Difference between revisions of "Restrictive cardiomyopathy"

(Differential Diagnosis)
 
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==Background==
 
==Background==
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*Muscle is stiff from fibrosis or infiltrating process
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*EF is usually normal
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*Form of diastolic dysfunction (difficulty filling)
 
*Must distinguish from constrictive [[pericarditis]]
 
*Must distinguish from constrictive [[pericarditis]]
  
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**Endomyocardial fibrosis (hypereosinophilic syndrome, medication toxicity)
 
**Endomyocardial fibrosis (hypereosinophilic syndrome, medication toxicity)
 
**Radiation, chemotherapy (doxorubicin)
 
**Radiation, chemotherapy (doxorubicin)
**Metastatic disease, carcinoid syndrome
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**Metastatic disease, [[carcinoid syndrome]]
  
==Diagnosis==
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==Evaluation==
*Consider if CHF but no e/o cardiomegaly or systolic dysfunction
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*Consider if CHF but no evidence of cardiomegaly or systolic dysfunction
  
==Treatment==
+
==Management==
 
*Symptom directed (diuretics and ACEI)
 
*Symptom directed (diuretics and ACEI)
  
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*[[Cardiomyopathy (Main)]]
 
*[[Cardiomyopathy (Main)]]
  
==Source==
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==References==
Tintinalli
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<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