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Q2 Clin Med Final (Cardiology, Hyperlip) > Cardiomyopathies > Flashcards

Cardiomyopathies Flashcards

1
Q

Ascites is?

A

excess serous fluid in the peritoneal cavity

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2
Q

Abnormalities affecting the R Vent result in?

A

edema
venous distention
ascites

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3
Q

Cardiomyopathy is?

A

disease of heart mm

idiopathic or 2º to other disorder

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4
Q

Classified as Dilated (Congestive) Cardiomyopathy if?

A

vent enlargement

systolic dysfxn

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5
Q

Classified as Hypertrophic Cardiomyopathy if?

A 
myocardial hypertrophy (LV hypercontractile)
WITHOUT a cause (e.g. HTN or aortic stenosis)
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6
Q

Classified as Restrictive Cardiomyopathy if?

A

abnormal diastolic fxn

reduced filling

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7
Q

Dilated CM etiology?

A

ºischemia
infectious
alcoholic
prepartum

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8
Q

Dilated CM sxs?

A

dyspnea
orthopnea
LE edema

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9
Q

Dilated CM cardiac findings?

A

cardiomegaly
S3/4
mitral/tricusp regurge murmur

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10
Q

Dilated CM EKG findings?

A

sinus tachycardia

LBBB

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11
Q

Dilated CM Echo findings?

A

dilated chambers
↓ vent wall mvmt
↓ systolic fxn

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12
Q

Dilated CM tx?

A 
limit salt and activity
ACE
diuretics
(P) add all others
pacemaker
heart transplant
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13
Q

Hypertrophic CM etiology?

A

60% inherited

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14
Q

Hypertrophic CM sxs?

A

dyspnea
angina
syncope post exertion (LOC)
palpitations

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15
Q

Hypertrophic CM cardiac findings?

A

mitral regurge murmur (louder w/ valsalvas)

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16
Q

Hypertrophic CM EKG findings?

A

LV hypertrophy

abnormal Q waves

17
Q

Hypertrophic CM Echo findings?

A

normal or small LV
asymm septal thickening
aortic valve not calcified

18
Q

Hypertrophic CM tx?

A 
avoid competitive sports
β blockers
diuretics
Ca2+ channel blockers
dual chamber pacing
19
Q

Restrictive CM etiology?

A

ºamyloidosis (deposit of amyloid proteins in organs)

confirm w/ biopsy

20
Q

Restrictive CM sxs?

A

L and R HF sxs

prominent JVD

21
Q

Restrictive CM Echo findings?

A

abnormal mitral inflow (LA to LV)

high L atrial pressure

22
Q

Restrictive CM tx?

A

no good tx

23
Q

Diuretics better reducer of stroke volume in systolic or diastolic dysfxn?

A

diastolic

Q2 Clin Med Final (Cardiology, Hyperlip) (8 decks)

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