Cardiomyopathy (main)

Revisión del 02:48 20 may 2011 de Jswartz (discusión | contribs.) (Created page with "==Dilated Cardiomyopathy== ===Background=== *Idiopathic form accounts for 25% of CHF ===Diagnosis=== *CHF symptoms *CXR **Cardiomegaly, pulm venous htn *ECG **LV hypertrophy, poo...")
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Dilated Cardiomyopathy

Background

  • Idiopathic form accounts for 25% of CHF

Diagnosis

  • CHF symptoms
  • CXR
    • Cardiomegaly, pulm venous htn
  • ECG
    • LV hypertrophy, poor R wave progression

Treatment

  • Similar to CHF exacerbation
  • Ensure exacerbation not due to ischemia

Hypertrophic Cardiomyopathy

Background

  • Abnormal LV diastolic function due to decr compliance

Diagnosis

  • Exertional dyspnea, chest pain, syncope
  • ECG
    • LV hypertrophy, upright Ts and prominent Qs

Treatment

  • Syncope + HCM = admission

Restrictive Cardiomyopathy

Background

  • Must distinguish from constrictive pericarditis

Diagnosis

  • Consider if CHF but no e/o cardiomegaly or systolic dysfunction

Treatment

  • Symptom directed (diuretics and ACEI)
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