cardiomyopathy

Question 1

most common type of cardiomyopathy

Answer 1

dilated

Question 2

what organism can cause myocarditis –> dilated cardiomyopathy

Answer 2

coxsackie, HIV, diptheria, chagas

Question 3

what substances can cause dilated cardiomyopathy

Answer 3

alcohol and cocaine (and doxorubicin)

Question 4

what can cause dilated cardiomyopathy in women

Answer 4

pregnancy

Question 5

what genetic conditions is assoc esp with dilated cardiomyopathy

Answer 5

duchenne muscular dystrophy

Question 6

what nutirional deficiency can lead to restrictive cardiomyopathy

Answer 6

thiamine –> wet beri beri

Question 7

what dysfunction is seen in dilated cardiomyopathy

Answer 7

dilated chambers –> systolic dysfunction

Question 8

presentation + murmur dilated cardiomyopathy

Answer 8

HF // systolic murmur // S3

Question 9

what imaging can be done for dilated cardiomyopathy

Answer 9

Xray –> dilated

Question 9

what cardiomyopathy causes sudden cardiac death in young people

Answer 9

hypertrophic obstructive (HOCM)

Question 10

inhertience of HOCM

Answer 10

dominant

Question 11

what dysfunction is seen in HOCM

Answer 11

diastolic (decreased compliance –> decreased CO)

Question 12

what is seen on biopsy of HOCM

Answer 12

myofibrillar hypertyophy + disorganised myoctes + fibrosis

Question 13

symptoms HOCM

Answer 13

on exercise: SOB + syncope // double apex beat // jerky pulse // systolic murmur (decrease on squatting, increase valsalva)

Question 14

what causes sudden death in HOCM

Answer 14

ventricular arrhythia

Question 15

what is assoc with HOCM

Answer 15

WPW + friedreichs ataxia

Question 16

what is seen on echo HOCM

Answer 16

MR SAM ASH: mitral regurg // stsolic anterior motion // asymmetric hypertrophy

Question 17

ECG HOCM

Answer 17

large Q waves // T wave inversion

Question 18

HOCM mx

Answer 18

ABCD: amiodarone // BB (or verapamil) // cardio defib // dual chamber pacemaker

Question 19

drugs to avoid in HOCM

Answer 19

nitrates // ACEi // inotropes

Question 20

what type of inheritance is arrhythmogenic right ventricular cardiomyopathy

Answer 20

dominant - varying penetrance

Question 21

what is the pathology of arrhythmogenic right ventricular cardiomyopathy

Answer 21

right ventricle myocardium replaced by fat

Question 22

presentation arrhythmogenic right ventricular cardiomyopathy

Answer 22

palpitations, syncope, sudden death

Question 23

ECG arrhythmogenic right ventricular cardiomyopathy

Answer 23

T wave inversion V1-3 // terminal notch in QRS (epsilon wave)

Question 24

imaging arrhythmogenic right ventricular cardiomyopathy

Answer 24

echo or MR

Question 25

mx arrhythmogenic right ventricular cardiomyopathy (3)

Answer 25

sotalol // cathater ablation // implantable cardio defib

Question 26

what is naxos disease

Answer 26

recessive varient arrhythmogenic right ventricular cardiomyopathy // woolly hair

Question 27

what is takotsubo cardiomyopathy

Answer 27

apical ballooning at the bottom of the heart which does not contract whilst top of heart does contract

Question 28

symptoms takotsubo cardiomyopathy

Answer 28

chest pain, HF

Question 29

ECG takotsubo cardiomyopathy

Answer 29

ST elevation

Question 30

echo takotsubo cardiomyopathy

Answer 30

normal ;)

Question 31

where is the mutation in HOCM

Answer 31

B-myosin heavy cheam

Question 32

what is restrictive cardiomyopathy

Answer 32

lack of compliance