Cardiomyopathy.
Which of the following is NOT a recognised type of cardiomyopathy?
The first 3 answers are generally the starting point when it comes to classifying cardiomyopathies. Each type has multiple different causes.
A 72yr old man has come in with SOB. He has bilateral crackles to the upper zones of his lungs, a pulse of 96/min, BP of 170/90 and 02 satn of 88% on nasal prongs. What treatment option sounds most appropriate to start with?
The presentation and CXR are consistant with acute pulmonary oedema. He has low 02 and a good BP so the second answer is best. It will improve his oxygenation, decrease his work of breathing, decrease his afterload (and preload) and the ECG may reveal a precipitant cause like a STEMI.
Which of the following statements is NOT true about Peripartum cardiomyopathy.
Being over the age of 30yrs is an independant risk factor for this fairly rare condition.
Which of the following is NOT true about hypertrophic cardiomyopathy.
Hypertrophic cardiomyopathy used to my known as HOCM (Hypertrophic obstructive cardiomyopathy) but was changed because in 75% of patients with the classical asymmetric hypertrophy of the septum there was no outlet obstruction.
It is the number 1 cause of sudden cardiac death in young people.
What type of cardiomyopathy did the singer George Michael have when he died?
The coroner said he had dilative cardiomyopathy and myocarditis which contributed to his death.
Which of the following diseases is not a potential cause of restrictive cardiomyopathy?
Interestingly and although very rare in the western world
'Endomyocardial fibrosis" is a disease of uncertain cause that causes restrictive cardiomyopathy. It affects 12 million children and young adults every year and tends to affect the rural poor in tropical countries.
What is "neurogenic" cardiomyopathy?
An example of the complex and poorly understood relationship between the brain and the heart.
"Yamaguchi" syndrome is a type of cardiomyopathy first described in 1975. What is it?
It is a form of non obstructive hypertrophic cardiomyopathy, mainly affecting the apex of the heart. It makes up 10 to 25% of hypertrophic cardiomyopathy cases in Japan.
Which of the following is NOT true about Left Ventricular Assist Devices in Australia.
As these pumps create a continuous flow of blood, the patient will not have a pulse. The Fiona Stanley Hospital in WA has 15 to 20 patients in the community with VADs---but no other state does this. They call this "destination" therapy in patients not eligible for a heart transplant but eligible for a VAD.
One of the following statements is A LIE when talking about "Takotsubo cardiomyopathy"
It was apparently 27 people who presented not 10. Takotsubo is the Japanese name for an octopus trap---Tako (octopus) tsubo (trap).