Flashcards in Cardiomyopathies Deck (45):
3 chemo therapies that can cause DCM
Organic solvent that causes DCM
Party drugs that can cause DCM
Heavy metals that can cause DCM
Antiretrovirals that can cause DCM (3)
Time frame for peripartum CM
Last month of pregnancy to 5 mo's after
Risk factors for peripartum CM
h/o preeclampsia or postpartum HTN
Drug of choice in pregnant women instead of ACEI
Population at risk of Takotsubo
Percent risk of ventricular arrhythmias?
Recurrence rate for Takotsubo
Bugs causing HIV focal myocarditis
Inheritance pattern of muscular dystrophies.
Which is worse (Becker's or Duchenne's) for CM?
When should you suspect anthracycline induced CM (daunorubicin)?
Dose dependent> 550mg/m2
3-12 months after.
Can occur upto 10y later
If high doses of daunorubicin needed,what med to give to avoid CM?
Dexrazoxane, ACEI, BB
Difference in LVEDD b/w HCM and athlete
HCM: LVEDD <45
What type of activity is OK with HCM?
3 factors making SAM worse in HOCM
Decreased resistance (vasodilator)
Preferred Rx in HOCM (myomectony vs. septal ablation)
LV wall thickness in HOCM
7 risk factors are needed to place ICD in HOCM. Not including VT/VF/SCA, what are the 5 other risk factors?
Fam hx of SCD
LV thickness > 3cm
Recent unexplained syncope
BP drop w/ exercise
Do steroids help for myocarditis
Treatment for myocarditis with reduced LV function
Will you see myofiber necrosis on biopsy of myocarditis?
8 common viral Pathogens causing myocarditis
Which biomarkers are more sensitive in myocarditis?
What do you see on MRI of myocarditis
Do you do routine bx for myocarditis?
Rx and followuo of myocarditis
Echo at 1, 6, and 12
Giant cell myocarditis is progressive and often fatal, Rx?
Giant cell myocarditis- which immune cell?
Is biopsy high yield?
Acute phase treatment of chagas HF?
3 cardiac issues Lyme will cause
Lyme carditis bug and treatment and serologies
2 things to remember about lupus CM
Can wax and wane- treat the lupus flare
Systolic and diastolic dysfxn
What does cardiac bx show in lupus?
Fever, rash, peripheral eos and eos on cardiac bx.
Dx and Rx?
Remove any offending meds and give steroids
Hoarseness, macroglossia, neuropathy, proteinuria, swallowing disorder, RUQ tenderness. Exam: JVD w/ prom x and y descent, pleural effusions, hepatomegaly, edema, KUSSMAUL's and S3 & S4. Dx, echo, EKG, Bx findings.
Speckled appearance, LVH
Apple green birefringence
Management of transthyretin gene mutant cardiac amyloid
Family genetic testing
Which amyloid has better prognosis (senile or AL)?
2 studies that are high yield to diagnose amyloid
MRI (late gad)
Nuclear and echo findings with cardiac sarcoid
Do you get late gad enhancement on MRI with cardiac sarcoid?
Exact treatment for cardiac sarcoid
Corticosteroids 1mg/kg we'd x 3 months
Low threshold for ICD
Common secondary cause for cardiac hemochromatosis