ventricular tissue Inherited disorders Mitral/tricuspid insufficiency Endomyocardial biopsy Palliative remodeling Pregnancy Radionuclide study Heart transplant CAD HTN Permanent mechanical assist Genetic CAD devices Idiopathic Viral myocarditis Detailed hx Cocaine ADLs Calcium overload Paced/reduced activity Hyperlipidemia Positioning Obesity O2 therapy DM Hypertrophic LV hypertrophy Echo Find/treat underlying cause Idiopathic obstructive Hypertrophy in septum CXR Control S/S Chemotherapy cardiomyopathy Sudden death, severe HF ECG, resting & ambulatory Prevent progression Genetic Dyspnea Cardiac catheterization Improve QOL Usually <30 y/o Neuromuscular disorders Chest pain Endomyocardial biopsy Genetic testing Endocrine (DM, Cushing’s) Sudden death Presyncope, syncope Radionuclide study Meds Abnormal electrolytes Disorder of sarcomere Paroxysmal nocturnal dyspnea Activity restriction Antiviral meds Fluid stabilization Cardiac valve disease Genetic Congenital heart disease HTN, Sleep apnea hypoparathyroidism Idiopathic Radiation therapy Amyloidosis, sarcoidosis Restrictive Pulmonary/systemic congestion CXR Decrease cardiac workload Smoking cardiomyopathy Dyspnea ECG Teach to avoid situations that Familial cardiomyopathies Palpitations, fatigue, syncope, Echo impair venous filling or lower Cardiac surgery Endocardial scarring angina, weakness, exercise Cardiac catheterization CO Bacterial/parasitic infections Fibrosis & thickening intolerance Endomyocardial biopsy Stress, sedentary lifestyle Impaired diastolic R or L sided HF Radionuclide study Toxins stretch S3, systolic murmur Pregnancy, PP period Ventricular stretch Connective tissue disorders Nutritional deficiency Cocaine use Sarcoidosis Restrictive pulmonary disease Arrhythmogenic Genetic Palpitations, light-headedness, Good family hx Heart transplant Right Ventricular fatigue NO OTHER CURE Cardiomyopathy Sudden cardiac death RV: prominent neck veins, liver Antidysrhythmic Electrical disturbance distention, swollen legs and Decrease workload because of scarring in ankles Energy conservation RV LV: (advanced stage) fatigue, SOB
ventricular tissue remodeling CAD Genetic Idiopathic Inherited disorders Pregnancy HTN CAD Viral myocarditis Cocaine Calcium overload Hyperlipidemia Obesity DM Idiopathic Chemotherapy Genetic Neuromuscular disorders Endocrine (DM, Cushing’s) Abnormal electrolytes Antiviral meds Cardiac valve disease Congenital heart disease Sleep apnea Radiation therapy Amyloidosis, sarcoidosis Smoking Familial cardiomyopathies Cardiac surgery Bacterial/parasitic infections Stress, sedentary lifestyle Toxins Pregnancy, PP period Connective tissue disorders Nutritional deficiency Mitral/tricuspid insufficiency Endomyocardial biopsy Radionuclide study Palliative Heart transplant Permanent mechanical assist devices Detailed hx ADLs Paced/reduced activity Positioning O2 therapy Hypertrophic obstructive cardiomyopathy Usually <30 y/o Sudden death Disorder of sarcomere Genetic HTN, hypoparathyroidism Idiopathic LV hypertrophy Hypertrophy in septum Sudden death, severe HF Dyspnea Chest pain Presyncope, syncope Paroxysmal nocturnal dyspnea Echo CXR ECG, resting & ambulatory Cardiac catheterization Endomyocardial biopsy Radionuclide study Find/treat underlying cause Control S/S Prevent progression Improve QOL Genetic testing Meds Activity restriction Fluid stabilization Restrictive cardiomyopathy Endocardial scarring Fibrosis & thickening Impaired diastolic stretch Ventricular stretch Cocaine use Sarcoidosis Restrictive pulmonary disease Pulmonary/systemic congestion Dyspnea Palpitations, fatigue, syncope, angina, weakness, exercise intolerance R or L sided HF S3, systolic murmur CXR ECG Echo Cardiac catheterization Endomyocardial biopsy Radionuclide study Decrease cardiac workload Teach to avoid situations that impair venous filling or lower CO Arrhythmogenic Right Ventricular Cardiomyopathy Electrical disturbance because of scarring in RV Genetic Palpitations, light-headedness, fatigue Sudden cardiac death RV: prominent neck veins, liver distention, swollen legs and ankles LV: (advanced stage) fatigue, SOB Good family hx Heart transplant NO OTHER CURE Antidysrhythmic Decrease workload Energy conservation
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