Myocardial and pericardial diseases Flashcards
Give 4 infections that can cause myocarditis
Cocksackie B, HIV, Diphtheria, Chagas disease
Duchenne muscular dystrophy is associated with which type of cardiomyopathy?
Dilated
What vitamin deficiency causes dilated cardiomyopathy?
Thiamine deficiency (wet beriberi)
What is the inheritance of HOCM?
Autosomal dominant
Give 2 conditions associated with HOCM
WPW syndrome
Friedrich’s ataxia
What cardiomyopathy is associated with a double pulse?
HOCM
What is the management of HOCM?
Refer to cardiology for implantable cardioverter-defibrillator
Beta blockers and verapamil for symptom control
What type of cardiomyopathy is associated with Loffler’s eosinophilic endocarditis?
Restrictive cardiomyopathy
In which chamber are cardiac myxomas most commonly found?
Left atrium
How do atrial myxomas classically present?
Stroke
Mitral stenosis
Constitutional symptoms
What is the most common cause of pericarditis in developed countries?
Viral
What is the most common cause of pericarditis in developing countries?
Tuberculosis
What are the indications for admission in pericarditis?
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
What is the purpose of colchicine in pericarditis?
Reduce risk of recurrence
How long after pericarditis should you avoid competitive physical activity?
3 months