Cardiomyopathy (main)
Dilated Cardiomyopathy
Background
- Idiopathic form accounts for 25% of CHF
Diagnosis
- CHF symptoms
- CXR
- Cardiomegaly, pulm venous htn
- ECG
- LV hypertrophy, poor R wave progression
Treatment
- Similar to CHF exacerbation
- Ensure exacerbation not due to ischemia
Hypertrophic Cardiomyopathy
Background
- Abnormal LV diastolic function due to decr compliance
Diagnosis
- Exertional dyspnea, chest pain, syncope
- ECG
- LV hypertrophy, upright Ts and prominent Qs
Treatment
- Syncope + HCM = admission
Restrictive Cardiomyopathy
Background
- Must distinguish from constrictive pericarditis
Diagnosis
- Consider if CHF but no e/o cardiomegaly or systolic dysfunction
Treatment
- Symptom directed (diuretics and ACEI)
