Cardiomyopathy Flashcards
How to surely diagnose Dilated Cardiomyopathy
Echo: says it’s dilated. duh
Dilated Cardiomyopathy Treatment
CHF sympotm focused:
BBlocker
ACEi
Diuretics.
Stop the offending agent
Definitive Tx: transplant
Hypertrophic Obstructive Cardiomyopathy Pathophysiology
Genetics and Sarcomeres.
Hypertrophic Obstructive Cardiomyopathy Clinical Features
Sistolic Murmur as in AS
Young athlete w Dyspnea, syncope, or Sudden Cardiac Death
Hypertrophic Obstructive Cardiomyopathy Dx
Echo: says “asymmetric”
Hypertrophic Obstructive Cardiomyopathy Treatment
Avoiding Dehydration
none exercise
BBlock + CCB (verap/diltiaz)
Qx: alchohol ablation
myectomy
AICD
Transplant
Hypertrophic Obstructive Cardiomyopathy additional measures on management
1st degree relatives screening
Concentric Hypertrophy Pathology
HTN. Diastolic HF
Concentric Hypertrophy Dx
Echo: concentric
Concentric Hypertrophy Tc
Diastolic CHF
avoid dehydration
Rate and HTN control: BB . CCB
Transplant
Restrictive cardiomyopathy Pathology
amyloid. sarcoid or hemochromatosis.
DIA CHF
Restrictive cardiomyopathy Dx
Echo: restrictive pattern. Speckled patter=amyloid. Patchy= sarcoid.
What tho look in a patient with amyloid etiology on RCM
neuropathy.
Make a fat pad Biopsy
What tho look in a patient with sarcoid etiology on RCM
pulmonary disease.
Get a cardiac MRI and an endomyocardial biopsy
What tho look in a patient with hemochromatosis etiology on RCM
Cirrhosis. DM.
Ask Ferritin, and then for genetic test
