MBcHB Flashcards

1
Q

Symptoms of outflow tract obstruction?

A

Syncope, angina

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2
Q

Signs and symptoms of HCM?

A

jerky pulse
forceful or double apical impulse
4th Heart Sound,
mid systole murmur exacerbated by Valsalva manoeuvre (30-40% of patients)

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3
Q

Which sound and murmur in HCM?

A

4th heart sound

Mid systole murmur

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4
Q

Signs and symptoms of RCM?

A

rapid x and y descent of the JVP

loud 3rd and 4th Heart Sound.

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5
Q

Left ventricular cardiomyopathy ECG features?

A

Increased voltage and ST

Mainly negative in II and III

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6
Q

When is HCM high risk?

A
  • NSVT
  • Syncope
  • LV >30mm
  • Low BP on ETT
  • Family history of SCD
  • specific mutations
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7
Q

Different morphologies of HCM?

A

Asymmetric septal hypertrophy (65%)
Symmetric or concentric LV hypertrophy (20-25%)
Apical 10%

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