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But as the condition advances, signs and symptoms usually appear. Cardiomyopathy signs and symptoms may include: 1  Breathlessness with exertion or even at rest. 2  Swelling of the legs, ankles and feet. 3  Bloating of the abdomen due to fluid buildup. 4  Cough while lying down. 5  Fatigue. 6  Irregular heartbeats that feel rapid, pounding or fluttering. 7  Chest pain.
Sometimes cardiomegaly does not cause any symptoms.The most common symptoms of cardiomegaly include: Additional symptoms, such as chest pain, severe shortness of breath and fainting may be the signs of a heart attack. If you experience the signs of a heart attack, you should seek immediate medical attention.