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M3 > Cardio: Cardiomypathies > Flashcards

Cardio: Cardiomypathies Flashcards

1
Q

Normal ejection fraction %

A

> 55%

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2
Q

EF in Dilated CM

A

<30%

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3
Q

EF in Restrictive CM

A

25-50%

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4
Q

EF in Hypertrophic CM

A

> 60%

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5
Q

normal LV diastolic dimension in mm

A

<55mm

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6
Q

Dilated CM LV diastolic dimension in mm

A

> = 60mm

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7
Q

Restrictive CM LV diastolic dimension in mm

A

<60mm, may be decreased

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8
Q

Hypertrophic CM LV diastolic dimension in mm

A

often decreased

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9
Q

LV wall thickness in hypertrophic CM

A

Markedly increased

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10
Q

LV wall thickness in dilated CM

A

decreased

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11
Q

LV wall thickness in restrictive CM

A

normal or increased

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12
Q

Atrial Size in Dilated CM

A

Increased

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13
Q

Atrial Size in restrictive CM

A

Increased, may be massive

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14
Q

Atrial size in Hypertrophic CM

A

Increased

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15
Q

Valvular regurgitation in Dilated CM

A

Related to annular dilation

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16
Q

Valvular regurgitation in Restrictive CM

A

Related to endocardial involvement

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17
Q

Valvular regurgitation in Hypertrophic CM

A

Related to valve-septum interaction; MR

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18
Q

Common first symptome in Hypertrophic CM

A

Exertional intolerance; may have chest pain

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19
Q

Common first symptom in restrictive CM

A

Exertional intolerance, fluid retention early

20
Q

Common first symptoms Dilated CM

A

Exertional intolerance

21
Q

Congestive symptoms in dilated CM

A

Left before right, except right prominent in young adults

22
Q

Congestive symptoms of hyertrophic CM

A

left sided congestion may develop late

23
Q

Congestive symptoms restrictive CM

A

Exertional intolerance, fluid retention early

24
Q

Arrhythmia in Dilated CM

A

Ventricular tacharrhythmial conduction block in Chagas’ disease, atrial fibrillation

25
Q

Arrhythmia in restrictive CM

A

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

26
Q

Arrhythmia in hypertrophic CM

A

Ventricular tachyarrhythmias; atrial fbrillation

27
Q

T/F alcohol can cause Dilated Cardiomyopathy

A

T

28
Q

Antineoplastic agents that cause Dilated Cardiomyopathy

A

Doxorubicin, transtuzumab, imatinib mesylate

TID

29
Q

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

A

B

30
Q

Symptoms of Dilated Cardiomyopathy

A

PTC
Peripheral emboli
Congestive Heart Failure
Tachyarrhythmias

31
Q

PE findings in Dilated Cardiomyopathy

A 
JVD
rales
diffuse and dyskenetic LV apex
S3
hepatomegaly
Peripheral edema
murmurs of mitral and tricuspid regurgitation
32
Q

Lab findings for ECG in Dilated Cardiomyopathy

A

LBBB and ST-T wave abnormalities

33
Q

CXR findings in dilated cardiomyopathy

A

Cardiomegaly,
Pulmonary vascular redistribution
Pulmonary effusions

34
Q

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

A

A

35
Q

BNP in Cardiomyopathy
A. Elevated
B. Normal

A

A

36
Q

Tx in dilated cardiomyopathy:

What is the preferred Drug for vasodilation therapy?

A

ACEi

37
Q

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

A

Atrial fibrillation
Prior embolism
Recent or large anterior MI

38
Q

Implanted Cardioverter Defibrillator is recommended for patients with DCM if with

A

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

39
Q

PE for Restrictive Cardiomyopathy

A 
R sided heart failure
JVD
hepatomegaly
peripheral edema
murmur of tricuspid regurgitaion
Left sided S4
40
Q

ECG findings for Restrictive Cardiomyopathy

A

Low limb lead voltage, sinus tachycardia

ST-T wave abnormalities

41
Q

CXR findings for restrictive cardiomyopathy

A

Mild LV enlargement

42
Q

Anticoagulation is often indicated in restrictive cardiomyopathy especially patients with __________

A

eosinophilic endomyocarditis

43
Q

T/F Hypertrophic cardiomyopathy is never asymmetric

A

F; often asymmetric

44
Q

PE findings in hypertrophic cardiomyopathy

A

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

45
Q

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

A

I, aVL, V5-6

46
Q

Recommended drug classes for Hypertrophic cardiomyopathy treatment

A

Beta Blockers, Verapamil, Disopyramide to reduce symptoms

47
Q

Contraindicated drug classes for hypertophic cardiomyopathy

A

Digoxin
Inotropes
Diuretics
Vasodilators

M3 (66 decks)

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