Difference between revisions of "Restrictive cardiomyopathy"

(Background)
(Differential Diagnosis)
 
(9 intermediate revisions by 5 users not shown)
Line 1: Line 1:
 
==Background==
 
==Background==
 +
*Muscle is stiff from fibrosis or infiltrating process
 +
*EF is usually normal
 +
*Form of diastolic dysfunction (difficulty filling)
 
*Must distinguish from constrictive [[pericarditis]]
 
*Must distinguish from constrictive [[pericarditis]]
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Cardiomyopathy DDX}}
 
{{Cardiomyopathy DDX}}
 +
*Restrictive cardiomyopathy ddx
 +
**Idiopathic
 +
**Familial noninfiltrative disease
 +
**Infiltrative disease (amyloidosis, sarcoidosis, Gaucher, Hurler)
 +
**Storage diseases (hemachromatosis, Fabry, glycogen/lysosomal storage diseases)
 +
**Diabetes
 +
**Scleroderma
 +
**Endomyocardial fibrosis (hypereosinophilic syndrome, medication toxicity)
 +
**Radiation, chemotherapy (doxorubicin)
 +
**Metastatic disease, [[carcinoid syndrome]]
  
==Diagnosis==
+
==Evaluation==
*Consider if CHF but no e/o cardiomegaly or systolic dysfunction
+
*Consider if CHF but no evidence of cardiomegaly or systolic dysfunction
  
==Treatment==
+
==Management==
 
*Symptom directed (diuretics and ACEI)
 
*Symptom directed (diuretics and ACEI)
  
Line 14: Line 27:
 
*[[Cardiomyopathy (Main)]]
 
*[[Cardiomyopathy (Main)]]
  
==Source==
+
==References==
Tintinalli
+
<references/>
  
[[Category:Cards]]
+
 
 +
[[Category:Cardiology]]

Latest revision as of 15:53, 7 September 2016

Background

  • Muscle is stiff from fibrosis or infiltrating process
  • EF is usually normal
  • Form of diastolic dysfunction (difficulty filling)
  • Must distinguish from constrictive pericarditis

Differential Diagnosis

Cardiomyopathy

Evaluation

  • Consider if CHF but no evidence of cardiomegaly or systolic dysfunction

Management

  • Symptom directed (diuretics and ACEI)

See Also

References