Cardiomyopathy

Question 0

Major Criteria For IE Dx

Answer 0

+ blood culture
New/ changed murmur
Intracardiac mass/ vegetation

Question 1

Most Common Cause of Sudden Death ( healthy young ppl)

Answer 1

Hypertrophic Cardiomyopathy (HCM)

Question 2

Pericarditis

Hallmark

Answer 2

Pericardial friction run

Question 4

Coronary arteries are pro fused during

Answer 4

Diastole

Question 5

Occlusion of the right coronary artery –>

Answer 5

Infarction -- inferior & posterior LV
Affects conduction (SA & AV nodes)--> inferior wall MI

Question 6

CMP

Answer 6

Cardiomyopathy

Question 7

Cardiomyopathy

Answer 7

grp of myocardium (heart muscle) diseases that affect structure and function

chronic

Question 8

Leading cause of heart transplantation

Answer 8

CMP

Question 9

Primary cause of CMP

Answer 9

Idiopathic (unknown)

Question 10

Most common type of CM

Answer 10

Dilated Cardiomyopathy (DCM)
Eventually leads to HF

Question 11

DCM (Causes)

Answer 11

Often occurs after infection myocarditis

Possible autoimmune process

Question 12

DCM

Answer 12

Decreased contractility
Ventricular dilation
Inflam. & rapid degen. of myocardial fibers

Question 13

Dilated, enlarged ventricles/ Atria –>Cardiomegaly
Thinned Wall
Systolic Dysfunx –>decreased CO
Stasis of blood in LV

Answer 13

Characteristics of DCM

Question 14

Symptoms Of DCM

Answer 14

Activity intolerance, fatigue, weakness
Dyspnea at rest, PND, orthopnea
Dry cough
Palpitations
Abdominal bloating, anorexia, N/V

Question 15

Signs of Dilated Cardiomyopathy

Answer 15

Irregular HR, S3/S4, murmur
Crackles
Edema, weak peripheral pulses, pallor
Hepatomegaly, Emboli

Question 16

DCM BP

Answer 16

Normal to Low

Question 17

Goal in TX of DCM

Answer 17

Enhance Contractility & decrease afterload
Focus on improving CO
Tx underlying cause (palliative not curative)

Question 18

Dilated Cardiomyopathy Medications

Answer 18

Control HF

Nitrates, Loop Diuretics, Ace Inhibitors, Beta Blockers, Anticoagulation, Antidysrhythmics, & AICD

Question 19

AICD

Answer 19

Automatic Implantable Cardiac Defibrillator

Question 20

HCM is most common in

Answer 20

men 30-40 yrs old

Question 21

usually dx in athletes in late adolescence or early adulthood (AA)

Answer 21

HCM

Question 22

PTSMA

Answer 22

Percutaneous Transluminal Septal Myocardial Ablation

Question 23

Percutaneous Transluminal Septal Myocardial Ablation

Answer 23

Surgical Therapy for HCM