablets, or compound captopril tablets, taken as prescribed.

4. Myocardial Ischemia

Myocardial ischemia is a common cause of ventricular enlargement, myocardial softening, and left ventricular wall rupture. Coronary artery stenosis or plaque formation reduces blood flow and oxygen supply to the myocardium, leading to cardiomyocyte apoptosis and subsequent structural damage. Medications such as compound danshen tablets, musk heart-preserving pills, or metoprolol tartrate tablets may be used for treatment.

5. Coronary Atherosclerotic Heart Disease

Coronary atherosclerotic heart disease is caused by narrowing or blockage of the coronary arteries. While many patients do not develop cardiac enlargement, extensive myocardial infarction can lead to the above-mentioned complications. Treatment may include antiplatelet agents such as aspirin, clopidogrel hydrogen sulfate tablets, or ticagrelor tablets, taken under medical supervision.

Patients are advised to maintain regular sleep patterns, avoid chronic sleep deprivation and smoking, which can damage the left ventricle and overall heart function. Maintaining a scientifically structured daily routine can also help reduce daytime fatigue and support left ventricular health.