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Hypertrophic CMP
Hypertrophic, Hypercontractile Ventricle
- Defect of muscle development=
- HEREDITARY
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Hypertrophic
Systolic or Diastolic
Affects Diastolic Function
- Asymmetrical LV hypertrophy
- Rapid, Forceful Contractions of LV
- impaired relaxation,
- OBSTRUCTION of LV OUTFLOW
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Fouled Up Filling
- Hypertrophic LV becomes STIFF
- NON COMPLIANT
- NOT ABLE TO RELAX
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Consequences of Hypertrophic CMP
- LV Filling REDUCED
- LV PRESSURE INCREASES
- L Atrium PRESSURE INCREASES
- PULMONARY PRESSURE INCREASES==
PULMONARY CONGESTION/DYSPNEA
TACHYCARDIA
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Presenting Symptoms:
Primariy SYNCOPE
- chest pain
- dyspnea
- fatigue
- PERIPHERAL DOUBLE IMPLUSE
- A-FIB
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Treatment:
- BETA BLOCKERS
- to slow heart rate, relax heart muscle, increase CO
- ANTI-ARRHYTHMICS
- Amiodarone
ANTICOAGULANTS
- ACE INHIBITORS
- Verapamil, Cardizem-
- reduce ventricular stiffness
- Ablation of atrioventricular node
- AICD
Mitral Valve Replacement
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