Cardiomyopathy Flashcards
Peripartum cardiomyopathy
Last month of pregnancy up to 5 months of delivery >30 years Multi parity Black Preeclampsia Vaccine use Usually reversible
Dilated causes
50% idiopathic may be genetic DCM Etoh Cocaine Phenothiazine Chemo agents dauno, Doxo,sutan,trastuzumab, cyclophosphamide and bleomycin
Alcohol induced cardiomyopathy
Woman have increased sensitivity
8 beers a day for 5 years
Poss reversible
Tachycardia induced
Pjrt
Afib
PVC >20,000 a day
Takosubu
Short ST elevation Stress Post menopausal CHF 15% Shock 10% Recurrence 3.7% Catecholamines Use betablockers poss ?acei
HIV
Patients not receiving HAART
Muscular dystrophy
Dystrophin
Duchenne
Becker mild disease but severe cardiac
Anthracyclin induced
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
Athletes vs hypertrophs
Athletes lvedd >45 decreases with less training
Hypertrophs
Avoid ionotrophs, diuretics and dilators
Consider BB , ca blockers, DDD pacing but no studies
Myomectomy mortality 0.8% less icd duscharges after myomectomy
Hypertrophs
Icd for previous arrest Sustained VT Family history LVH>30 Syncope BP drop with exercise May be non sustained VT
Restrictive
Small LV large atria
Myocarditis
Coxsackie Adeno Hep Cmv Influenza
Myocarditis
Acute has better prognosis than subacute cases
Late gadolinium enhancement MRI
Follow up 1-3 mos
Echo 1,6,12 mos
Giant cell
Rapidly progressive
T cell
Treat with steroids and thymomodulin and calcination inhibitors
Chagas
Heart failure
Heart Block
Death
Treat the parasite
Lyme
Conduction abnormalities no pacer
Good prognosis
Lupus
Systolic and diastolic
Waxes and wanes
Conduction delay
Biopsy monoclonal
Hypersensitivity
Remove the cause
Amyloid
Tick ventricle low voltage no treatment Kussul sign Poss treatment with chemo and stem cell JVD prom Xand Y Apple green birefringence LVH
Sarcoidosis
Advanced av block Regional aneurysm Positive stress test Fibrosis Treatment Steroids ablation low threshold for icd
Hemochromatosis
Cheating agents
T2 MRI
Fabry
X linked family history chest pain normal coronaries
LVH
RF
