Clinical: Cardiomyopathies

Question 1

According to the WHO/ISFC TASK FORCE from 1995, what are the different kinds of cardiomyopathies?

Answer 1

Question 2

What are the three main types of primary cardiomyopathies?

Answer 2

Question 3

What are the seven main types of secondary causes cardiomyopathies?

Answer 3

Question 4

Give the classical clinical presentations of cardiomyopathies?

Answer 4

Question 5

HYPERTROPHIC CARDIOMYOPATHY

• What is special about the incidence of this?
• What usually enlarges?
• What kind of genetic inheritance does it usually display?
• What is notable about any murmors and pain associated with it?

Answer 5

Question 6

HYPERTROPHIC CARDIOMYOPATHY

• What will an ECG show? Echocardiogram?

Answer 6

Question 7

HYPERTROPHIC CARDIOMYOPATHY

• What are the goals of treatment?
• What is the first line therapy?
  
  • What are therapies/treatments do you evaluate for?​
• What population does this have high mortality in?
  
  • What should/can these people do?

Answer 7

Question 8

ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA/CARDIOMYOPATHY (ARVD/C)

• How prevalent is this?
• What kind of protein is implicated, and what does this do the heart wall?
• At what age do patients present with this, and what signs/symptoms can be observed?
  
  • What should these patients avoid?
• What will an ECG show? Echo?
• How do you treat this?

Answer 8

Question 9

DILATED CARDIOMYOPATHY

• What age does this occur usually?
• What is special about this CM and surgery?
• What happens to the ventricles, and what symptoms follow this change?
• How do you Dx this?

Answer 9

Question 10

RESTRICTIVE CARDIOMYOPATHY

• What happens to the ventricles? Atria?
• What areas of the world is this most common in?
• What happens to the endomyocardium?
• What symptoms often are present?
• What do you see on a chest x-ray?
• What would an ECG show?

Answer 10

Question 11

RESTRICTIVE CARDIOMYOPATHY

• What would an echo show?
• What is the goal of treatment, and how would you manage the volume overload seen in RCM?
• What do you also want to evaluate the patient for?

Answer 11

Question 12

PERIPARTUM CARDIOMYOPATHY

• What is heart chamber is this associated with, and what happens to it?
• When does this occur during pregnancy?
• What are the associated risk factors?
• What condition presents with similar signs/symptoms/findings
• What type of HTN would an echo show?
• What drugs do you avoid/give?

Answer 12

Question 13

TAKOTSUBO CARDIOMYOPATHY

• What the hell is this BS?
• Who usually gets it?
• What overarching condition does it have the same presentation as?
  
  • What heart chamber is involved? What happens to it?
• How do you treat it?

Answer 13