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Heart disease. Heart disease. Congenital Ischemic Hypertensive Valvular Cardiomyopathy Pericardium Tumors. Congenital. ISCHEMIC HYPERTENSIVE VALVULAR MYOPATHIC. Heart failure. Dyspnea on exertion at rest Orthopnea redistribution of peripheral edema fluid
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Heart disease • Congenital • Ischemic • Hypertensive • Valvular • Cardiomyopathy • Pericardium • Tumors
Congenital • ISCHEMIC • HYPERTENSIVE • VALVULAR • MYOPATHIC
Heart failure • Dyspnea • on exertion • at rest • Orthopnea • redistribution of peripheral edema fluid • graded by number of pillows needed • Paroxysmal Nocturnal Dyspnea (PND)
ISCHEMIC • Angina Pectoris • Myocardial Infarction • Chronic IHD CHF • Sudden Cardiac Death • Acute Coronary Syndromes: • UNSTABLE ANGINA • AMI • SCD
HYPERTENSIVE • Hypertrophic adaptive response • Myocardial dysfunction • Cardiac dilatation • CHF • Sudden death
VALVULAR • Stenosis • Regurgitation
CARDIOMYOPATHIES • Inflammatory • Immunologic • Metabolic • Dystrophies • Genetic • Idiopathic
CARDIOMYOPATHIES • DILATED • HYPERTROPHIC • RESTRICTIVE
CARDIOMYOPATHIES • Chest pain is common • Frequently asymptomatic • Severe cases associated with heart failure, arrhythmias • ECG abnormalities are often present, although the changes are frequently nonspecific • Left ventricular hypertrophy may be present • An echocardiogram is useful • Chest radiographs can be normal or can show evidence of congestive heart failure or cardiomegaly.
Treatment • medication • changes in lifestyle • Implanted pacemakers • Defibrillators • (LVADs) • ablation
Assessment questions • How many different types of cardiomyopathies do we have? • List down the symptoms of heart failure. • In general, is medication an appropriate treatment method for cardiomyopathy? YES/NO