Cardiomyopathies Flashcards

1
Q

Dilated CM = ___ dysfunction

A

Systolic

Ventricular dilation –> dilated, weak heart

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2
Q

Diastolic dysfunction w/ preserved contractility

A

Restrictive cardiomyopathy

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3
Q

Diastolic dysfunction d/t impaired ventricular relaxation/filling

A

Hypertrophic CM

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4
Q

Subaortic outflow obstruction d/t hypertrophic septum

A

Hypertrophic CM

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5
Q

Systolic anterior motion of mitral valve in ___ CM

Increases w/ (increased/decreased) contractility and (increased/decreased) LV volume

A

Hypertrophic

Increases w/ INCREASED contractility (exertion) and DECREASED LV volume (dehydration)

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6
Q

Alcoholics

A

Dilated CM

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7
Q

MC cause of restrictive CM

A

amyloidosis

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8
Q

Etiology of hypertrophic CM

A

inherited genetic d/o

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9
Q

Viral myocarditis causes ___CM

MC pathogen:

A

Dilated CM
Enteroviruses (Coxsackie B, echovirus)
Also: Parvovirus B-19, Chagas, HIV

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10
Q

(Right/left) sided failure more common than (right/left) sided failure in restrictive CM

A

Right MC than Left

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11
Q

Harsh systolic cres-decresc murmur @ LUSB like in AS (with/without) carotid radiation

A

Hypertrophic CM

NO carotid radiation

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12
Q

Ventricles nondilated w/ normal wall thickness

A

Restrictive CM

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13
Q

Marked dilation of both atria

A

Restrictive CM

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14
Q

Tx of dilated cardiomyopathy

A

Systolic HF tx: ACEI, diuretics, digoxin, BB, Na-restriction

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15
Q

Tx of restrictive CM

A

None

Tx underlying cause

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16
Q

Tx of hypertrophic CM

Caution w/ what medications?

A
  1. BB*, verapamil, disopyramide
    Sx: myomectomy, ETOH ablation

CAUTION w/ digoxin (increases contractility), nitrates, diuretics (decreases volume)

17
Q

What medication should be avoided in Hypertrophic Obstructive Cardiomyopathy?

A

Nifedipine

d/t peripheral vasodilator properties –> increase left ventricular outflow obstruction