Cardiomyopathy

Question 1

Cardiomyopathy?

Answer 1

Primary disease of the myocardium, cardiomyopathy may be dilated, hypertrophic restrictive.

Question 2

Cardiomyopathy risk factors for dilated?

Answer 2

post-viral myocarditis, alcohol, drugs, familial, thyrotoxicosis, haemochromatosis, peripartum

Question 3

Cardiomyopathy risk factors for hypertrophic?

Answer 3

50% are genetic

Question 4

Cardiomyopathy risk factors for restrictive?

Answer 4

amyloidosis, sarcoidosis, haemochromatosis

Question 5

Cardiomyopathy symptoms dilated?

Answer 5

symptoms of heart failure, arrhythmias, thromboembolism, family hist of sudden death.

Question 6

Cardiomyopathy symptoms hypertrophic?

Answer 6

usually no symptoms, syncope, angina, arrhythmias, fam hist of sudden death.

Question 7

Cardiomyopathy symptoms restrictive?

Answer 7

dyspnoea, fatigue, arrhythmias, ankle or abdo swelling, fam hist of sudden death.

Question 8

Cardiomyopathy signs dilated?

Answer 8

raised JVP, displaced apex beat, functional mitral and tricuspid regurgitations, third heart sound.

Question 9

Cardiomyopathy signs hypertrophy?

Answer 9

jerky carotid pulse, double apex beat, ejection systolic murmur

Question 10

Cardiomyopathy signs restrictive?

Answer 10

raised JVP, palpable apex beat, third heart sound, ascites, ankle oedema, hepatomegaly

Question 11

Cardiomyopathy investigations CXR?

Answer 11

cardiomegaly and signs of heart failure

Question 12

Cardiomyopathy investigations ECG?

Answer 12

all types have no-specific ST changes, conduction defects, arrhythmias, restrictive has low voltage complexes, hypertrophic has left axis deviation.

ECG of dilated

Question 13

Cardiomyopathy investigations echocardiography?

Answer 13

dilated has dilated ventricles with global hypokinesia, hypertrophic has ventricular hypertrophy, restrictive has normal ventricles but atrial enlargement, diastolic dysfunction

Question 14

left Axis deviation ECG?

Answer 14