Congestive (dialated)

Question 1

What are the 6 etiologies of congestive cardiomyopathy?

Answer 1

-idiopathic
-infective (viral, bacterial, fungal, parasitic, chagas)
-peripartium
-toxic ( lead, combalt, adriamyain, alcohol)
-Metabolic (thiamin deficiency)
- ischemic

Question 2

Is Metabolic an etiology for DCM? If so, elaborate

Answer 2

Yes. Thiamin deficiency.

Question 3

What is adriamycin?

Answer 3

Cancer drug

Question 4

With DCM impairment of what function occurs?

Answer 4

Systolic dysfunction

Question 5

What are the 3 symptoms of DCM?

Answer 5

Syncope
Fatigue
Edema

Question 6

What murmurs are usually present with congestive cardiomyopathy?

Answer 6

MR & TR murmurs

Question 7

True or false- Brady cardia occurs with DCM?

Answer 7

False- tachycardia occurs

Question 8

Pulsus _____ occurs with DCM

Answer 8

Alternans

Question 9

What is pulsus alternans?

Answer 9

Alternating strong and weak pulses

Question 10

What kind of heart rate occurs with DCM?

Answer 10

Sinus tachycardia

Question 11

Is DCM regionally or globally impaired LV contractility ?

Answer 11

Globally

Question 12

What’s the cause of B-notch on m-mode?

Answer 12

Increased LVEDP

Question 13

What is seen on m-mode when there’s Increased LVEDP?

Answer 13

B-notch

Question 14

What does a B-notch look like?

Answer 14

E wave, A wave, then a small bump at the end that looks like a third wave

Question 15

True or false- a thrombus may be found in DCM?

Answer 15

True

Question 16

True or false- a small PE may be present during congestive cardiomyopathy?

Answer 16

True

Question 17

With DCM you’ll have a _____ EPSS with a measurement of > _____

Answer 17

Increased
>7mm

Question 18

Reduced MV excursion looks like what on m-mode?

Answer 18

Double diamond

Question 19

The double diamond appearance occurs with?

Answer 19

The mitral valve. When there’s decreased MV excursion.

Question 20

True or false- they’re may be regurgitation of all valves with DCM?

Answer 20

True

Question 21

A typical EF in a dilated or hypertrophic cardiomyopathy patient might be?

-15-25%
-30-40%
-40-50%
-60-70%

Answer 21

-15-25%