Cardiomyopathy

Question 0

Peripartum cardiomyopathy

Answer 0

Last month of pregnancy up to 5 months of delivery
>30 years
Multi parity
Black
Preeclampsia 
Vaccine use
Usually reversible

Question 1

Dilated causes

Answer 1

50% idiopathic may be genetic DCM
Etoh
Cocaine 
Phenothiazine 
Chemo agents dauno, Doxo,sutan,trastuzumab, cyclophosphamide and bleomycin

Question 2

Alcohol induced cardiomyopathy

Answer 2

Woman have increased sensitivity
8 beers a day for 5 years
Poss reversible

Question 3

Tachycardia induced

Answer 3

Pjrt
Afib
PVC >20,000 a day

Question 4

Takosubu

Answer 4

Short ST elevation 
Stress
Post menopausal
CHF 15%
Shock 10%
Recurrence 3.7%
Catecholamines
Use betablockers poss ?acei

Question 5

HIV

Answer 5

Patients not receiving HAART

Question 6

Muscular dystrophy

Answer 6

Dystrophin
Duchenne
Becker mild disease but severe cardiac

Question 7

Anthracyclin induced

Answer 7

More than 550 gm/ m2
Usually 3 mos to a year can occur upto 10 years
Associated radiation DM,HTN, other agents, poor nutrition
Dexarazoxane Coreg and ace may help and prevent

Question 8

Athletes vs hypertrophs

Answer 8

Athletes lvedd >45 decreases with less training

Question 9

Hypertrophs

Answer 9

Avoid ionotrophs, diuretics and dilators

Consider BB , ca blockers, DDD pacing but no studies

Myomectomy mortality 0.8% less icd duscharges after myomectomy

Question 10

Hypertrophs

Answer 10

Icd for previous arrest
Sustained VT
Family history
LVH>30
Syncope
BP drop with exercise
May be non sustained VT

Question 11

Restrictive

Answer 11

Small LV large atria

Question 12

Myocarditis

Answer 12

Coxsackie
Adeno
Hep
Cmv
Influenza

Question 13

Myocarditis

Answer 13

Acute has better prognosis than subacute cases
Late gadolinium enhancement MRI
Follow up 1-3 mos
Echo 1,6,12 mos

Question 14

Giant cell

Answer 14

Rapidly progressive
T cell
Treat with steroids and thymomodulin and calcination inhibitors

Question 15

Chagas

Answer 15

Heart failure
Heart Block
Death
Treat the parasite

Question 16

Lyme

Answer 16

Conduction abnormalities no pacer

Good prognosis

Question 17

Lupus

Answer 17

Systolic and diastolic
Waxes and wanes
Conduction delay
Biopsy monoclonal

Question 18

Hypersensitivity

Answer 18

Remove the cause

Question 19

Amyloid

Answer 19

Tick ventricle low voltage no treatment
Kussul sign
Poss treatment with chemo and stem cell
JVD prom Xand Y
Apple green birefringence
LVH

Question 20

Sarcoidosis

Answer 20

Advanced av block
Regional aneurysm
Positive stress test 
Fibrosis
Treatment 
Steroids ablation low threshold for icd

Question 21

Hemochromatosis

Answer 21

Cheating agents

T2 MRI

Question 22

Fabry

Answer 22

X linked family history chest pain normal coronaries
LVH
RF