Cardiomyopathy Flashcards
Definition
Cardiomyopathy refers to a group of diseases that affect the heart muscle, impairing its ability to pump blood effectively. It can lead to heart failure, arrhythmias, and other complications
Dialated cardiomyopathy
- Dilated Cardiomyopathy (DCM):
Features: The heart chambers enlarge (dilate), and the heart muscle becomes weak, reducing its ability to pump blood.
Causes
Genetic mutations
Alcohol or drug toxicity
Viral infections
Autoimmune diseases
Symptoms:
Fatigue
Shortness of breath (dyspnea)
Swelling in the legs or abdomen
Irregular heartbeats
Treatment:
Medications: ACE inhibitors, beta-blockers, diuretics
Lifestyle changes: Low-sodium diet, regular exercise
Devices: Pacemakers, defibrillators
Advanced: Heart transplant
Hypertrophic
- Hypertrophic Cardiomyopathy (HCM):
Features: Thickening of the heart muscle (usually the left ventricle), which can obstruct blood flow.
Causes: Most cases are genetic.
Symptoms:
Chest pain
Shortness of breath
Dizziness or fainting
Risk of sudden cardiac death in severe cases
Treatment:
Medications: Beta-blockers, calcium channel blockers
Procedures: Septal myectomy, alcohol septal ablation
ICD for arrhythmia prevention
Restrictive cardiomyopathy
- Restrictive Cardiomyopathy (RCM):
Features: The heart muscle becomes rigid and less elastic, preventing normal filling of blood during diastole.
Causes
Amyloidosis
Sarcoidosis
Hemochromatosis
Idiopathic
Symptoms:
Fatigue
Shortness of breath
Swelling in extremities
Treatment:
Treat underlying cause
Medications: Diuretics, anticoagulants
Advanced: Heart transplant