Слайд 1LEONARD SHAJU
JOISY ALOOR
CARDIOMYOPATHY
Слайд 2Cardiomyopathy refers to diseases of the heart muscle.
In cardiomyopathy, the
heart muscle becomes enlarged, thick, or rigid. In rare cases,
the muscle tissue in the heart is replaced with scar tissue.
Слайд 3CLASSIFICATION
According to the WHO types of cardiomyopathy are:
Hypertrophic cardiomyopathy
Dilated cardiomyopathy
Restrictive
cardiomyopathy
Arrhythmogenic right ventricular dysplasia
Unclassified cardiomyopathy
Слайд 4HYPERTROPHIC C.M
Hypertrophic cardiomyopathy is very common and can affect people
of any age. Hypertrophic cardiomyopathy affects men and women equally,
and about 1 out of every 500 people has the disease.
Hypertrophic cardiomyopathy happens when the heart muscle enlarges and thickens without an obvious cause. Usually the ventricles, the lower chambers of the heart, and septum (the wall that separates the left and right side of the heart) thicken.
Слайд 6DILATED C.M
Dilated cardiomyopathy develops when the ventricles enlarge and weaken.
The weakened chambers of the heart don’t pump effectively, causing
the heart muscle to work harder. Over time, the heart loses the ability to pump blood effectively.
Dilated cardiomyopathy can lead to heart failure, heart valve disease, irregular heart rate, and blood clots in the heart.
Слайд 8RESTRICTIVE C.M
Restrictive cardiomyopathy develops when the ventricles become stiff and
rigid but the walls of the heart do not thicken.
As a result, the ventricles do not relax and don’t fill with the normal blood volume. As the disease progresses, the ventricles do not pump as well and the heart muscle weakens.
Слайд 10ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA
Arrhythmogenic right ventricular dysplasia is a rare
type of cardiomyopathy that occurs when the muscle tissue in
the right ventricle is replaced with fatty or fibrous tissue.
This can lead to disruptions in the heart’s electrical signals and causes arrhythmias.
Слайд 13UNCLASSIFIED C.M
Left ventricular noncompaction happens when the left ventricle has
trabeculations, projections of muscle inside the ventricle.
Takotsubo cardiomyopathy, or broken
heart syndrome, happens when extreme stress leads to heart muscle failure. Though rare, this condition is more common in post-menopausal women.
Слайд 15HCM CAUSES
Hypertrophic cardiomyopathy usually is inherited. It’s caused by a
mutation or change in some of the genes in heart
muscle proteins.
Hypertrophic cardiomyopathy also can develop over time because of high blood pressure, aging, or other diseases, such as diabetes or thyroid disease.
Слайд 16DCM CAUSES
Alcohol, especially if you also have a poor diet
Certain
toxins, such as poisons and heavy metals
Complications during the last
months of pregnancy
Ischemic heart disease, heart attack, high blood pressure, diabetes, thyroid disease, viral hepatitis, and HIV
Illegal drugs, such as cocaine and amphetamines, and some medicines used to treat cancer
Infections, especially viral infections that inflame the heart muscle
Слайд 17RCM CAUSES
Amyloidosis
Connective tissue disorders
Hemochromatosis
Sarcoidosis
Some cancer treatments, such as radiation and
chemotherapy.
Слайд 18MAJOR RISK FACTORS
A family history of cardiomyopathy, heart failure, or sudden cardiac
arrest (SCA).
A disease or condition that can lead to cardiomyopathy, such
as ischemic heart disease, heart attack, or a viral infection that inflames the heart muscle.
Diabetes or other metabolic diseases, or severe obesity
Diseases that can damage the heart, such as hemochromatosis, sarcoidosis, or amyloidosis.
Long-term alcoholism.
Long-term high blood pressure.
Слайд 20It’s important to identify those who may be at high
risk for cardiomyopathy.
After all, some people with cardiomyopathy never have
signs or symptoms.
Others don’t have signs or symptoms in the early stages of the disease.
Слайд 21If people without symptoms recognize their heightened risk for cardiomyopathy,
there’s a better chance of diagnosing it early, when treatment
may be most effective.
Signs and symptoms of heart failure usually occur in the later stages of cardiomyopathy, as the heart weakens.
Слайд 22Signs and symptoms of cardiomyopathy include:
Shortness of breath or trouble
breathing, especially with physical exertion
Fatigue
Swelling in the ankles, feet, legs,
abdomen and veins in the neck
Dizziness
Слайд 235. Lightheadedness
6. Fainting during physical activity
7. Arrhythmias (irregular heartbeats)
8. Chest
pain, especially after physical exertion or heavy meals
9. Heart murmurs
(unusual sounds associated with heartbeats)
Слайд 26DIAGNOSTIC TESTS
Blood tests
Chest X-ray
Electrocardiogram (EKG or ECG): An EKG can
be used to detect cardiomyopathy as well as other problems,
including heart attacks, arrhythmias (irregular heartbeats) and heart failure.
Слайд 27Holter and event monitors: A Holter monitor records the heart’s
electrical activity for a full 24- or 48-hour period. An
event monitor records your heart’s electrical activity only at certain times.
Слайд 28Echocardiogram (Echo): It shows how well your heart is working
as well as its size and shape. There are several
types of echocardiography, including “stress echo,” which is administered as part of a stress test. Another type, transesophageal echo (or TEE), provides a view of the back of the heart.
Слайд 29Stress test: In a stress test, the aim is to
make your heart work hard (and beat fast) while tests
are performed. These tests may include nuclear heart scanning, echo, and positron emission tomography (PET) scanning. You’ll be asked to walk in place on an inclined treadmill. If you are unable to exercise, you may be given medicine to simulate the effects of exertion.
Слайд 30DIAGNOSTIC PROCEDURES
Cardiac catheterization
Coronary angiography
Myocardial biopsy
Genetic testing
Слайд 33Aortic Stenosis
Genetics of Fabry Disease
Hypertensive Heart Disease
Paediatric Supravalvar Aortic Stenosis
Type
II Glycogen Storage Disease (Pompe Disease)
Слайд 34Myocarditis
Acute Pericarditis
Cardiac Tamponade
Acute Coronary Syndrome
Constrictive Pericarditis
Hyperthyroidism
Heavy Metal Toxicity