Cardiac Myopathies Overview

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Questions and Answers

Which of the following family history findings increases the risk of Hypertrophic Obstructive Cardiomyopathy?

  • History of hypothyroidism.
  • History of hypertension.
  • History of syncope or exertion. (correct)
  • History of high cholesterol.

What is the typical pattern of inheritance for Hypertrophic Obstructive Cardiomyopathy?

  • Multifactorial inheritance.
  • Autosomal recessive.
  • X-linked dominant.
  • Autosomal dominant. (correct)

Hypertrophic Obstructive Cardiomyopathy primarily causes which type of dysfunction?

  • Both systolic and diastolic dysfunction.
  • Systolic dysfunction.
  • Diastolic dysfunction. (correct)
  • Valvular dysfunction.

Where is the murmur associated with Hypertrophic Cardiomyopathy typically located and does it usually radiate to?

<p>Left sternal border, radiating to the suprasternal notch. (A)</p> Signup and view all the answers

What is the expected change in murmur intensity in Hypertrophic Obstructive Cardiomyopathy with an increase in preload?

<p>The murmur gets softer. (A)</p> Signup and view all the answers

A patient with Hypertrophic Obstructive Cardiomyopathy has a decreased preload, how will the murmur intensity change?

<p>The murmur will become louder (D)</p> Signup and view all the answers

What physiological change occurs in the left ventricle due to Hypertrophic Obstructive Cardiomyopathy?

<p>Left Ventricular Hypertrophy (D)</p> Signup and view all the answers

A patient with a heart murmur, which is loudest at the left sternal border, what is the typical radiation location for a murmur associated with Hypertrophic Cardiomyopathy?

<p>To the suprasternal notch (A)</p> Signup and view all the answers

Which of the following best describes the relationship between murmur volume and preload in Hypertrophic Obstructive Cardiomyopathy?

<p>Increased preload, softer murmur (D)</p> Signup and view all the answers

Is it common or uncommon for a congenital heart murmur to radiate to the suprasternal notch?

<p>It is common (D)</p> Signup and view all the answers

Which of the following best describes the diastolic function in a patient with Hypertrophic Obstructive Cardiomyopathy?

<p>Significantly impaired diastolic relaxation (A)</p> Signup and view all the answers

What is the primary cause of the abnormal murmur observed in Hypertrophic Obstructive Cardiomyopathy?

<p>Obstruction of blood out of the left ventricle (C)</p> Signup and view all the answers

In the context of Hypoplastic Left Heart Syndrome, what is the primary function of prostaglandin?

<p>To ensure the PDA remains open until a heart transplant. (C)</p> Signup and view all the answers

What is the most critical intervention needed for a patient diagnosed with Hypoplastic Left Heart Syndrome?

<p>Emergent heart transplant. (C)</p> Signup and view all the answers

During systole, which heart chambers undergo contraction?

<p>Ventricles. (C)</p> Signup and view all the answers

In the context of cardiac cycle, what does 'S' in systole refer to?

<p>Squeeze (A)</p> Signup and view all the answers

Which valves close during the first heart sound (S1) in systole?

<p>Tricuspid and mitral valves. (C)</p> Signup and view all the answers

Which phase of the cardiac cycle does the heart sound S1 correspond to?

<p>Systole. (D)</p> Signup and view all the answers

Which phase of the cardiac cycle is associated with the heart sound S2?

<p>Diastole. (D)</p> Signup and view all the answers

What is the primary activity of the ventricles during the diastolic phase associated with S2?

<p>Ventricles relax and fill with blood. (C)</p> Signup and view all the answers

What is often the first noticeable symptom of right-sided heart failure?

<p>Peripheral edema. (A)</p> Signup and view all the answers

In the context of heart failure, what is the primary cause of blood backing up into the body, leading to peripheral edema?

<p>Right-sided heart failure. (C)</p> Signup and view all the answers

What is the primary reason prostaglandin is administered in the context of Hypoplastic Left Heart Syndrome?

