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Flashcards in Myocardial disease Deck (37)
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1

Acute myocarditis definition

Inflammation of myocardium

2

Causes of acute myocarditis

Idiopathic

Viral

Bacterial

Spirochchaetes

Drugs

Vasculitis

3

Viral causes of acute myocarditis

Flu

Hepatitis

Mumps

Coxsackie

4

Bacterial causes of myocarditis

Clostridia

Diphtheria

TB

Meningococcus

5

Spirochaetes causes of acute myocarditis

Leptospirosis

Syphilis

Lyme

6

Drug causes of acute myocarditis

Cyclophosphamide

Herceptin

Penicillin

Choramphenicol

7

Sx of acute myocarditis

Fatigue

SOB

Chest pain

Fever

Palpitations

8

Ix for acute myocarditis

ECG - ST elevation/depression

Positive troponin I or T

9

How to rule out acute myocarditis

Negative antimyosin scintigraphy

10

Mx of acute myocarditis

Supportive

Rx cause

11

Dilated cardiomyopathy definition

Dilated, flabby heart

Unknown cause

12

Associations of Dilated cardiomyopathy

Alcohol

HTN

Haemochromatosis

Thyrotoxicosis

Peri- or post partum

13

Presentation of dilated cardiomyopathy

Fatigue

SOB

Pulmonary oedema

RVF

AF

14

Signs of dilated cardiomyopathy

Low BP

Tachycardia

Displaced apex

Mitral/Tricuspid regurgitation

Hepatomegaly

15

Ix for dilated cardiomyopathy

CXR cardiomegaly

Raised BNP

Echo

16

Echo findings in dilated cardiomyopathy

Globally dilated hypokinetic heart

Low ejection fraction

17

Mx of dilated cardiomyopathy

8 points

DABAD BIT

Bed rest

Diuretics

Digoxin

ACEi

Anticoagulation

Biventricular pacing

ICD

Transplant

18

Hypertrophic cardiomyopathy definition

Left ventricle outflow tract obstruction

Due to asymmetrical septal hypertrophy

19

Epidemiology of hypertrophic cardiomyopathy

Leading cause of sudden cardiac death in young

Ask FH of sudden death

 

Would have been useful in the OSCE

20

Causes of hypertrophic cardiomyopathy

Autosomal dominant

Sporadic

21

Mutations common in hypertrophic cardiomyopathy

Genes encoding:

- Beta myosin

- Alpha tropomyosin

- Troponin T

22

Sx of hypertrophic cardiomyopathy

Sudden death

Angina

SOB

Palpitations

Syncope

CCF

Ejection systolic murmur

23

Ix for hypertrophic cardiomyopathy

ECG

Echo

Exercise tests

24

ECG findings in hypertrophic cardiomyopathy

LVH

Deep Q waves

Progressive T wave inversion

Wolf Parkinson White syndrome

AF

VT

25

Echo findings in hypertrophic cardiomyopathy

Asymmetrical septal hypertrophy

 

26

Mx of hypertrophic cardiomyopathy

Beta blocker or Verapamil

Amiodarone

Anticoagulation

Dual chamber pacing

Septal myomectomy

ICD

27

Methods of septal myomectomy

Surgical

Chemical with alcohol

 

28

Causes of restrictive cardiomyopathy

Idiopathic

Amyloidosis

Haemochromatosis

Sarcoidosis

Scleroderma

29

Presentation of restrictive cardiomyopathy

Similar to constrictive pericarditis

RVF

Hepatomegaly

Ascites / oedema

30

Diagnosis of restrictive cardiomyopathy

Cardiac catheterization