Symptoms of an ischemic cardiomyopathy are consistent with heart failure and include:

The physician may also detect signs of heart failure, which include:

• An abnormal heart murmur
  
  
• A crackling sound of fluid in the lungs (rales), which is a sign of pulmonary congestion
  
  
• A rapid heartbeat (tachycardia) or other abnormal heart rhythms (arrhythmias)
  
  
• Swelling and fluid retention (edema) in the liver or gastrointestinal tract (in advanced stages of heart failure)
  
  
• Bulging neck veins
  
  
• Hypertrophy or enlargement of the heart
  
  
• Liver malfunction

Other signs that may be detected by a physician include high blood pressure and a rapid pulse.