- Coronary artery disease: post-MI or hibernating myocardium for active ischemia
- Hypertension related: chronic sub-optimally treated or hypertensive emergency
- Valvular heart disease: aortic stenosis, aortic insufficiency, mitral regurg, mitral stenosis
- Infection: viral myocarditis, endocarditis, HIV, acute systemic bacterial infections, chaga's disease, lyme
- Autoimmune: lupus-related, giant cell myocarditis
- Endocrine/metabolic: hypo or hyperthyroidism, thyroid storm, pheochromocytoma, growth hormone excess
- Stress: Takotsubos, post-partum cardiomyopathy
- Meds or toxins: anthracylcine or cyclophsophamide based chemotherapy; cocaine, crystal meth, alcohol
- Hypertrophic cardiomyopathy, including sub-aortic stenosis
- Restrictive or infiltrative cardiomyopathy: sarcoid, amyloidosis, hemochromatosis
- Rhythm related: chronic tachycardia (e.g. poor rate control w/a fib); bradycardia
- Idiopathic dilated cardiomyopathy
- Lower extremity edema
- Rales on lung exam