deck_3745743 Flashcards
Features of Restrictive Cardiomyopathy?
EF 25-50%LV >60mmLV wall thickness ~/increasedAtrial size increased ++Mitral, tricuspidExertionalSOB, fluid retention.R congestive SxAF, and if amyloid/sarcoid ventricular arrhythmias or conduction block
Features of Hypertrophic Cardiomyopathy?
EF >60%LV reducedLV wall thickness increased ++Atrial size increased +++MRExertionalSOB, Chest PainL congestive Sx -lateVT, AF
Work up for cardiomyopathy?
Hx, examFamily History: CHF, Cardiomyopathy, skeletal myopathy, conduction disorder, tachyarrhthmia, sudden death.ETOH, drugs, chemo, RT.Ability to do ADLs?Bloods, ECG, CXR, ECHO.Consider acute viral PCR, HIV, Chagas/Lyme/Toxoplasmosis.AngiogramSerology for rheumatologyEndomyocardial biopsyESS +/- SS ?OSA
Features of Dilated Cardiomyopathy?
EF >30%LV diastolic dimension >60mmReduced LV thickness Increased atrial size Assoc mitral (early) and tricuspid (late) regurg.1st sx SOBOEAssoc VT, AF