Cardiomyopathy

Question 1

What is described as diseases that affects the heart muscle and its ability to pump effectively?

Answer 1

Cardiomyopathy

Question 2

What is the most common type of cardiomyopathy that can cause HF?

Answer 2

Dilated cardiomyopathy

Question 3

What is happening to the heart in dilated cardiomyopathy?

Answer 3

Muscles of ventricles thickened and ballooned out causing thin walls and reduced CO.
(weak contractions, thinned walls, normal filling)

Question 4

What are some clinical manifestations of dilated cardiomyopathy?

Answer 4

• -L/R sided HF
• -S3 and S4 gallop
• -Orthopnea
• -Paroxysmal Nocturnal dyspnea
• -JVD

Question 5

What type of thrombi is common in dilated cardiomyopathy?

Answer 5

mural thrombi

Question 6

What can cause dilated cardiomyopathy?

Answer 6

• -alcoholism

- -myocarditis

Question 7

What can cause hypertrophic cardiomyopathy?

Answer 7

Chronic HTN

Question 8

What is going on in Hypertrophic cardiomyopathy (HCM)?

Answer 8

The ventricle walls thicken, Which restricts filling (reduces preload), then reduces CO
(thick walls, small ventricle area for filling)

Question 9

What are some clinical manifestations of HCM?

Answer 9

• -Loud S4
• -angina
• -Syncope

Question 10

What meds should be avoided in a person with HCM that decrease preload?

Answer 10

Nitrates, diuretics, morphine

Question 11

What meds should be avoided in a person that has HCM that increase preload?

Answer 11

Dopamine, Digoxin, Isoproterenol

Question 12

Describe Restrictive cardiomyopathy?

Answer 12

When the right ventricle is rigid causing a problem with filling. This leads to reduced SV and CO.

Question 13

What are some manifestations of RCM?

Answer 13

• -RSHF
• -JVD
• -S3 and S4 gallop
• -mitral regurgitation murmur

Question 14

What type of treatment is not a viable option for RCM?

Answer 14

Transplantation

Question 15

What are some ways to improve CO in a patient with cardiomyopathy?

Answer 15

• -Rest
• -Position legs down
• -O2