Cardiomyopathies

Question 1

Class II - III, EF 35% or less, QRS>150ms. what device would you choose?

Answer 1

CRT (cardiac resynchronization therapy w/ biventricular pacing)

Question 2

IF EF <35%, what device is recommended?

Answer 2

ICD (implantable cardioverter defibrillator

Question 3

if a HrEFHF patient has Severe mitral regurg, what do you treat them with?

Answer 3

Transcatheter mitral valve repair (tMVR)

Question 4

If a patient is NYHA class 3-4 symptomatic following hospitalization, how do you manage?

Answer 4

Wireless pulmonary arterial pressure monitors

Question 5

How do you treat dilated CMP?

Answer 5

Control BP + cholesterol (statin!)
Mirrors HFrEF if EF<40% = 4 pillars
Diuretics for symptom management (thiazides)
Consider DOAC if a fib present

Question 6

What are lifestyle changes for dilated cardiomyopathy?

Answer 6

Drug, alcohol, smoking cessation
Managing obesity, diabetes
salt/fluid restriction
CPAP for OSA

Question 7

What can be done for severe dilation cardiomyopathy?

Answer 7

ICD, LVAD

Question 8

What’s the first thing you do when you suspect HCM?

Answer 8

If you suspect HCM, get a cardiologist - needs to go home with an external defibrillator (LifeVest)
Complete activity restriction until evaluation/management
Avoid dehydration + extreme exertion

Question 9

What do you prescribe for HCM?

Answer 9

Beta blockers
CCBs (verapamil)
Disopyramide

Question 10

What are procedures you can do for HCM?

Answer 10

Myomectomy of septum
Ethanol septal ablation
ICD placement

Question 11

What’s a medication you can add for NYHA class II-III?

Answer 11

Mavacamten

Question 12

If HCM has a fib, always

Answer 12

add DOACs

Question 13

How do you treat restrictive cardiomyopathy

Answer 13

Treat underlying cause, diuresis for symptoms

Question 14

How do you treat takotsubo cardiomyopathy?

Answer 14

Similar to any acute MI

Long term therapy if LV dysfunction persists

Aspirin + BBs + ACE-Is

Refer to cardio