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27 Cards in this Set
- Front
- Back
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What are six causes of dilated CM?
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1. idiopathic
2. infective 3. ischemic 4. toxic 5. peripartum 6. metabolic |
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What are four categories of an infective cause?
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viral
bacterial fungal parasitic |
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What are four categories of a toxic cause?
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alcohol
adriamycin lead cobalt |
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What is a category of metabolic cause?
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thiamin deficiency
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What will be apparent in regard to LV walls and chamber?
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Increased LV mass with thinned walls and
dilated chamber |
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What function will be impacted and what happens to EF?
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LV systolic function
is severely reduced, 15-25% |
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What is a common infective cause of DCM?
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Chagas disease
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What will be apparent regarding LV walls with Chagas?
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posterior and apical thinning with septum usually WNL
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What is another infective cause of DCM?
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AIDS
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What does this show?
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dilated cardiomyopathy
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What are some physical signs?
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symptoms of heart failure including dyspnea, fatigue, edema
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What valves might be involved and how?
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MR and TR
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What two EKG findings might there be?
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sinus tachycardia
pulsus alternans |
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pic of pulsus alternans
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What will be noted on echo in regard to chamber size?
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multichamber enlargement
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What will be noted in regard to LV contractility?
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globally impaired
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What is one M-Mode finding that may be noted and why?
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B notch on MV due to increased LVEDP
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pic of mv b notch
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What is another M-mode finding?
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reduced MV excursion shown as double diamond
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What is a another M-mode finding that may be pressent?
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increased e-point to septal separation (EPSS) over >7mm
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increased epss
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What may be seen in regard to the aortic root?
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reduced aortic root excursion
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pic of reduced aoric root excursion
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What are two additional echo findings possible?
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small pericardial effusion
thrombus |
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What is a common solution for end-stage CM?
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heart transplant
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What two things will be significantly different on echo with a heart transplant patient?
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double atria and 2 P waves on EKG
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double atria following heart transplant
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