Summary of dilated, hypertrophic and restrictive cardiomyopathy, myocarditis and pericardial disease. Focuses on clinical sequelae and management.

5. Type Name Clinical features ECG
Systolic + Diastolic dysfunction Dilated cardiomyopathy CCF, chest pain, MR/TR LVH, Q/QS waves and poor R wave
progression
Myocarditis Fever, tachycardia, myalgia, chest
pain
Non-specific ST/T waves changes
Pericarditis
Diastolic dysfunction HOCM Dyspnoea on exertion, chest pain,
palpitations, syncope, prominent J
waves, pulsus bisferiens, systolic
ejection murmur, increases with
valsalva and decreases with
squatting
LVH, large septal Q waves (Dagger
waves)
Restrictive cardiomyopathies Square root sign of LV filling
pressures (easily confused with
constrictive pericarditis)
In some, low voltage QRS;
conduction disturbances,AF

16. Maneuvre HCM Mitral valve prolapse
Valsalva Increased Increased; click closer to S1
Squatting Reduced Reduced; click closer to S2
Standing after squatting Increased Increased; click closer to S1
Passive leg raised Decreased Decreased; click closer to S2
Hand grip Decreased Increased; click closer to S1