Cardiomyopathy Flashcards

1
Q

What is hypertrophic cardiomyopathy?

A

Inherited, strong contraction, diastolic dysfunction, late stage functional outflow constriction in aorta from compression

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2
Q

Hypertrophic cardiomyopathy is a common cause of sudden death in ?

A

Athletes

esp. football players, hint hint

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3
Q

What is restrictive cardiomyopathy?

A
Stiff ventricle walls resist filling 
Reduce EDV (ESV is normal or increased)
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4
Q

What causes restrictive cardiomyopathy?

A

Idiopathic (?genetic)
End myocardial fibrosis
Infiltrative disorder
Following radiation therapy

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5
Q

What is found on histology of dilated cardiomyopathy?

A
Myocardial cell hypertrophy (increase length)
Large bizarrely shaped nuclei
Myocyte atrophy 
Myofilmanet loss
Increased interstitial fibrosis
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6
Q

What are non-histological features of dilated cardiomyopathy?

A

Increase systolic and diastolic volume

Decreased ejection fraction

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7
Q

Incidence of dilated cardiomyopathy increase with?

A

Age

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8
Q

What is arrythmogenic cardiomyopathy?

A

Right ventricular cardiomyopathy

Heart muscle replaced y fibrous and fatty tissue

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9
Q

What are symptoms/signs of cardiomyopathy?

A

Dyspnoea
Fatigue
Oedema
Orthopnoea

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10
Q

The symptoms of cardiomyopathy are related to?

A

Heart failure

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11
Q

What are arrythmia-related symptoms of cardiomyopathy?

A

Palpitations
Dizziness
Syncope
Sudden death

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12
Q

What symptoms are caused by outflow tract obstruction?

A

Syncope

Angina

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13
Q

What are signs of hypertrophic cardiomyopathy?

A
Jerky pulse 
Wave in JVP 
Double apex beat
S4 
Mid diastolic murmur exacerbated by valsalva manoeuvre
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14
Q

What are signs of dilated cardiomyopathy?

A
Increased pulse
Decreased BP
Increased JVP 
Displaced diffuse apex
S3
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15
Q

Arrythmogenic cardiomyopathy causes?

A

Ventricular arrhythmias of RV origin which may lead to sudden death

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16
Q

How do you treat cardiomyopathy? (all)

A
ACEI/ARB
Beta-blocker
CCB
Diuretic
Anticoagulant 
AAD
17
Q

What are examples of rate-limiting CCBs?

A

Verapamil

Diltiazem

18
Q

What is the treatment for arrythmogenic cardiomyopathy?

A

AADs
Radiofrequency ablation of VT
ICD if ventricular arrhythmias or high risk of SCD

19
Q

What are the risks of ICD implantation?

A
Inappropriate intervention
Lead malfunction
Infection 
Displacement 
Can increase scarring