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28 Cards in this Set
- Front
- Back
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Normal EF?
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55% or more
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When does post partum dilated cardiomyopathy occur?
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from 3rd trimester up to 5 months post delivery
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How many post partum cardiomyopathy pts end up with progressive HF?
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25%
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How many post partum cardiomyopathy pts normalize? future risk?
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25% normalize
50% may recur w/ subsequent pregnancy |
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Gender and Race in relation to idiopathic dilated cardiomyopathy?
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3 times more frequent in blacks and males than whites and women
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Mortality rate of HF in dilated cardiomyopathy vs typical HF patient?
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10-50% in first year for DC
11-13% for typical HF |
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How many cases of CHF in US are due to DCM?
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about 25%
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% of DCM that is idiopathic?
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50%
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Reversible causes of DCM?
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Boozing
Pregnancy Thyroid Disease (hyper or hypo) Cocaine Use Chronic Uncontrolled Tachycardia |
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When do Sx's of CHF present in DCM?
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after months or years of remodeling
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Clinical Manifestations of DCM?
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Gradual Onset
Vague Chest Pain Angina implies CAD Syncope due to arrhythmias and/or emvolism = BAD |
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Physical and CXR of DCM?
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looks like CHF
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ECG in DCM?
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vague
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Is Restrictive Cardiomyopathy Diastolic or Systolic?
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DIASTOLIC
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Three Causes of RCM i need to know?
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Amyloidosis
Hemochromatosis Sarcoidosis |
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Clinical Findings w/ RCM?
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Dec CO
Inc Filling Pressure DOE Distended Jugular Veins "Distant" Heart sounds and S3 and S4 |
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Murmur that is indicative of HCM?
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Systolic Murmur at LLSB and Apex that INCREASES IN INTENSITY WHEN GOING FROM SQUATTING TO STANDING
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EF in HCM?
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near 90%
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2 Key features of HCM?
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Asymmetric LV Hypertrophy
Dynamic LV Outflow Tract Pressure Gradient (only in 25% of pts) |
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HCM is diastolic or systolic?
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DIASTOLIC
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% of HCM w/ family history?
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50%
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what can be the first clinical manifestation of HCM?
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sudden death
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Most common complaint in symptomatic HCM pts?
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dyspnea
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Other possible sx's of HCM?
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angina
fatigue syncope |
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Physical Exam finding of HCM?
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Double or Triple Apical PMI
Rapidly Rising Carotid Pulse S4 HALLMARK = SYSTOLIC MURMUR |
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3 Mechanisms in Dynamic Pressure Gradient?
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Inc LV Contractility
Dec Ventricular Volume (preload) Dec Aortic Impedance and Pressue (afterload) |
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HCM Murmur Kickers
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Systolic
can be Holosystolic at apex Mitral Regurge **Increases w/ maneuvers that Dec LV Volume (standing, valsalva) ***Decreases w/ Squatting (inc VR) |
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Rx for HCM
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Avoid strenuous exercise, dehydration
Give CCB's (nondihyrdo), BB's Dual Chamber Pacing Surgical Myectomy Ethanol Ablation |
