Cardio - cmpathy restrictive Flashcards
main problem with restrictive and infiltrative cardiomyopathies
increased resistance to LV filling
eosinophilic endomyocardial disease a.k. a
Loffler’s cardiomyopathy
what is the most common restrictive cardiomyopathy in the western world?
Cardiac amyloidosis
Four overlapping CV syndromes in amylodosis
RCM
systolic heart failure
orthostatic hypotension
conduction system disease
multisystem granulomatous disease causing restrictive cardiomyopathy; main clinical manifestations result from infiltration of the conduction system and myocardium
sarcoidosis
involves the heart in about ___% of the cases
25%
iron storage disease that affects multiple organ and tissue systems
hemochromatosis
classic pentad of hemochromatosis
CADIS Cirrhosis Arthritis Diabetes Impotence Symptom of complex heart failure
True of symptoms of restrictive cardiomyopathy
a. dyspnea
b. fatigue
c. right sided congestive heart failure
d. AOTA
D
PE findings in restrictive cmpathy: EXCEPT
a. Kussmaul sign
b. AV regurgitation
c. S3 or S4
d. severe cardiomegaly
D; mild to moderate lang
Echoardiogram findings in restrictive cmpathy
a. increased LV wall thickness and mass
b. small or normal sized LV cavity
c. decreased systolic function
d. pericardial effusion
C
Cardiac catheterization indications
- diminished LV compliance
- square root sign in ventricular pressure recordings
- preserved systolic function
- elevated L and R sided filling pressures