<p>To maintain patency of the ductus arteriosus (C)</p> Signup and view all the answers

Which type of medical intervention is critical for a patient with Hypoplastic Left Heart Syndrome?

<p>Emergent heart transplant (A)</p> Signup and view all the answers

During systole, what is the primary mechanical action of the ventricles?

<p>Contraction and pumping blood (C)</p> Signup and view all the answers

Which heart valves are responsible for the closure sound known as S1?

<p>Tricuspid and mitral valves (D)</p> Signup and view all the answers

What does the term 'Squeeze' refer to in relation to the cardiac cycle?

<p>Contraction phase of the heart (B)</p> Signup and view all the answers

What is S2 associated with in the cardiac cycle?

<p>Diastole when ventricles fill (D)</p> Signup and view all the answers

What is the first symptom typically observed in patients with right-sided heart failure?

<p>Peripheral edema (C)</p> Signup and view all the answers

Why might a patient with right-sided heart failure experience a chronic cough?

<p>Due to a habit from smoking (B)</p> Signup and view all the answers

What causes blood to back up into the body in right-sided heart failure?

<p>Inadequate pumping action of the right heart (B)</p> Signup and view all the answers

What condition is also known as left-sided dilated cardiomyopathy?

<p>Congestive heart failure (A)</p> Signup and view all the answers

What effect does increased preload have on the murmur intensity in Hypertrophic Obstructive Cardiomyopathy?

<p>The murmur gets softer (C)</p> Signup and view all the answers

What is the effect of decreased preload on the murmur associated with Hypertrophic Obstructive Cardiomyopathy?

<p>The murmur becomes louder (D)</p> Signup and view all the answers

In the case of Hypertrophic Obstructive Cardiomyopathy, which type of problem is primarily associated?

<p>Systolic problem (B)</p> Signup and view all the answers

What characterizes the murmur associated with Hypertrophic Obstructive Cardiomyopathy in terms of radiation?

<p>It radiates to the suprasternal notch (B)</p> Signup and view all the answers

What is the impact of Hypertrophic Obstructive Cardiomyopathy on the left ventricle?

<p>Causes left ventricular hypertrophy (D)</p> Signup and view all the answers

Which of the following factors increases the risk of Hypertrophic Obstructive Cardiomyopathy specific to family history?

<p>Family history of syncope with exertion (C)</p> Signup and view all the answers

Is it common for congenital heart murmurs to radiate toward the suprasternal notch?

<p>It is common (A)</p> Signup and view all the answers

In Hypertrophic Obstructive Cardiomyopathy, an increase in preload would most likely result in which change to the associated murmur?

<p>Decreased intensity (B)</p> Signup and view all the answers

The murmur of Hypertrophic Obstructive Cardiomyopathy is typically heard loudest at which location and does it radiate primarily to?

<p>Left sternal border radiating to the suprasternal notch (D)</p> Signup and view all the answers

What is the specific effect of Hypertrophic Obstructive Cardiomyopathy on the left ventricle's structure?

<p>Left ventricular hypertrophy (A)</p> Signup and view all the answers

When considering the murmur in Hypertrophic Obstructive Cardiomyopathy, its intensity will increase in which condition?

<p>Decreased preload (B)</p> Signup and view all the answers

What is the main reason for syncope with exertion, specifically seen in patients with Hypertrophic Obstructive Cardiomyopathy?

<p>Decreased cardiac output due to outflow obstruction during exertion (D)</p> Signup and view all the answers

How would you classify the inheritance pattern of Hypertrophic Obstructive Cardiomyopathy?

<p>Autosomal dominant (B)</p> Signup and view all the answers

The primary issue with Hypertrophic Obstructive Cardiomyopathy is a problem with which?

<p>The contraction of the heart (B)</p> Signup and view all the answers

What is the primary purpose of administering antiarrhythmics to patients with Hypertrophic Obstructive Cardiomyopathy (HOCM)?

