Restrictive Cardiomyopathy Flashcards

1
Q

RARE

A
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2
Q

Risk factors

A

Family history
Long term high BP
Conditions which effect heart
- Past MI
- CAD
- Infection of heart
LT Alcohol
Cocaine

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3
Q

Aetiology

A

Idiopathic
Haemochromatosis
Granulomatous disease:
Amyloidosis
Sarcoidosis
Scleroderma
Post MI fibrotic

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4
Q

Parthophysiology

A

Heart wall is rigid and has difficulty stretching, pumping
Ventricles restrict = decreased cardiac output
Bi-atrial enlargement
Impaired ventricle filling due to rigidity
Decreased cardiac output

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5
Q

Symptoms

A

Severe
Dyspnoea
S3 + s4 heart sounds
Oedema
Congestive HF

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6
Q

Signs

A

S3 + S4 heart sounds
Narrow pulse pressure =
- normally 120/180
DCM around 105/95 (there for blood stasis as decrease gradient)

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7
Q

Diagnosis

A

ECG
GOLD STANDARD = ECHO
Cardiac catheterisation

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8
Q

Treatment

A

Non - consider transplant
Treat cause.
Patient usually dies within a year

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