MBcHB Flashcards
1
Q
Symptoms of outflow tract obstruction?
A
Syncope, angina
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)
3
Q
Which sound and murmur in HCM?
A
4th heart sound
Mid systole murmur
4
Q
Signs and symptoms of RCM?
A
rapid x and y descent of the JVP
loud 3rd and 4th Heart Sound.
5
Q
Left ventricular cardiomyopathy ECG features?
A
Increased voltage and ST
Mainly negative in II and III
6
Q
When is HCM high risk?
A
- NSVT
- Syncope
- LV >30mm
- Low BP on ETT
- Family history of SCD
- specific mutations
7
Q
Different morphologies of HCM?
A
Asymmetric septal hypertrophy (65%)
Symmetric or concentric LV hypertrophy (20-25%)
Apical 10%