<p>To prevent ventricular tachycardia, fibrillation or asystole. (A)</p> Signup and view all the answers

Which drug class encompasses both Amiodarone and Disopyramide, frequently prescribed for patients diagnosed with HOCM?

<p>Antiarrhythmics (B)</p> Signup and view all the answers

What is the fundamental role of the right side of the heart?

<p>To receive deoxygenated blood from the body and send it to the lungs. (C)</p> Signup and view all the answers

Which anatomical structures constitute the right side of the heart?

<p>Right atrium and right ventricle. (A)</p> Signup and view all the answers

In patients with Congestive Heart Failure (CHF), how does the level of Brain Natriuretic Peptide (BNP) typically change?

<p>BNP levels increase. (D)</p> Signup and view all the answers

In the context of CHF, is the meniscus sign typically seen on a chest X-ray?

<p>It is commonly seen. (A)</p> Signup and view all the answers

An elevated BNP in a patient with CHF is a strong indicator of what?

<p>CHF decompensation. (A)</p> Signup and view all the answers

What is the underlying cause of the meniscus sign observed on a chest X-ray in patients with CHF?

<p>Fluid accumulation causing a buildup that spills over the costophrenic angle. (C)</p> Signup and view all the answers

What are Kerley lines caused by in a patient with Congestive Heart Failure?

<p>Lymphatic engorgement and pulmonary edema (A)</p> Signup and view all the answers

In cases of CHF, what characteristic change occurs in the left ventricular walls during hypertrophy?

<p>Thinning of the walls. (B)</p> Signup and view all the answers

Right-sided heart failure due to cor pulmonale primarily results from which of these?

<p>Pulmonary hypertension (A)</p> Signup and view all the answers

A patient with cor pulmonale may present with a specific type of venous distension. Which of the following is most consistent with this?

<p>Jugular vein distension (C)</p> Signup and view all the answers

Which of the following reflexes is specifically associated with right-sided heart failure?

<p>Hepatojugular Reflux (A)</p> Signup and view all the answers

Which liver condition/finding is most associated with right heart failure due to cor pulmonale?

<p>Hepatomegaly (A)</p> Signup and view all the answers

A common symptom that may be present in a patient with cor pulmonale is:

<p>Pitting leg edema (B)</p> Signup and view all the answers

In the context of cor pulmonale, how does right ventricular output change?

<p>Decreases (B)</p> Signup and view all the answers

What is the most common underlying cause of cor pulmonale?

<p>COPD (C)</p> Signup and view all the answers

What changes occur to BNP levels in individuals with right heart failure due to cor pulmonale?

<p>BNP levels increase (C)</p> Signup and view all the answers

Which heart sound would be most common when auscultating a patient with cor pulmonale?

<p>S3 (B)</p> Signup and view all the answers

What is the primary mechanism that leads to ascites in right-sided heart failure from cor pulmonale?

<p>Venous backup due to decreased pumping efficiency (D)</p> Signup and view all the answers

What type of heart dysfunction characterizes Restrictive Cardiomyopathy?

<p>Diastolic dysfunction (C)</p> Signup and view all the answers

Which of the following is NOT a common symptom associated with Restrictive Cardiomyopathy?

<p>Chest pressure (D)</p> Signup and view all the answers

What characteristic feature do the ventricles exhibit in patients with Restrictive Cardiomyopathy?

<p>Rigid ventricles (C)</p> Signup and view all the answers

Which of the following conditions is associated with scarring of heart tissue in Restrictive Cardiomyopathy?

<p>Scleroderma (D)</p> Signup and view all the answers

In Restrictive Cardiomyopathy, jugular distention occurs with which action?

<p>Inspiration (A)</p> Signup and view all the answers

Which symptom would most likely NOT be expected in a patient with Restrictive Cardiomyopathy?

<p>Increased appetite (C)</p> Signup and view all the answers

Which of the following is a main cause of Restrictive Cardiomyopathy characterized by heart tissue damage?

