HypertrophicCMP.txt

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Author:
cokeman118
ID:
12992
Filename:
HypertrophicCMP.txt
Updated:
2010-04-03 21:32:16
Tags:
Cardiomyopathy
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Description:
Hypertrophic Cardiomyopathy
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  1. Hypertrophic CMP
    Hypertrophic, Hypercontractile Ventricle

    • Defect of muscle development=
    • HEREDITARY
  2. Hypertrophic
    Systolic or Diastolic
    Affects Diastolic Function

    • Asymmetrical LV hypertrophy
    • Rapid, Forceful Contractions of LV
    • impaired relaxation,
    • OBSTRUCTION of LV OUTFLOW
  3. Fouled Up Filling
    • Hypertrophic LV becomes STIFF
    • NON COMPLIANT
    • NOT ABLE TO RELAX
  4. Consequences of Hypertrophic CMP
    • LV Filling REDUCED
    • LV PRESSURE INCREASES
    • L Atrium PRESSURE INCREASES
    • PULMONARY PRESSURE INCREASES==

    PULMONARY CONGESTION/DYSPNEA

    TACHYCARDIA
  5. Presenting Symptoms:
    Primariy SYNCOPE

    • chest pain
    • dyspnea
    • fatigue
    • PERIPHERAL DOUBLE IMPLUSE
    • A-FIB
  6. Treatment:
    • BETA BLOCKERS
    • to slow heart rate, relax heart muscle, increase CO

    • ANTI-ARRHYTHMICS
    • Amiodarone

    ANTICOAGULANTS

    • ACE INHIBITORS
    • Verapamil, Cardizem-
    • reduce ventricular stiffness

    • Ablation of atrioventricular node
    • AICD

    Mitral Valve Replacement

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