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Adult Echo Board Review- Cardiomyopathies exam questions and answers.
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Adult Echo Board Review- Cardiomyopathies exam questions and answers.
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Adult Echo Board Review-Cardiomyopathies exam questions
and answers
most common CMO?
dilated
multi-chamber enlargment and decreased systolic and diastolic function?
dilated CMO
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2D echo findings with dilated CMO
gross dilatation of heart (increased volume and mass)
decreased systolic/diastolic function
thin walls
spontaneous echo contrast
possible thrombus (APEX)
dilated CMO m-mode findings:
increased MV E point to septal seperation (EPSS) >0.7 cm
decreased MV d-e excursion
b notch on MV
LV contains trabeculations (bundles or pieces of muscle) and is sponge-like
instead of solid and smooth
, LV non-compaction
LVH that is asymmetric, concentric, or midventricular with LVOTO
HOCM
3 ways to have LVOTO with HOCM
1. idiopathic hypertrophic subaortic stenosis (IHSS) with ASH and SAM
2. HOCM with concentric LVH and SAM
3. HOCM with midventricular LVH
LVH with LVOTO but only when provoked with exercise, coughing, drugs,
Valsalva maneuver?
provocable HOCM
LVH that is apical or other, without a LVOTO
Non-obstructive HCMO
____ leading cause of heart-related sudden death in those under age of 30
HCMO
Men LVH measurements
normal
mild
mod
severe
6-10mm
11-13mm
14-16mm
>17mm
women LVH measurements
normal
mild
mod
severe
6-9mm
10-12mm
13-15mm
>=16mm
what is the gold standard to diagnose and assess HCMO?
echo
surgical removal of a portion of thickened septum
surgical septal myectomy
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