Other cardiac pathologies Flashcards
Myocarditis =
inflammation of cardiac muscle
Myocarditis is commoner in ___
youths
Symptoms of myocarditis:
fever, chest pain, palpitations (causes arrhythmia), SOB (causes HF)
Causes of myocarditis:
coxsackie A+B viruses
echovirus
other viruses eg. influenza
Diagnosis of myocarditis is confirmed by ____
throat swab and stool = enteroviruses
throat swab = influenza
BOTH => viral PCR
Main cause of pericarditis is bacterial/viral
can be caused by either
viral
3 main types of inherited cardiomyopathies
Hypertrophic
Arrhythmogenic RV
Dilated
Hypertrophic CM in 60% is due to ___ gene mutation
1st + 2nd commonest =
sacromeric
MYBPC3 -> MYH7
Major cause of sudden cardiac death in young athletes =
HOCM
Dilated cardiomyopathy is more common in ___(sex)
__+___/___ genes may be affected
males
sacromere + desmosomal
OR dystrophin if X-linked
ARVC (arrhythmogenic RV cardiomyopathy is due to ____
autodom in __ genes
autorecessive in ___ genes
fibro-fatty replacement of cardiomyocytes
autodom in desmosomal
autorecessive in nondesmosomal
____ screening is used for inherited cardiac conditions as is more effective than population screening
Cascade
if +ve case then screen 1st and 2nd degree relatives
Reverse tick (ST depression and inverted T waves in V5-6) caused by
digoxin toxicity
Small T waves and prominent u waves on ECG seen in
hypokalaemia
tall tented t waves and widened QRS, absent p waves seen in
hyperkalaemia ECG