Myocardial and pericardial diseases Flashcards

1
Q

Give 4 infections that can cause myocarditis

A

Cocksackie B, HIV, Diphtheria, Chagas disease

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2
Q

Duchenne muscular dystrophy is associated with which type of cardiomyopathy?

A

Dilated

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3
Q

What vitamin deficiency causes dilated cardiomyopathy?

A

Thiamine deficiency (wet beriberi)

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4
Q

What is the inheritance of HOCM?

A

Autosomal dominant

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5
Q

Give 2 conditions associated with HOCM

A

WPW syndrome

Friedrich’s ataxia

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6
Q

What cardiomyopathy is associated with a double pulse?

A

HOCM

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7
Q

What is the management of HOCM?

A

Refer to cardiology for implantable cardioverter-defibrillator
Beta blockers and verapamil for symptom control

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8
Q

What type of cardiomyopathy is associated with Loffler’s eosinophilic endocarditis?

A

Restrictive cardiomyopathy

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9
Q

In which chamber are cardiac myxomas most commonly found?

A

Left atrium

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10
Q

How do atrial myxomas classically present?

A

Stroke
Mitral stenosis
Constitutional symptoms

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11
Q

What is the most common cause of pericarditis in developed countries?

A

Viral

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12
Q

What is the most common cause of pericarditis in developing countries?

A

Tuberculosis

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13
Q

What are the indications for admission in pericarditis?

A

Suspicion of underlying cause or one of the following 4 factors: fever>38 degrees, subacute onset over several days to weeks, large effusion >20mm on echocardiogram/evidence of tamponade, no response to initial anti-inflammatory therapy

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14
Q

What is the purpose of colchicine in pericarditis?

A

Reduce risk of recurrence

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15
Q

How long after pericarditis should you avoid competitive physical activity?

A

3 months

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16
Q

What is Kussmaul’s sign?

A

JVP rises paradoxically with inspiration (most associated with constrictive pericarditis)

17
Q

What is Beck’s triad?

A

Hypotension, raised JVP and muffled heart sounds

18
Q

What is pulsus paradoxus?

A

> 10mmHg drop in BP with inspiration