Myocardial & Pericardial Disease

Question 1

Peripartum or postpartum CMP treatment :

Answer 1

Bromocriptine

Question 2

ECG findings of :
🫀 dilated CMP:
🫀 HOCM:
🫀 restrictive CMP:

Answer 2

🫀 dilated CMP: AFib
🫀 HOCM: LVH
🫀 restrictive CMP: low voltage QRS

Question 3

Treatment of HCOM

Answer 3

• ß-blockers
• non-DHP CCB “verapamil”
• surgical myomectomy
• ICD if has syncope, VT/VF or FHx of sudden cardiac death

Question 4

In patients of HCOM or restrictive CMP
Medications you should avoid : […] & […]

Answer 4

Digoxin
Nitrates

Question 5

Criteria of Acute Pericarditis

Answer 5

2/4:

Pleuritic chest pain
Pleural effusion
Pericardial rub
ECG changes (diffuse ST elevation or PR depression)

Question 6

[…] signs that present with both constrictive pericarditis and restrictive CMP

Answer 6

Kussmal
Paradoxical 🔝JVD on inspiration

Question 7

Diagnostic test with highest value for Pericarditis :

Answer 7

Cardiac MRI ( or CT )

Question 8

15% of pericarditis present with […]

Answer 8

Cardiac temponade

Question 9

Pericarditis treatment :

Answer 9

NSAIDs / Colchicine
Steroid in some cases ( SLE / TB)
❌No NSAIDs for peri-infarction pericarditis

Question 10

Triad of Cardiac temponade

Answer 10

Beck’s triad
1. Low BP
2. JVD
3. Muffled heart sounds

Question 11

ECG findings of cardiac tamponade :

Answer 11

Electrical alternans

Question 12

Best diagnostic test for Cardiac tamponade :

Answer 12

Echo

Question 13

Compare Constrictive pericarditis & Cardiac tamponade presentation :

Answer 13

Constrictive Pericarditis … Tamponade
Chronic Acute
No hypotension 🔻BP
🩺: normal Muffled
JVD JVD
JVP: prominent X & Y JVP: 🔺X 🚫Y

Cardiac cath: elevation & equalization of ALL heart chambers