inherited cardiac conditions Flashcards

1
Q

Inheritied cardiomyopathy conditions?

A
  • ARVC

- Hypertrophic cardiomyopathy

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2
Q

Inherited channelopathy conditions?

A
  • Long QT syndrome

Brugada syndrome

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3
Q

Inherited aortopathy conditions?

A
  • marfans syndrome

- helps danlos

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4
Q

Cardiomyopathy meaning?

A
  • heart muscle abnormality
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5
Q

Channelopathy meaning?

A
  • heart rhythm abnormality
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6
Q

Aortopathy meaning?

A
  • arterial blood vessel abnormality
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7
Q

How do channelopathies arise? what genes are effected?

A
  • mutations in genes that encode the cardiac ion channels
  • mainly affects depolarisation
  • AF in a young person??
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8
Q

The most frequent long QT syndrome mutation protein?

A
  • potassium voltage gated channel
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9
Q

Long QT syndrome can be a _______ dominant mutation

A
  • autosomal dominant
  • 50% chance passing on to children
  • can be an autosomal recessive - deafness (less common)
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10
Q

What is Torsades de pointes?

A
  • is a specific form of polymorphic ventricular tachycardia in patients with a long QT interval
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11
Q

Treatment and management of long QT syndrome?

A
  • beta blockers
  • diet rich in potassium
  • if severely bradycardia - pacemaker
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12
Q

What is the mutation associated with brugada syndrome?

A
  • mutations in the sodium channels
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13
Q

Brugada syndrome is autosomal _____?

A
  • autosomal dominant
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14
Q

Management of brugada syndrome?

A
  • not a drug treatment
  • avoid triggers
  • avoid drugs that may induce brugada changes on ECG
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15
Q

What mutation is associated with hypertrophic cardiomypoathy?

A
  • mutation in sarcomeric genes
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16
Q

What is hypertrophic cardiomyopathy?

A
  • a condition in which a portion of the heart becomes thickened without an obvious cause.
  • This results in the heart being less able to pump blood effectively.
17
Q

What is dilated cardiomyopathy?

A
  • a condition in which the heart’s ability to pump blood is decreased because the heart’s main pumping chamber, the left ventricle, is enlarged and weakened.
18
Q

What are the benefits of S-ICD

A
  • subcutaneous ICD
  • prevention of vascular complications
  • better cosmetic and functional outcome
  • lead extraction safe
19
Q

Disadvantages or transvenous ICD

A
  • high risk off vascular and cardiac complications in life time of patient
  • cosmetic and functional issues (seat belts, shoulder bags etc.)
  • lead extraction has high risk of mortality