cardio 5

Question 1

who gets dilated cardiomyopathy

Answer 1

middle age (black, men, obesity, sleep apnea)

Question 2

time of dilated cardiomyopathy

Answer 2

symptoms show up gradually; have be going on for years

Question 3

prognosis of dilated cardiomyopathy

Answer 3

treatable but non reversible

Question 4

top causes of dilated cardiomyopathy

Answer 4

viral, ischemic heart disease, alcoholism

Question 5

what type of dilated cardiomyopathy is takotsubo syndrome

Answer 5

non-ischemic dilated cardiomyopathy

Question 6

features of takotsubo syndrome

Answer 6

• acute systolic dysfunction of LV mimicking MI but in the absece of obstructive coranary artery disease or plaque rupture
• territory perfused by single caronary artery

Question 7

cause of takotsubo syndrome

Answer 7

severe emotional or physical stress

Question 8

management of dilated cardiomyopathy

Answer 8

ace/arb, bb carefully, spironolactone

Question 9

when is an AICD indicated

Answer 9

when EF less than 75%

Question 10

what effects do ANP and BNP posess

Answer 10

decrease HTN, increase water and sodium excretion

bnp- protects against fibrosis of the heart

Question 11

features of hypertensive cardiomyopathy

Answer 11

appropriate symmetrical hypertrophy

Question 12

is hypertensive cardiomyopathy systolic or diastolic dysfunction

Answer 12

primarily diastolic but later systolic

Question 13

prognosis of hypertensive cardiomyopathy

Answer 13

treatable and reversible

Question 14

cause of hypertensive cardiomyopathy

Answer 14

AS or HTN

Question 15

triad of aortic stenosi

Answer 15

chest pain, heart failure, syncope

Question 16

features of hypertrophic cardiomyopathy

Answer 16

innaproparite hypertrophy of LV; asymmetric involving septum

Question 17

is hypertrophic cardiomyopathy systolic or diastolic dysfunction

Answer 17

BOTH which can occur at rest or not

Question 18

prognosis of hypertrophic cardiomyopathy

Answer 18

treatable but nonreversible; genetic condition (autosomal dominant) resulting in mutated protein at the sarcomere

Question 19

what should be recommended if you find hypertrophic cardiomyopathy

Answer 19

echo for first degree relatives

Question 20

microscopic features of hypertrophic cardiomyopathy

Answer 20

disarray of myocytes, extreme hypertrophy of myocytes, interstitial fibrosis

Question 21

what is hypertrophic cardiomyopathy often associated with

Answer 21

abnormal mitral valves that has messed up leaflets, anterior sticks during systole, or abnormal connections to papillary muscles

Question 22

features seen in obstructive hypertrophic cardiomyopathy

Answer 22

obstruction of outflow of blood at rest due to septal hypertrophy and hyper-contractility