Associated Systemic diseases

Question 0

Carcinoid

Answer 0

50% with right sided involvement

Question 1

SLE

Answer 1

50% with pericardial effusion

Liebman sacks- lupus anticoagulant globular lesion

Question 2

Sarcoid

Answer 2

Basal aneurysm

Atypical wall abnl

Question 3

Friedrich ataxia

Answer 3

Gait
Thick wall
Mimicking HCM, but no Sam

Question 4

Hyperoxaluria

Answer 4

Mimicking HCM

Valves not thick

Question 5

Fabry’s

Answer 5

HCM mimick
Bright endocardium and epicardium
“ binary appearance”
Lysosomal storage

Question 6

Duke criteria

Answer 6

2 major or 1 major and 3 minor
Major : BC,echo
Minor: predisposition, fever, new murmur, suggestive echo

Question 7

Endocarditis Sens/spec

Answer 7

Sens 42-79%
Spec 95%
Tee 93% spe 95%

Question 8

Antibiotic prophylaxis

Answer 8

Prosthetic valve
Cyanotic
Hx endocarditis
Orthotopic heart transplant

Question 9

Radiation cardiac dz

Answer 9

Ca MV/ Ao curtain
Constriction
Progressive
Ostial LM, RCA dz

Question 10

Metastatic ca to heart:

Answer 10

Malignant melanoma

50% of MM have card mets

Question 11

Most common metastatic dz to heart

Answer 11

Breast/ lung

Question 12

Location of met dz

Answer 12

Pericardium, myocardium, endocardium

Question 13

Aortic valve with endocarditis

Answer 13

10% abscesses

Question 14

Primary cardiac tumors

Answer 14

Myxoma
Papilloma
10% familial

Question 15

Papillary fibroelastoma

Answer 15

Valves
2nd most common primary cardiac tumor
L side Ao valve
Mid portion valve
Emboli potential

Question 16

NBTE

Rx

Answer 16

Non bacterial thrombotic endocarditis
Marantic endocarditis- malignancies ( lymphoma , pancreatic, lung) debilitating states, aids, antiphos lipid
50% systemic emboli
Rx heparin

Question 17

Abscesses with endocarditis

Answer 17

Ao valve 20-60%

Mv 15%

Question 18

Masses

Answer 18

Nonprimary card tumors 20 x primary cardiac

Most often pericardium, rarely intracrdiac masses

Question 19

Most common non cardiac tumors

Answer 19

Lung, lymphoma, breast, leukemia stomach, melanoma, liver, colon

Question 20

Most common primary cardiac tumors

Answer 20

Myxoma, pericardial cyst, lipoma, papillary fibroelstoma, angiomsarcoma, rhabdomyosarcoma

Question 21

Myxoma location

Answer 21

LA 75%

Ra, Lv, Rv

Question 22

Pericardial cyst

Answer 22

Asjacent to RA mesothelial lined

Question 23

Papillary fibroelstoma

Answer 23

Downstream side of valve

Culture negative