5. Insuff. cardiaque congestive, Path. Myocardiques Path Péricardiques Hypertension artérielle pulmon.

Question 1

HCM -> Valve…?

Answer 1

in HCM there is Hypertrophie of LV, v.a. Septum
-> this creates a high velocity Flux, que attire la Valve Mitrale vers le Septum par un Effet Venturi
=> leads to LVOT Obstruction

due to repeating contact btw. Valve Mitrale & Septum -> Fibrosis
-> Insuffisance Mitrale

Question 2

Warum führt HCM zu AFib?

Answer 2

wegen Hypertroph. + Fibrotic LV hat er decr. Compliance = decr. Diastolic Remplissage -> Diastolic HF
–> Rückstau: LA Dilat. => AFib

Question 3

Alle Probleme von HCM:

Answer 3

1. Syncope
2. Angine
3. Dyspnée
4. MI
5. Oed. pulmon
6. AFib
7. VT. VFib
8. SCD

Question 4

Warum haben wir in HCM VT, VFib -> SCD?

Answer 4

bc. Ventricle = Fibrotic + Ischemic -> perfektes AR Substrat