OME/Cardio/Cardiomyopathy Flashcards

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1
Q

What physiologically happens in a dilated cardiomyopathy

A

The heart chamber(s) of the heart get stretch to the point were the actin/mysoin overlap is small

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2
Q

What type conditions can lead to a dilated cardiomyopathy?

A

Any condition that leads to an increase of blood with chamber ischemia, valve, dz, infection, metabolic or idiopathic

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3
Q

What can a Cardiomyopathy lead to?

A

Heart failure (similar signs/symptoms)

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4
Q

What is the Tx for dilated cardiomyopathy

A

Same as heart failure due to (NYHA criteria)

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5
Q

Dilated cardiomyopathy can be diagnosed using?

A

X-ray (shows enlarged heart)

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6
Q

Hypertrophic cardiomyopathy is most commonly due to?

A

An autosomal dominant condition where the heart muscles become enlarged (hypertrophy)

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7
Q

hypertrophy vs hyperplasia

A

increase in size vs increase in numbers

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8
Q

What is the main concern with hypertrophic cardiomyopathy?

A

An enlargement of the septum that blocks aortic

output->sudden death

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9
Q

Hypertrophic cardiomyopathy is common in?

A

Kids

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10
Q

What else should be check with an automomal dominant dz?

A

first degree relatives of pts with automomal dominant dz

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11
Q

Tx for hypertrophic cardiomyopathy

A

Tx like heart failure:
1-Beta blockers ( allows for ventricle to fill more and free aortic opening)
2-No exercise to avoid dehydration
Ablation (tissue removal)

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12
Q

What is a happens restrictive cardiomyopathy?

A

A condition where the heart muscles can not relax to let ventricle fill

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13
Q

Common causes of restrictive cardiomyopathy

A

1-Deposits from:Amyloid/sacroidosis/hemochromotosis

2-cancer/fibrosis (MI)

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14
Q

What is a cardiomyopathy?

A

Abnormality of the heart muscles

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15
Q

What types of cardiomyopathy exist?

A

Dilated (muscle has poor contraction)
Hypertrophic (muscle to big)
Restrictive (muscle can relax)

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16
Q

Pt with bronzing of the skin thin?

A

Hemochromotosis-> cirrhosis/cardiomyopathy/diabetes

17
Q

Hemochromotosis causes?

A

cirrhosis/cardiomyopathy/diabetes

18
Q

Pts with Amyloidosis deposits usually present with signs of?

A

Peripheral neuropathy

19
Q

Tests to diagnose restrictive cardiomyopathy

A

Ferratin levels/genetic testing

20
Q

Tests to diagnose amyloidosis

A

fat biopsy

21
Q

Tests to diagnose sarcoidosis

Tests to confirm sarcoidosis

A
cardiac MRI (helps to determine anatomy and function)
endocardial biopsy ( done last since so invasive)
22
Q

Tx for restrictive cardiomyopathy

A
Tx like heart failure
gentle diuretics (maintain preload)
23
Q

Tx for Hemochromotosis

A

phlebotomy