Condition Info - BotMed Application

ConditionName

Cardiomyopathy

ConditionDescription

Symptoms

SOB;
Chest pain worse with exertion;
Better with rest (for abstractive cardiomyopathy);

Hypertrophic: syncope, light headedness;

PhysicalFindings

Edema;
JVD;
Rales;
Murmur NOT increasing with expiration (HOCM, MVP);

Dilated: S3 gallop, paroxysmal dyspnea;
Hypertrophic: S4 gallop; valsalva, standing suddenly;
Restrictive: Kussmaul sign (↑jugulovenous pressure on inhalation);

ClinicalTests

ECG – best initial, also most accurate;
Most accurate: echocardiography; 
xray – no additional information;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

Hypertrophic: sudden death; 
Restrictive: RCHF;

ProgressionFromCondition

Restrictive:
Sarcoidosis;
Amyloid;
Hemochromatosis;
Endomyocardial fibrosis;
Scleroderma;
Cancer;

TreatmentOptions

Exercises;

PharmOptions

Hypertrophic: 
Diuretics (for not abstractive) – helps to control symptoms;
WORSE BY ↑HR (dehydration, diuretics, exercises);
WORSE BY ↓in left ventricular size (ACE/ARB, digoxin, hydralazine); 

Diluted: 
ACE/ARB - ↓mortality;
BB (carvedilol, metoprolol);
Spiro lactone (mort benefits) – decreases renin-aldosterone system;
Digoxin ↓frequency of hospitalization;

Restrictive: 
Diuretics;
No other therapy;

WebLink

https://www.merckmanuals.com/en-ca/professional/cardiovascular-disorders/cardiomyopathies