Dilated cardiomyopathy: Difference between revisions
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**[[ESRD]] | **[[ESRD]] | ||
**Eosinophilic ([[Churg-Strauss syndrome]]) | **Eosinophilic ([[Churg-Strauss syndrome]]) | ||
==Clinical Features== | |||
*[[CHF]] symptoms | |||
==Differential Diagnosis== | |||
{{Cardiomyopathy DDX}} | |||
==Evaluation== | ==Evaluation== | ||
===Workup=== | |||
*[[CXR]] | *[[CXR]] | ||
**Cardiomegaly, pulmonary venous htn | **Cardiomegaly, pulmonary venous htn | ||
| Line 33: | Line 39: | ||
**TTE/TEE for EF | **TTE/TEE for EF | ||
== | ===Diagnosis=== | ||
*Typically on cardiac ultrasound (echo) | |||
==Management== | ==Management== | ||
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*Similar to [[CHF]] exacerbation | *Similar to [[CHF]] exacerbation | ||
*Ensure exacerbation not due to ischemia | *Ensure exacerbation not due to ischemia | ||
==Disposition== | |||
*Admit for new diagnosis | |||
==See Also== | ==See Also== | ||
*[[Cardiomyopathy (Main)]] | *[[Cardiomyopathy (Main)]] | ||
==External Links== | |||
==References== | ==References== | ||
Revision as of 21:34, 7 June 2022
Background
- Heart is dilated with poor contraction and EF
Causes
- Idiopathic (25% of CHF)
- Viral/chronic myocarditis (most common identifiable cause)
- Other causes
- Ischemic
- Other infectious - HIV, Lyme, Chagas
- Familial dilated cardiomyopathy
- Hypertensive dilated cardiomyopathy
- Toxic (ETOH/beriberi, cocaine, methamphetamine, chemo, heavy metals)
- Hyperthyroidism
- Sarcoidosis
- Peripartum cardiomyopathy
- Kawasaki disease
- Autoimmune, SLE
- Connective tissue disease
- Infiltrative disease
- Mitochondrial disease
- Tachycardia-mediated
- ESRD
- Eosinophilic (Churg-Strauss syndrome)
Clinical Features
- CHF symptoms
Differential Diagnosis
Cardiomyopathy
- Dilated cardiomyopathy
- Hypertrophic cardiomyopathy
- Restrictive cardiomyopathy
- Peripartum cardiomyopathy
- Takotsubo cardiomyopathy
- Arrhythmogenic right ventricular dysplasia
Evaluation
Workup
- CXR
- Cardiomegaly, pulmonary venous htn
- ECG
- LV hypertrophy, poor R wave progression
- Ultrasound
- Bedside (for gross function)
- TTE/TEE for EF
Diagnosis
- Typically on cardiac ultrasound (echo)
Management
- Treat the underlying diseae
- Similar to CHF exacerbation
- Ensure exacerbation not due to ischemia
Disposition
- Admit for new diagnosis