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Cardiomyopathy’s
| Question | Answer |
|---|---|
| 3. Restrictive Cardiomyopathy (RCM) | Causes * Amyloidosis * Sarcoidosis * Hemochromatosis * Radiation * Fibrosis |
| RCM | Symptoms Mostly right-sided heart failure: * Edema * Ascites * JVD Also: * Fatigue * Exercise intolerance * Dyspnea |
| RCM | Restrictive = Rigid * Stiff ventricle * Normal EF * Diastolic failure |
| HCOM | Hypertrophic = Thick * Small chamber * Normal/high EF * Diastolic failure * Risk of sudden death |
| Dialated | Dilated = Dilated and weak * Big heart * Low EF * Systolic failure |
| HCOM | * Hypertrophic cardiomyopathy → autosomal dominant, preserved EF, dynamic LV outflow tract obstruction, murmur louder with Valsalva/standing and softer with squatting, beta blockers are first-line. |
| Dilated cardiomyopathy s/s | Dilated cardiomyopathy → reduced EF, systolic heart failure, S3 gallop, guideline-directed heart failure therapy |
| RCM s/s | * Restrictive cardiomyopathy → preserved EF with impaired filling, commonly due to infiltrative diseases such as amyloidosis. |
| Hypertrophic Cardiomyopathy vs. Aortic Stenosis | HCM Aortic Stenosis Genetic Degenerative or congenital Murmur increases with Valsalva/standing Murmur decreases with Valsalva Murmur decreases with squatting Murmur increases with squatting Thick interventricular septum Calcified, narrowed aortic |
| Cardiomyopathy vs. Myocarditis | Cardiomyopathy Myocarditis Usually chronic Often acute Progressive disease Inflammation of the myocardium May be inherited Often viral or autoimmune Can eventually require transplant Many patients recover, though some progress to dilated cardiomy |