Cardiomyopathy Flashcards
1
Q
Rapid Y descent
A
Restrictive CM
Or
Constrictive pericarditis
2
Q
Do NOT participate in competitive athletics if :
A
ARVD
LV noncompaction
3
Q
HCM vs Athlete heart
A
HCM
LVEDd < 45 mm, LVH, LAE, decrease e’ velocity
Athlete
EDd > 55 mm
Supernormal exercise capacity
4
Q
HCM murmur
Worse with…
A
Increased valsalva
Squat to stand (decrease preload)
Exercise
Improves with handgrip (increase afterload)
5
Q
HCM genes
A
Beta myosin heavy chain
MYosin bonding protein C
Troponin T
11+ others
6
Q
HCM fam screening
Adolescents/competitive athletes
Adults
FAm with + gene
A
Q12-18 months
Q5yr
Gene testing
7
Q
HCM SCD RFs
3 major
2 that require another RF
A
Unexplained syncope
LVH > 3cm
FH SCD
NSVT
Abnl stress BP response
8
Q
Loss of Y descent
A
Tamponade
9
Q
Pressor for HOCM patient
A
Phenylephrine
