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Transcript
Cardiomyopathy
Diseases of the heart muscle
Lots of different types and terms
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Enlarged, thinned walled
and ‘baggy’
Thickened walls
Rigid/stiff walls
Combination
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Inherited
Acquired
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Heart muscle’s ability to act as a pump (the
engine of the body) becomes poor
>>>>>heart failure
Heart failure
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Effort intolerance
Breathless
Chest pain
Fatigue
Leg and /or abdominal swelling
Symptoms of congestion- ‘congestive cardiac
failure’
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Can lead to rhythm disturbance ( electrical
problems)
Can lead to heart valve problems
Can affect any age, but becomes more common
as you get older
Dilated Cardiomyopathy
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Big, baggy heart- ‘low EF%’
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- Ischaemic (Coronary artery disease ( plumbing))
-Burnt out hypertension
- Familial /inherited
- Alcohol cardiomyopathy
- Post viral (myocarditis)
- Unknown (idiopathic)
- Pregnancy related (peripartum)
- due to rhythm disturbance (tachycardia mediated)
- due to severe heart valve problem
- due to chemotherapy or radiotherapy
- dysynchrony
OMT- Optimal medical therapy
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ACE I/ ARB
BB
MRA
Water tablets
Disease specific treatment
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Revascularization- controversial
Valve surgery
Reduce alcohol
Control heart rhythm problem
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More later with stiff and thick hearts!
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Hypertrophic cardiomyoathy
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Thickened heart wall- very thick to very minor
thickening- often asymmetric
Abnormal ECG
Inherited, but can ‘pretend’ to skip generations
1:500
High blood pressure can ‘mimic’
Lots of other rare mimics
Stiff hearts
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High blood pressure
Type II diabetes
Amyloid
Haemochromatosis
Sarcoidosis
Idiopathic restrictive cardiomyopathy
Radiotherapy
Right sided heart failure
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As a consequence to left sided heart failure
As a consequence to chronic lung disease- Cor
Pulmonale
ARVC- arrhythmogenic right ventricular
dysplasia
Non –compaction
Takotsubo cardiomyopathy- broken heart
syndrome
Prevention/ risk factors
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Family history
Coronary disease- lipids/smoking/
Blood pressure
Diabetes
Obesity
Alcohol
Exercise
Treatment
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Family history
Coronary disease- lipids/smoking/
Blood pressure
Diabetes
Obesity
Alcohol
Exercise
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Optimal medical therapy
Disease specific therapy
Cardiac surgery
Device therapy
Transplant