Cardiomyopathy Flashcards Preview

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Flashcards in Cardiomyopathy Deck (4)
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1
Q

Features of Restrictive Cardiomyopathy?

A
EF 25-50%
LV >60mm
LV wall thickness ~/increased
Atrial size increased ++
Mitral, tricuspid
ExertionalSOB, fluid retention.
R congestive Sx
AF, and if amyloid/sarcoid ventricular arrhythmias or conduction block
2
Q

Features of Hypertrophic Cardiomyopathy?

A
EF >60%
LV reduced
LV wall thickness increased ++
Atrial size increased +++
MR
ExertionalSOB, Chest Pain
L congestive Sx -late
VT, AF
3
Q

Work up for cardiomyopathy?

A
Hx, exam
Family History: CHF, Cardiomyopathy, skeletal myopathy, conduction disorder, tachyarrhthmia, sudden death.
ETOH, drugs, chemo, RT.
Ability to do ADLs?
Bloods, ECG, CXR, ECHO.
Consider acute viral PCR, HIV, Chagas/Lyme/Toxoplasmosis.
Angiogram
Serology for rheumatology
Endomyocardial biopsy
ESS +/- SS ?OSA
4
Q

Features of Dilated Cardiomyopathy?

A
EF >30%
LV diastolic dimension >60mm
Reduced LV thickness 
Increased atrial size 
Assoc mitral (early) and tricuspid (late) regurg.
1st sx SOBOE
Assoc VT, AF