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17 Cards in this Set

  • Front
  • Back

Hypertrophic Cardiomyopathy (HCM)

-Disease of the sarcomere


-preserved systolic but impaired diastolic

Beta myosin heavy chain

-Part of myosin motor unit


->35% - 50% frequency


Cardiac Troponin T

-Anchors Troponin to Tropomyosin


-15%-20%

Cardiac myosin binding protein C

-Anchors myosin to Titin


->15%-20%

Dilated Cardiomyopathy (DCM)

-Disease of cardiac cytoskeleton


-left ventricular enlargement and systolic dysfunction


-often in association with arrhythmias


-sarcomere contracts with less force

Glycogen Cardiomyopathy

-Defects in genes of metabolism that are associated with lysosome


-Glycogen desposition

Pompe disease

-Recessive


-1,4 glucosidase (GAA) deficiency)

Danon Disease

-X linked


-lysosome associated membrane protein (LAMP2) deficient

Fabry disease

-X linked


-galactosidase A (GLA) deficient


-Dilated cardiomyopathy

PRKAG2

Gamma 2 subunit of AMP activated kinase

Restrictive Cardiomyopathy (RCM)

-normal or decreased volume of ventricles and Atrial enlargement


-impaired ventricular filling


-Troponin I (TNNTI3)

Arrhythmogenic right ventricular Cardiomyopathy (ARVC)

-disease of desmosome


-right ventricle myocytes replaced with fatty or fibrofatty cells


-Begins at epicardium and extends to subendocardium

Long QT syndrome

-Repolarization disorder


-Prolonged QT interval


-Syncopal episodes, lethal torsades de pointes tachyarrhytmias


-Recessive form associated with deafness


-Little K+ (KCNQ1) efflux or prolonged Na+(SCN5A), Ca2+ influx


-treat with Beta Blocker

Short QT syndrome

-Sudden death


-Short QT interval


-Repolarization sped up by outward current


-Gain of function mutation (KCNH2, KCNQ1, KCNJ2)


-K+ efflux

Brugada syndrome

-ST segment elevation in the right Precordial leads


-risk of sudden cardiac death


-Autosomal Dominant


-SCN5A, SCN1B loss of function (Sodium)


Cardiac Conduction disease and sinus dysfunction

-Loss of function of Sodium channel complex (SCN5A, SCN1B)


-leads to conduction disease


-SCN5A- lead to recessive sick sinus syndrome


-HCN4 - encodes cardiac pacemaker channel- mutation causes Autosomal dominant sinus node dysfunction

Catecholaminergic polymorphic ventricular tachycardia

-Autosomal Dominant


-Ryanodine receptor channel mutation (RYR2)


-Too much calcium released


-triggered by adrenergic stimuli



-Recessive form- CASQ2 mutation encodes calsequestrin (Ca2+ reservoir)


-more severe