Treatment of Hypertrophic Cardiomyopathy Quiz
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Questions and Answers

In patients with hypertrophic cardiomyopathy experiencing persistent symptoms despite medical therapy, what is the preferred invasive treatment?

  • ICD insertion
  • Vasodilators
  • Surgical myectomy (correct)
  • Percutaneous catheter alcohol septal ablation

Which medication is NOT recommended for patients with hypertrophic cardiomyopathy as it worsens outflow tract obstruction and does not relieve high end-diastolic pressure?

  • Verapamil
  • Digitalis glycosides
  • Nitrates (correct)
  • ACE inhibitors

What is the effect of inotropic drugs on patients with hypertrophic cardiomyopathy?

  • Worsen outflow tract obstruction (correct)
  • Reduce exercise tolerance
  • Decrease outflow tract obstruction
  • Relieve high end-diastolic pressure

When should an implantable cardioverter-defibrillator (ICD) usually be placed in patients with hypertrophic cardiomyopathy?

<p>If they experience unexplained syncope (B)</p> Signup and view all the answers

What is the mechanism of action of mavacamten in treating hypertrophic cardiomyopathy?

<p>Reduces actin-myosin cross-bridge formation (D)</p> Signup and view all the answers

Which type of medications are the mainstays for treating hypertrophic cardiomyopathy without obstruction?

<p>Beta-blockers and heart rate-limiting calcium channel blockers (A)</p> Signup and view all the answers

What is the purpose of slowing down the heart rate in hypertrophic cardiomyopathy treatment?

<p>To prolong diastolic filling period (B)</p> Signup and view all the answers

Which medication is most effective for patients with a resting gradient in hypertrophic cardiomyopathy?

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

What is the role of disopyramide in treating hypertrophic cardiomyopathy?

<p>Reduces outflow tract gradient through negative inotropic effects (B)</p> Signup and view all the answers

In treating patients with obstructive hypertrophic cardiomyopathy, which medication is best at blunting the gradient occurring during exercise?

<p>Beta-blockers (C)</p> Signup and view all the answers

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