<p>Scarring from radiation (B)</p> Signup and view all the answers

Venticular rigidity in Restrictive Cardiomyopathy primarily affects which phase of the cardiac cycle?

<p>Diastole (A)</p> Signup and view all the answers

Which of the following statements about the hemodynamics of Restrictive Cardiomyopathy is true?

<p>Elevated filling pressures occur (D)</p> Signup and view all the answers

What is the primary reason the right atrium experiences blood backup in right heart failure?

<p>The right ventricle is too weak to propel deoxygenated blood forward. (D)</p> Signup and view all the answers

Which class of drugs is frequently prescribed to manage arrhythmias in patients with Hypertrophic Obstructive Cardiomyopathy?

<p>Antiarrhythmics (D)</p> Signup and view all the answers

What is the function of the right side of the heart?

<p>To collect deoxygenated blood from the body and send it to the lungs. (B)</p> Signup and view all the answers

Which of the following structures are components of the right side of the heart?

<p>Right atrium and right ventricle (D)</p> Signup and view all the answers

In the context of right heart failure, what is the first structure to show signs of blood overload?

<p>Right atrium (A)</p> Signup and view all the answers

What can happen if a patient with High Outflow Obstruction Cardiomyopathy (HOCM) is not treated effectively?

<p>They may experience syncope during physical exertion. (B)</p> Signup and view all the answers

How does the right ventricle contribute to the overall function of the heart?

<p>It sends deoxygenated blood to the pulmonary arteries. (D)</p> Signup and view all the answers

What is the ultimate effect of a weak right ventricle in the context of cardiovascular health?

<p>Backup of deoxygenated blood into the right atrium. (C)</p> Signup and view all the answers

What effect does Hypertrophic Obstructive Cardiomyopathy have on the left ventricle's outflow?

<p>Causes outflow obstruction (D)</p> Signup and view all the answers

Hypertrophic Obstructive Cardiomyopathy primarily causes which type of ventricular dysfunction?

<p>Diastolic dysfunction (D)</p> Signup and view all the answers

Which type of arrhythmia is commonly associated with Hypertrophic Obstructive Cardiomyopathy?

<p>Ventricular arrhythmia (D)</p> Signup and view all the answers

Which diagnostic test is best suited for assessing the electrical activity related to Hypertrophic Obstructive Cardiomyopathy?

<p>Electrocardiogram (EKG) (B)</p> Signup and view all the answers

What is the main purpose of prescribing Beta Blockers for patients with Hypertrophic Obstructive Cardiomyopathy?

<p>To increase preload (B)</p> Signup and view all the answers

What is the primary diagnostic test for identifying the physical deformities associated with HOCM?

<p>Echocardiogram (B)</p> Signup and view all the answers

What type of pulses are commonly observed in patients with Restrictive Cardiomyopathy?

<p>Weak pulses (A)</p> Signup and view all the answers

Which of the following best describes the presence of ascites in Restrictive Cardiomyopathy?

<p>Ascites is common (B)</p> Signup and view all the answers

What is the typical presentation of edema associated with Restrictive Cardiomyopathy?

<p>Leg pitting edema (B)</p> Signup and view all the answers

What liver condition is frequently associated with Restrictive Cardiomyopathy?

<p>Hepatomegaly (D)</p> Signup and view all the answers

What specific heart sound is associated with atrial blood being forced into a stiff ventricle in Restrictive Cardiomyopathy?

<p>S4 (D)</p> Signup and view all the answers

Among the different types of cardiomyopathies, how is Restrictive Cardiomyopathy characterized in terms of prevalence?

<p>The least common (B)</p> Signup and view all the answers

What voltage characteristic is typically observed on an EKG in Restrictive Cardiomyopathy?

<p>Low voltage EKG (A)</p> Signup and view all the answers

Which heart rhythm abnormality is frequently associated with Restrictive Cardiomyopathy?

<p>Atrial Fibrillation (C)</p> Signup and view all the answers

What is the primary diagnostic test used to identify Restrictive Cardiomyopathy?

