Cardiomyopathy Flashcards

1
Q

Describe what dilated cardiomyopathy is.

A

Dilatation and resulting functional impairment of all the chambers (can rarely cause impairment to one chamber)

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2
Q

In which cardiomyopathy is the ventricular function impaired?

A

Dilated cardiomyopathy

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3
Q

In which cardiomyopathy is the systolic function impaired?

A

Restrictive and infiltrate cardiomyopathy
(However it may not be impaired in some cases)
Hypertrophic cardiomyopathy has some functional abnormality

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4
Q

In which cardiomyopathy does the ventricular wall have reduced compliance?

A

Restrictive and infiltrate

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5
Q

What can septal hypertrophy with mitral valve defect cause?

A

Left ventricular outflow tract obstruction

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6
Q

What is the main pathophysiology of hypertrophic cardiomyopathy?

A

Impaired relaxation- systolic function is normally adequate with some functional abnormality

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7
Q

What is the measurement of wall thickness which indicates hypertrophy?

A

14mm

12mm in primary relative

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8
Q

In which cardiomyopathy is thrombosis formation in chambers uncommon?

A

Dilated cardiomyopathy

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9
Q

In familial hypertrophic cardiomyopathy, what is the gene defect?

A

Sarcomere gene defect

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10
Q

In familial hypertrophic cardiomyopathy, describe the prevalence in terms of genetics.

A

It is autosomal dominant
But there is variable expression and incomplete pen trance
50% chance inheriting the gene
But how it is expressed isn’t known until time passes

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11
Q

What are the causes of restrictive and infiltrate cardiomyopathy?

A

Infiltration
Non infiltrative
Storage diseases
Endomyocardial

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12
Q

What inherited disease can cause dilated cardiomyopathy?

A

Muscular dystrophy

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13
Q

In which cardiomyopathy could a patient develop LBBB?

A

Restrictive and infiltrate cardiomyopathy

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14
Q

What type can haemochromatosis cause?

A

Constrictive and infiltrate cardiomyopathy

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15
Q

What is the gene responsible for familial dilated cardiomyopathy?

A

SCN5A

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16
Q

In which type is a notched pulse found?

A

Hypertrophic CM

17
Q

In which type of PND and orthopnoea found?

A

Dilated CM

18
Q

In which type is the use of diuretics limited?

A

Restrictive and infiltrate

19
Q

What type causes major oedema - peripheral, sacral and pulmonary?

A

Dilated CM

20
Q

What test can be carried out to identify if Fabrys is the cause? And what type of CM can Fabrys disease cause?

A

Restrictive CM

Measure plasma alpha galactosidase levels as they are reduced in Fabrys disease

21
Q

What can fabrys and amyloid cause in restrictive CM?

A

Iron overload

22
Q

What is the surgical treatment if there is severe restrictive obstruction in hypertrophic CM?

A

Surgical or alcohol septal ablation