Cardiomyopathy

Question 1

All 4 chambers of the heart dilation is called—

Answer 1

Dilated cardiomyopathy

Question 2

Dilated cardiomyopathy results in —-

Answer 2

1. Systolic dysfunction
2. Biventriculat CHF
3. Mitral v regurgitation
4. Tricuspid v regurgitation
5. Arrhythmia

Question 2

Massive hypertrophy of the LV ?

Answer 2

Hypertrophic cardiomyopathy

Question 3

Tx of dilated cardiomyopathy ?

Answer 3

Heart transplant

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Question 3

Causes of dilated cardiomyopathy –

Answer 3

1. Autosomal dominant
2. Alchohol
3. Drugs - Doxurubicin
4. Late preganancy
5. Hemochromatosis
6. Myocarditis - Coxsackie A & B
7. Chest pain , HF , Arrhythmia

Question 4

Biopsy result of hypertrophic cardiomyopathy –

Answer 4

Myofiber hypertrophy + Disarray

Question 5

Cause of hypertrophic cardiomyopathy ?

Answer 5

Mutation - Sarcomere protein

Question 6

Clinical features of hypertrophic cardiomyopathy ??

Answer 6

1. dec Cardiac Output
2. LV hypertrophy
3. Sudden death - Veentricular arrhythmias
4. Syncope with exercise

Question 7

Subaortic hypertrophy of the ventricular septum results in —-

Answer 7

Aortic stenosis

Question 8

EKG changes in Restrictive cardiomyopathy ?

Answer 8

1. Low voltage EKG
2. Diminished QRS complex

Question 9

Causes of RC ?

Answer 9

1. Amyloidosis
2. Sarcoidosis
3. Endocardial fibroelastosis
4. Loeffler syndrome

Question 10

dec Compliance of the ventricular endomyocardium that restricts filling during diastole ——————

Answer 10

Restricive cardiomyopathy

Question 11

Loeffler syndorme meaning?

Answer 11

Endomyocardial fibrosis + Eosinophilic infiltrate + Eosinophilia

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Question 12

Which gene mutation in dilated Cardiomyopathy?

Answer 12

TTN gene in sacromeric protein titin

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Question 12

Findings of dilated cardiomyopathy ?

Answer 12

1. HF
2. S3
3. Systolic regurgitant murmur

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Question 12

CXR findings of DC ?

Answer 12

Ballon appearance

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Question 13

Echocardiogram result of DC ?

Answer 13

Dilated heart

Question 14

Which type of hypertrophy in DC ?

Answer 14

Eccentric

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Question 15

Tx of DC ?

Answer 15

1. Heart transplant
2. Na+ restriction
3. ACEi
4. ARB
5. Beta blocker
6. Spironolactone
7. ICD
8. Diuretics
9. Sacubitril

Question 15

Stress cardiomyopathy why ?

Answer 15

inc sympathetic stimulation

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Question 16

Stress cardiomyopathy other name ?

Answer 16

1. Tokotsubo Cardiomyopathy
2. Broken heart syndrome

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Question 17

Eccentric hypertrophy feature ?

Answer 17

LV RV enlarge
inc SV inc CO

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Question 18

Histo of HC ?

Answer 18

Sacromere in parallel
Concentric hypertrophy

Question 18

Mutation in Hypertrophic cardiomyopathy ?

Answer 18

myosin binding protein C & beta myosin heavy chain

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Question 19

Tx of HC ??

Answer 19

1. Beta blocker
2. CCB-Verapamil
3. ICD-if high risk

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Question 20

Which drug should be avoid in HC ?

Answer 20

1. Diuretics
2. Vasodilator

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Question 21

Hypertrophic obstructive Cardiomyopathy means—

Answer 21

LV outflow tract obstructed
=asymmetric septal hypertrophy
=systolic ant motion of mitral valve
=outflow obstruction
=dyspnea - syncope

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Question 22

Findings in Hypertrophic Cardiomyopathy?

Answer 22

1. S4
2. Systolic murmur

Question 23

Restrictive C casue ?

Answer 23

PLEASe Help
P=Postradiation fibrosis
L=Loffler endocarditis
E=Endocardial fibroelastosis
A=Amyloidosis
S=Sarcoidosis
H=Hemochromatosis

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Question 23

Endocardial fibroelastosis in which Cardiomyopathy?

Answer 23

Restrictive C

Question 24

Other cause of Concentric LV Hypertrophy ?

Answer 24

1. Chronic HTN
2. Friedreich ataxia

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