CARDIOMYOPATHY

Question 1

Characteristic of a pulse in a patient with hypertrophied cardiomyopathy?

Answer 1

Sharp rising and jerky or double (bisferiens)

Question 2

JVP findings in a patient with hypertrophied cardiomyopathy?

Answer 2

Prominent ‘a’ wave due to forcefull atrial contraction against non-compliant rv.

Question 3

Apical findings on palpation on a patient with hypertrophied cardiomyopathy.

Answer 3

double or triple apical impulses

Question 4

FIndings on auscultation in patientient with hypertrophied cardiomyopathy?

Answer 4

• late systolic murmur at the lower left sternal and apex (due to obstruction)
• pansystolic murmur at the apex (due to mitral regurg.)
• S4

Question 5

Causes of hypertrophic cardiomyopathy: (2)

Answer 5

1. autosomal dominant (sacomeric heavy chain or troponin gene mutation) with variable expressivity.
2. Friedreich’s ataxia

Question 6

Dilated cardiomyopathy shows similar signs as _________.

Answer 6

congestive heart failure

Question 7

Causes of dilated cardiomyopathy include:

Answer 7

1. idiopathic or familial
2. alcohol
3. postviral
4. postpartum
5. drugs
6. dystrophia myotonica
7. haemochromatosis

Question 8

Restrictive cardiomyopathy causes similar signs as _______.

Answer 8

constrictive pericarditis, but Kussmaul’s sign is more common and palpable apex beat.