<p>Echocardiogram (B)</p> Signup and view all the answers

What is a typical characteristic of the myocardium seen on echocardiogram in Restrictive Cardiomyopathy patients?

<p>Non-dilating myocardium (D)</p> Signup and view all the answers

Flashcards

Hypertrophic Obstructive Cardiomyopathy

A condition causing thickening of the heart muscle that obstructs blood flow.

HOCM inheritance pattern

Hypertrophic Obstructive Cardiomyopathy is usually inherited in an autosomal dominant manner.

Murmur location in HCM

The murmur of Hypertrophic Cardiomyopathy is heard at the left sternal border and can radiate.

HCM response to preload increase

In Hypertrophic Obstructive Cardiomyopathy, the murmur becomes softer with increased preload.

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Effect of HCM on the ventricle

Hypertrophic Obstructive Cardiomyopathy causes Left Ventricular Hypertrophy.

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Risk factors for HOCM

Family history of syncope or exertion increases risk for Hypertrophic Obstructive Cardiomyopathy.

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Nature of HOCM problem

Hypertrophic Obstructive Cardiomyopathy primarily involves diastolic dysfunction.

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Murmur radiation in HCM

The murmur associated with Hypertrophic Cardiomyopathy radiates to the carotids.

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Murmur behavior with preload in HCM

Increased preload causes the murmur of HOCM to become softer.

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Murmur behavior with decreased preload in HCM

Decreased preload causes the murmur of HOCM to become louder.

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Effect of HOCM on ventricle

Hypertrophic Obstructive Cardiomyopathy leads to Left Ventricular Hypertrophy.

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Murmur de HCM

El murmure associat a la miocardiopatia hipertròfica és audible al marge esternal esquerre.

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HCM i preload

En la miocardiopatia hipertròfica, el murmure es suavitza amb un increment del preload.

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HCM i disminució del preload

Si hi ha una disminució del preload, el murmure de HCM s'intensifica.

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Problema principal d'HOCM

La miocardiopatia hipertròfica obstructiva implica principalment disfunció diastòlica.

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Risc de HOCM

Història familiar de síncope o exercici pot augmentar el risc de miocardiopatia hipertròfica obstructiva.

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HCM

Miocardiopatia hipertròfica, un augment del múscul cardíac.

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Síncope

Pèrdua temporal de consciència, sovint relacionada amb HCM.

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Disfunció diastòlica

Dificultat per omplir el ventricle de sang durant la diàstole.

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Risc familiar HOCM

Història familiar pot augmentar el risc de desenvolupar HCM.

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Miocardiopatia hipertròfica

Condició que causa un augment del múscul cardíac, dificultant el flux sanguini.

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Risc familiar de HOCM

Presència de casos familiars que augmenta la possibilitat de desenvolupar miocardiopatia hipertròfica obstructiva.

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Reacció davant del preload

En HCM, l'augment del preload fa que el murmuri es suavitzi, mentre que la seva disminució el fa més fort.

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Hyddegiad y galon

Hyn yw'r broses lle mae'r galon yn platio a gollwng gwaed.

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Cymharu llif gwaed

Gwaed yn llifo i'r galon yn galw i mewn i'r atriwm.

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Murmur y galon

Sain yn gynamserol sy'n gysylltiedig â cherrig neu gêrau mewn gwaith y galon.

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Dysgu am HCM

Dysgwch bod HCM yn achosi problemau i'r cyfnod diastolaidd.

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Troi yn cynnwrf

Wrth newid y pwysau, cewch fod mor boblogaidd â phroses dyfu.

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Pwysigrwydd teulu

Gall hanes teulu cynyddu'r risg o HCM.

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Gweithgaredd daith

Mae profil gweithgarwch yn caniatáu i'r galon wneud ei rhan.

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Disfunciwn diastòlic

Dificultà wrth lenwi'r llafn yn ystod diastole.

