Cardiac-cardiomyopathy Flashcards

1
Q

what type of cardomyopathy

“dilation of all 4 chambers of the heart”

A

dilated cardiomyopathy

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2
Q

what is the most common type of cardiomyopathy?

A

dilated cardiomyopathy

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3
Q

what type of dysfunction does dilated cardiomyopathy result in?

A

systolic dysfunction

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4
Q

what are the complications associated with dilated cardiomyopathy

A

biventricular CHF
mitral & tricuspid regurg
arrhythmia

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5
Q

what is the most common agent involved in myocarditis that could lead to dilated cardiomyopathy

A

coxsacki A or B

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6
Q

what characterizes coxsacki myocarditis? and what are the signs/symptoms

A

characterized by lymphocytic infiltrate in the myocardium
results in chest pain, arrhythmia with sudden death of HF

if you don’t die, the late complication is dilated cardiomyopathy

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7
Q

what 2 drugs can cause dilated cardiomyopathy

A

cocaine

doxorubicin

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8
Q

what cardiomyopathy

“massive hypertrophy of L. ventricle leading to diastolic dysfunction”

A

hypertrophic cardiomyopathy

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9
Q

what is the most common cause of hypertrophic cardiomyopathy

A

genetic mutation in sarcomere proteins (usually auto dom)

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10
Q

what are the 3 clinical features associated with hypertrophic cardiomyopathy

A
  1. decreased cardiac output
  2. sudden death due to ventricular hypertrophy
  3. syncope with exercise
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11
Q

what is the most common cause of sudden death in young athletes?

A

due to ventricular arrhythmias with hypertrophic cardiomyopathy

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12
Q

what causes the syncope with exercise seen in ppl with hypertrophic cardiomyopathy

A

subaortic hypertrophy of the ventricular septum results in functional aortic stenosis

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13
Q

when is this biopsy seen:

“myofiber hypertrophy with disarray”

A

in hypertrophic cardiomyopathy

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14
Q

what cardiomyopathy

“decreased compliance of the ventricular endomyocardium that restricts filling during diastole”

A

restrictive cardiomyopathy

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15
Q

what disease:
“dense layer of fibrosis and elastic tissue in the endocardium that leads to restrictive cardiomyopathy”

what population is this disease seen in?

A

endocardial fibroelastosis

CHILDREN

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16
Q

what is loeffler syndrome?

A

infiltration of eosinophils with inflammation in the wall of the heart. results in fibrosis of the endomyocardium leading to diminished filling (restrictive cardiomyopathy)

17
Q

how does restrictive cardiomyopathy present on EKG?

A

low voltage EKG with diminished QRS amplitude