Cardio: Cardiomypathies

Question 1

Normal ejection fraction %

Answer 1

> 55%

Question 2

EF in Dilated CM

Answer 2

<30%

Question 3

EF in Restrictive CM

Answer 3

25-50%

Question 4

EF in Hypertrophic CM

Answer 4

> 60%

Question 5

normal LV diastolic dimension in mm

Answer 5

<55mm

Question 6

Dilated CM LV diastolic dimension in mm

Answer 6

> = 60mm

Question 7

Restrictive CM LV diastolic dimension in mm

Answer 7

<60mm, may be decreased

Question 8

Hypertrophic CM LV diastolic dimension in mm

Answer 8

often decreased

Question 9

LV wall thickness in hypertrophic CM

Answer 9

Markedly increased

Question 10

LV wall thickness in dilated CM

Answer 10

decreased

Question 11

LV wall thickness in restrictive CM

Answer 11

normal or increased

Question 12

Atrial Size in Dilated CM

Answer 12

Increased

Question 13

Atrial Size in restrictive CM

Answer 13

Increased, may be massive

Question 14

Atrial size in Hypertrophic CM

Answer 14

Increased

Question 15

Valvular regurgitation in Dilated CM

Answer 15

Related to annular dilation

Question 16

Valvular regurgitation in Restrictive CM

Answer 16

Related to endocardial involvement

Question 17

Valvular regurgitation in Hypertrophic CM

Answer 17

Related to valve-septum interaction; MR

Question 18

Common first symptome in Hypertrophic CM

Answer 18

Exertional intolerance; may have chest pain

Question 19

Common first symptom in restrictive CM

Answer 19

Exertional intolerance, fluid retention early

Question 20

Common first symptoms Dilated CM

Answer 20

Exertional intolerance

Question 21

Congestive symptoms in dilated CM

Answer 21

Left before right, except right prominent in young adults

Question 22

Congestive symptoms of hyertrophic CM

Answer 22

left sided congestion may develop late

Question 23

Congestive symptoms restrictive CM

Answer 23

Exertional intolerance, fluid retention early

Question 24

Arrhythmia in Dilated CM

Answer 24

Ventricular tacharrhythmial conduction block in Chagas’ disease, atrial fibrillation

Question 25

Arrhythmia in restrictive CM

Answer 25

Ventricular uncommon except in sarcoidosis conduction block in sarcoidosis and amyloidosis. Atrial fibrillation

Question 26

Arrhythmia in hypertrophic CM

Answer 26

Ventricular tachyarrhythmias; atrial fbrillation

Question 27

T/F alcohol can cause Dilated Cardiomyopathy

Answer 27

T

Question 28

Antineoplastic agents that cause Dilated Cardiomyopathy

Answer 28

Doxorubicin, transtuzumab, imatinib mesylate | TID

Question 29

Muscular dystrophies cause what type of cardiomyopathy A. Hypertrophic B. Dilated C. Restrictive

Answer 29

B

Question 30

Symptoms of Dilated Cardiomyopathy

Answer 30

PTC Peripheral emboli Congestive Heart Failure Tachyarrhythmias

Question 31

PE findings in Dilated Cardiomyopathy

Answer 31

``` JVD rales diffuse and dyskenetic LV apex S3 hepatomegaly Peripheral edema murmurs of mitral and tricuspid regurgitation ```

Question 32

Lab findings for ECG in Dilated Cardiomyopathy

Answer 32

LBBB and ST-T wave abnormalities

Question 33

CXR findings in dilated cardiomyopathy

Answer 33

Cardiomegaly, Pulmonary vascular redistribution Pulmonary effusions

Question 34

Regional wall motion abnormalities suggest A. Coronary artery disease B. Primary Cardiomyopathy

Answer 34

A

Question 35

BNP in Cardiomyopathy A. Elevated B. Normal

Answer 35

A

Question 36

Tx in dilated cardiomyopathy: | What is the preferred Drug for vasodilation therapy?

Answer 36

ACEi

Question 37

Chronic anticoagulation tx with warfarin is considered in dilated cardiomyopathy if with....

Answer 37

Atrial fibrillation Prior embolism Recent or large anterior MI

Question 38

Implanted Cardioverter Defibrillator is recommended for patients with DCM if with

Answer 38

>= Class III heart failure, LVEF <35% and QRS duration >120ms

Question 39

PE for Restrictive Cardiomyopathy

Answer 39

``` R sided heart failure JVD hepatomegaly peripheral edema murmur of tricuspid regurgitaion Left sided S4 ```

Question 40

ECG findings for Restrictive Cardiomyopathy

Answer 40

Low limb lead voltage, sinus tachycardia | ST-T wave abnormalities

Question 41

CXR findings for restrictive cardiomyopathy

Answer 41

Mild LV enlargement

Question 42

Anticoagulation is often indicated in restrictive cardiomyopathy especially patients with __________

Answer 42

eosinophilic endomyocarditis

Question 43

T/F Hypertrophic cardiomyopathy is never asymmetric

Answer 43

F; often asymmetric

Question 44

PE findings in hypertrophic cardiomyopathy

Answer 44

Brisk carotid upstroke with pulsus bisfriens S4, harsh systolic murmur along left sternal border murmur changes with valsalva and other manuevers

Question 45

Hypertrophic CM Septal Q waves can be found in which ECG leads

Answer 45

I, aVL, V5-6

Question 46

Recommended drug classes for Hypertrophic cardiomyopathy treatment

Answer 46

Beta Blockers, Verapamil, Disopyramide to reduce symptoms

Question 47

Contraindicated drug classes for hypertophic cardiomyopathy

Answer 47

Digoxin Inotropes Diuretics Vasodilators