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Risg HCM

Hanesi teulu a all gynyddu'r siawns am HCM.

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Murmur yn ystod preload

Mae murmur HCM yn ganlyniad i newid yn y llif gwaed.

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Murmur gyda chynnydd preload

Mae murmur HCM yn dyblu pan fydd preload yn codi.

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Murmur gyda lleihau preload

Mae murmur HCM yn cynyddu pan fydd preload yn lleihau.

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Hypertrophic Cardiomyopathy

Ijbwōt in ej juon inámeto ko ṃokta in kaakōro, ṃokta in kākab.

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Diastolic Dysfunction

Ailōḷḷa in kakkohkaḷḷ in kejer in heart.

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Murmur Location

Murmur ej boōd boko in kākab ej bōk in inak im ej inin karot.

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Preload Increase Effect

Murmur eo ekwe in HCM, edobany en eñōro niōr in preload.

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Genetic Risk Factors

Ain in ḷeḷḷā ko an jab ej jekin in HOCM.

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Hypertrophische Kardiomyopathie

Eine Erkrankung, die zu einer Verdickung des Herzmuskels führt und den Blutfluss behindert.

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Erbgang der HOCM

Hypertrophische Kardiomyopathie wird meist autosomal dominant vererbt.

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HCM und Preload

Bei Hypertrophischer Kardiomyopathie wird das Geräusch bei erhöhtem Preload leiser.

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Risiko für HOCM

Eine familiäre Vorgeschichte von Ohnmacht oder Anstrengung erhöht das Risiko für HCM.

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Diastolische Dysfunktion

Schwierigkeiten, das Herz während der Entspannungsphase mit Blut zu füllen.

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Ausstrahlung des Murmurs

Das Gewicht des Geräuschs kann zu den Karotiden strahlen.

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HCM und vermindertes Preload

Wenn der Preload verringert wird, wird das Geräusch von HCM lauter.

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Prostaglandin in Hypoplastic Left Heart

Prostaglandin is used to keep the PDA open until heart transplant in Hypoplastic Left Heart syndrome.

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Intervention for Hypoplastic Left Heart

Emergency heart transplant is needed for Hypoplastic Left Heart patients.

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Ventricles at Systole

During systole, the ventricles of the heart contract to pump blood out.

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S1 and Systole

S1 represents the first heart sound and occurs during systole when the tricuspid and mitral valves close.

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S2 and Diastole

S2 represents the second heart sound and occurs during diastole when ventricles are filling.

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First symptom of Right Heart Failure

Peripheral edema is the first symptom of right heart failure.

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Chronic Cough in Right Heart Failure

Chronic cough in right heart failure can occur due to fluid backing up in the lungs.

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Causes of Left and Right Heart Failure

Right heart failure is often related to smoking; left heart failure can be linked to alcohol consumption.

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Left Congestive Heart Failure

Left-sided congestive heart failure is also known as left-sided dilated cardiomyopathy.

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Ventricles during Diastole

During diastole, the ventricles fill with blood in preparation for the next contraction.

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Prostaglandin use in Hypoplastic Left Heart

Prostaglandin keeps the PDA open until heart transplant.

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Ventricles during Systole

Ventricles contract to pump blood out of the heart during systole.

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S1 heart sound

S1 occurs when the tricuspid and mitral valves close during systole.

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S2 heart sound

S2 occurs during diastole when the heart fills with blood.

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Right Heart Failure first symptom

Peripheral edema is the first symptom of right heart failure.

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Causes of Right Heart Failure

Right heart failure is often related to smoking, causing lung issues.

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Causes of Left Heart Failure

Left heart failure can be linked to alcohol consumption affecting heart function.

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Family history of syncope

A family history of syncope increases the risk of Hypertrophic Obstructive Cardiomyopathy (HOCM).

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Murmur response to preload increase

In HOCM, the murmur gets softer with increased preload and louder with decreased preload.

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Effect of HOCM on the left ventricle

Hypertrophic Obstructive Cardiomyopathy causes left ventricular hypertrophy (thickening of the heart muscle).

