this is the cronic condition of the heart disease which includes its definition, types, etiology, clinical manestifaction, diagnostic evaluation and management

1. CARDIOMYOPATHY
DEPARTMENT OF
MEDICAL SURGICAL
NURSING
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2. LEARNING OBJECTIVES
At the end of the class students will be
able to:----
Define Cardiomyopathy.
Enumerate the causes of Cardiomyopathy.
Explain the pathophysiology of
Cardiomyopathy.
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3. Ct--LEARNING OBJECTIVES
Enlist the clinical manifestations of
Cardiomyopathy.
Enumerate the diagnostic evaluation of
Cardiomyopathy.
Explain the management of
Cardiomyopathy.
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4. Definition
CARDIOMYOPATHY
Cardiomyopathy is a term to describe a group
of heart muscle diseases of unknown cause
that primarily affect the structural or functional
ability of the myocardium.
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6. Classification of cardiomyopathy
Primary Cardiomyopathy
Secondary Cardiomyopathy
According to WHO:-----
Dilated Cardiomyopathy
Hypertrophic Cardiomyopathy
Restrictive Cardiomyopathy 6

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8. Dilated Cardiomyopathy
Dilated Cardiomyopathy
It is characterized by :---
Cardimegaly with ventricular dilatation,
Impairment of systolic function,
Arterial enlargement and stasis of blood in
the LV.
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9. unknown
Infectious myocarditis
Thyrotoxicosis
Diabetes mellitus
Pregnancy
Etiology
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10. Alcohol abuse, chemotherapy, chemical
agents.
valvular infection
Hypertension
Ct--Etiology
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12. Symptoms
Change in exercise tolerance
Fatigue, weakness
cough
Dyspneoa
Orthopnea
Clinical Manifestation
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13. Signs
 S3 and s4 heard
 Tachycardia
 Pulmonary crackles
 Edema
Ct--Clinical Manifestation
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14. Ct-- Signs
Weak peripheral pulse
Pallor
Hepatomegaly
Jugular venous distention
Ct--Clinical Manifestation
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15. Diagnostic studies
Chest X- ray
ECG
Echocardiography
Cardiac catheterization and coronary
angiography
Endomyocardial biopsy
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16. MANAGEMENT
Medical management:----
Inotropic agents
Intermittent dobutamine infusion
Vasodilator
Diuretics (osmotic diuretics) e.g. mannitol
Anticoagulant lmwh
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17. MANAGEMENT Cont….
Medical management Cont…. :---
Antidysrhythmic
Sodium restricted diets
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18. MANAGEMENT Cont….
Surgical management:---
Cardiac transplantation.
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19. COMPLICATIONS OF CARDIOMYOPATHY
Mural thrombus
Severe heart failure
Sudden cardiac death
Pulmonary embolism
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20. NURSING MANAGEMENT
Nursing diagnosis:---
1) Decreased cardiac output related to
disease condition.
2) Ineffective breathing pattern related to
chest congestion.
3) Fatigue related to generalized weakness.
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21. Ct--NURSING MANAGEMENT
4) Sleep pattern disturbance related to
breathlessness.
5) Activity intolerance related weakness.
6) Anxiety related to disease condition and
its prognosis.
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22. Summary
 Definition of Cardiomyopathy.
 Causes of Cardiomyopathy.
 Pathophysiology of Cardiomyopathy.
 Clinical manifestations of Cardiomyopathy.
 Diagnostic evaluation of Cardiomyopathy.
 Management :- med , sur & nsg.
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23. BIBLIOGRAPHY
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24. THANKYOU
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