Dilated cardiomyopathy: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Cards" to "Category:Cardiology") |
No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Heart is dilated with poor contraction and EF | |||
*Idiopathic form accounts for 25% of [[CHF]] | *Idiopathic form accounts for 25% of [[CHF]] | ||
*Viral/chronic myocarditis is most common identifiable causes | *Viral/chronic myocarditis is most common identifiable causes | ||
| Line 34: | Line 35: | ||
==Treatment== | ==Treatment== | ||
*Treat the underlying diseae | |||
*Similar to [[CHF]] exacerbation | *Similar to [[CHF]] exacerbation | ||
*Ensure exacerbation not due to ischemia | *Ensure exacerbation not due to ischemia | ||
Revision as of 02:47, 19 May 2016
Background
- Heart is dilated with poor contraction and EF
- Idiopathic form accounts for 25% of CHF
- Viral/chronic myocarditis is most common identifiable causes
- Other causes
- Ischemic
- Other infectious - HIV, Lyme, Chagas
- Familial dilated cardiomyopathy
- Hypertensive dilated cardiomyopathy
- Toxic (EtOH/beriberi, cocaine, meth, chemo, heavy metals)
- Hyperthyroidism
- Sarcoidosis
- Peripartum cardiomyopathy
- Kawasaki disease
- Autoimmune, SLE
- Connective tissue disease
- Infiltrative disease
- Mitochondrial disease
- Tachycardia-mediated
- ESRD
- Eosinophilic (Churg Strauss)
Diagnosis
- CHF symptoms
- CXR
- Cardiomegaly, pulm venous htn
- ECG
- LV hypertrophy, poor R wave progression
- Ultrasound
- Bedside (for gross function)
- TTE/TEE for EF
Differential Diagnosis
Cardiomyopathy
- Dilated cardiomyopathy
- Hypertrophic cardiomyopathy
- Restrictive cardiomyopathy
- Peripartum cardiomyopathy
- Takotsubo cardiomyopathy
- Arrhythmogenic right ventricular dysplasia
Treatment
- Treat the underlying diseae
- Similar to CHF exacerbation
- Ensure exacerbation not due to ischemia
See Also
Source
Tintinalli