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Murmur behavior with decreased preload

When preload decreases in HOCM, the associated murmur becomes louder.

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Hypertrophic cardiomyopathy nature

Hypertrophic Obstructive Cardiomyopathy primarily results in systolic dysfunction.

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Preload response uniqueness in HOCM

HOCM's murmur behaves unusually as it gets quieter with increased preload and louder with decreased preload.

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Syncope and HOCM risk

A family history of syncope increases the risk of Hypertrophic Obstructive Cardiomyopathy (HOCM).

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Hypertrophic Obstructive Cardiomyopathy inheritance

Hypertrophic Obstructive Cardiomyopathy is usually inherited in an autosomal dominant manner.

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Murmur response to increased preload

In HOCM, the murmur gets quieter with increased preload.

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Murmur response to decreased preload

In HOCM, the murmur becomes louder with decreased preload.

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Effect of HOCM on left ventricle

Hypertrophic Obstructive Cardiomyopathy leads to left ventricular hypertrophy.

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Murmer behavior distinction

HOCM's murmur behaves unusually as it gets softer with increased preload and louder with decreased preload.

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Role of Right Heart

The right side of the heart receives deoxygenated blood and sends it to the lungs for reoxygenation.

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BNP levels in CHF

B-type Natriuretic Peptide (BNP) levels are elevated in Congestive Heart Failure (CHF).

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Meniscus Sign

The meniscus sign on X-ray indicates fluid accumulation in CHF and is commonly seen.

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Kerley Lines

Kerley lines are seen on X-ray due to lymphatic engorgement in CHF patients.

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CHF Stage 1 Medications

The first-line medications for treating CHF are ACE inhibitors.

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Second-line CHF Treatment

Beta blockers are used as a second-line treatment for CHF.

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Next option after Beta Blockers

Diuretics are the next treatment option after beta blockers for CHF management.

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Last Resort CHF Medications

Last resort medications for CHF include ionotropes like Digoxin and norepinephrine.

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CHF Decompensation Indicators

Elevated BNP levels indicate CHF decompensation.

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Fluid and CHF X-ray Signs

Fluid buildup causes characteristic X-ray signs like the meniscus sign and Kerley lines in CHF patients.

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Right Heart Failure

R-heart failure that occurs due to Cor Pulmonale.

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Cough/Hemoptysis Causes

Cough and hemoptysis are caused by right heart failure (Cor Pulmonale).

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Jugular Vein Distention

Distended jugular veins indicate Cor Pulmonale.

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Hepatojugular Reflux

Reflux caused by Cor Pulmonale that leads to liver congestion.

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Hepatomegaly

Liver enlargement associated with right heart failure.

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Pitting Leg Edema

Fluid buildup in legs indicative of R-Cor Pulmonale.

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Ventricular Output in R-Cor Pulmonale

Right heart failure decreases right ventricular output.

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Leading Cause of Cor Pulmonale

Chronic Obstructive Pulmonary Disease (COPD) is the most common cause.

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BNP Levels in R-Cor Pulmonale

B-type Natriuretic Peptide (BNP) levels are elevated in Cor Pulmonale.

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Restrictive Cardiomyopathy

A heart condition primarily causing diastolic dysfunction due to rigid ventricles.

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Symptoms of Restrictive Cardiomyopathy

Common symptoms include syncope (fainting) and angina (chest pain).

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Ventricles in Restrictive Cardiomyopathy

In this condition, the ventricles become rigid instead of floppy, affecting filling.

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Causes of Heart Damage in Restrictive Cardiomyopathy

Conditions like radiation, scleroderma, and sarcoidosis lead to scarring of heart tissue.

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Jugular Distention in Restrictive Cardiomyopathy

Jugular distention occurs with inspiration, indicating increased pressure due to heart filling issues.

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Diastolic Problem

Restrictive cardiomyopathy primarily involves issues during diastole, when the heart fills with blood.

