CMO Cardiomyopathy

Question 1

what is the most common CMO

Answer 1

dilated CMO

Question 2

causes of dilated CMO

Answer 2

idiopathic
family history
valve heart disease
IHD
hypertension
infection
drugs and alcohol

Question 3

signs and symptoms of Dilated CMO

Answer 3

decreased cardiac output
palpitations, syncope, dyspnea
chest pain
thrombus
effusion

Question 4

dilated CMO on echo

Answer 4

thin walls
gross dilatation on the heart
smoke appearance of blood
possible thrombus in apex

Question 5

dilated CMO on m mode

Answer 5

increased MV e to septal seperation
decreased MV excursion
MV double diable
B notch due to increased pressures

Question 6

hypertrophic CMO etiology

Answer 6

idipathic
genetics
microscopic disorganized fibers of the myocardial

Question 7

type of hypertrophic CMO

Answer 7

1. asymmetric septal hypertrophy
2. concentric hypertrophy
3. mid ventricular hypertrophy
4. provocable
5. non obstructive (apical hypertrophy)

Question 8

hypertrophic CMO symptoms

Answer 8

DYSPNEA ON EXERTION!
nocturnal dyspnea
CHEST PAIN ESPECIALLY WITH EXERCISE
PALPITATIONS

Question 9

WHICH TESTING IS THE GOLD STANDARD TO ASSESS AND DIAGNOSE HCMO

Answer 9

ECHO

Question 10

IVS and LVPW ratio asymmetrical hypertrophy classification

Answer 10

1.3/1.0

Question 11

what hypertrophic CMOs have SAM

Answer 11

1. idiopathic hypertrophic subaortic stenosis
2. concentric hypertrophic CMO

Question 12

hypertrophic CMO on echo

Answer 12

small lv cavity
MR
LAE

Question 13

hypertrophic CMO on M mode

Answer 13

ASH
SAM
small LV
AOV NOTCHING
LAE

Question 14

how to doppler to rule out lvoto

Answer 14

start PWD in the mid ventricular
if present velocity will increase 2 m/s

Question 15

shape of LVOTO doppler signal

Answer 15

late peaking dagger shape

Question 16

what can you perform to aquire if a hypertrophic CMO is provocable

Answer 16

valsalva manuever

Question 17

does valsalva increase or decrease venous return to the heart

Answer 17

decrease

Question 18

least common CMO

Answer 18

infiltrative/restrictive CMO

Question 19

infiltrative/restrictive CMO results in

Answer 19

stiff rigid walls that impede diastolic filling

Question 20

infiltrative/restrictive CMO primarily effects what part of the heart

Answer 20

the ventricles

Question 21

infiltrative/restrictive CMO symptoms

Answer 21

excessive fatigue/poor exercise tolerance
swelling
SOB at night

Question 22

types of infiltrative/restrictive CMO

Answer 22

amyloidosis
sarcoidosis
hemochromatosis
glycogen storage disease

Question 23

which type of infiltrative/restrictive CMO is the most common

Answer 23

amyloidosis

Question 24

infiltrative/restrictive CMO on echo

Answer 24

ventricular hypertrophy in both ventricles
ground glass appearance of myocardium
small to nomal LV
biatrial enlargement
regurg

Question 25

doppler of infiltrative/restrictive CMO

Answer 25

large E and small A
WITHOUT RESPIRATORY CHANGES