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Angina

Chest pain or discomfort due to reduced blood flow to the heart muscle, often related to heart conditions.

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Scarring of Heart Tissue

Damage to heart tissue caused by conditions like radiation, scleroderma, and sarcoidosis.

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Right Heart Structures

The right side of the heart is made up of the right atrium and right ventricle.

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Right Heart Failure Backup

In right heart failure, the right atrium gets backed up first because the right ventricle is too weak.

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Antiarrhythmics for HOCM

Antiarrhythmics like Amiodarone and Disopyramide are prescribed to prevent VTach/VFib/Asystole in patients with HOCM.

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Deoxygenated Blood Pathway

Deoxygenated blood is received by the right heart from the body and sent to the lungs for oxygenation.

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First Backup Structure in Right Heart Failure

The right atrium is the first chamber to get overloaded with blood in right heart failure.

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Function of Right Ventricle

The right ventricle pumps deoxygenated blood to the pulmonary valve and then to the lungs.

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Symptoms of Right Heart Failure

Symptoms of right heart failure may include peripheral edema and chronic cough due to fluid buildup.

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HOCM effect on L-ventricle outflow

Hypertrophic Obstructive Cardiomyopathy (HOCM) leads to obstruction in left ventricular outflow.

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HOCM cause of dysfunction

Hypertrophic Obstructive Cardiomyopathy primarily results in diastolic dysfunction.

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Arrhythmia caused by HOCM

HOCM can cause ventricular arrhythmias, which are abnormal heart rhythms.

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EKG diagnostic use in HOCM

An EKG is used to diagnose electrical dysfunctions of HOCM.

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Echocardiogram in HOCM

An echocardiogram diagnoses physical deformities caused by HOCM.

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Function of Beta Blockers in HOCM

Beta blockers are prescribed in HOCM to increase preload.

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Weak Pulses

Pulses that are difficult to feel, associated with Restrictive Cardiomyopathy.

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Common Ascites in Restrictive Cardiomyopathy

Fluid accumulation in the abdominal cavity is often present.

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Leg Pitting Edema

Swelling that leaves a pit when pressed, often found in legs in Restrictive Cardiomyopathy.

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Least Common Cardiomyopathy

Restrictive Cardiomyopathy is the least frequent type of cardiomyopathy.

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Low Voltage EKG

An electrocardiogram finding common in Restrictive Cardiomyopathy, indicating low heart muscle activity.

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Atrial Fibrillation in Restrictive Cardiomyopathy

Atrial fibrillation is commonly seen with this condition.

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Echo Diagnostic Test

Echocardiogram is the only definitive test for Restrictive Cardiomyopathy.

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Non-Dilating Myocardium

Echocardiograms usually show a non-dilating myocardium in Restrictive Cardiomyopathy.

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Study Notes

Cardiac Myopathies

  • Family history of syncope and exercise-induced symptoms: Increases the risk of hypertrophic or other types of cardiomyopathy.
  • Hypertrophic Obstructive Cardiomyopathy (HOCM): Inheritance pattern is autosomal dominant.
  • HOCM and Systolic/Diastolic problems: Primarily systolic.
  • Murmur Location: Located at the left sternal border and radiating to the suprasternal notch.
  • HOCM and Preload: Murmur (in HOCM) gets louder with increased preload and quieter with decreased preload.
  • Congenital Heart Murmurs and Radiation: It is common for congenital heart murmurs to radiate to the suprasternal notch.
  • Congenital Heart Murmurs and Preload: Normal, some murmurs change with preload changes.
  • Unusual murmur response to preload: Some murmurs get softer with higher preload and louder with lower preload. This is an important characteristic to note.
  • Is there a normal cardiac murmur that radiates to the suprasternal notch?: Yes, this can be a sign of congenital cardiomyopathy. A specific murmur radiating to the suprasternal notch may be suggestive of a specific cardiac condition.
  • HOCM effect on ventricles: Causes left ventricular hypertrophy.

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