HCM Slideshow

734 views

Published on

Here\'s my project for school which we\'ll present next week I believe (week of Jan. 11). Dr. Quinn and/or Terry, it would be great if you could comment, that way I can say it has been reviewed by some medical authorities. :D Thanx!

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
734
On SlideShare
0
From Embeds
0
Number of Embeds
4
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • Presentation Information CONFIDENTIAL
  • HCM Slideshow

    1. 1. Hypertrophic Cardiomyopathy (HCM) Presented by Maffie Rafferty
    2. 2. Description <ul><li>Hypertrophied and stiff myocardium </li></ul><ul><ul><li>Interventricular septum </li></ul></ul><ul><ul><li>Wall of left ventricle </li></ul></ul><ul><li>Small left ventricular cavity </li></ul><ul><li>Myofibrillar disarray </li></ul><ul><li>Diastolic dysfunction </li></ul><ul><li>Coronary arteries may be compromised </li></ul><ul><li>Mitral valve regurgitation </li></ul>
    3. 3. Other names/types of HCM <ul><li>Asymmetric septal hypertrophy </li></ul><ul><li>Idiopathic hypertrophic subaortic stenosis </li></ul><ul><li>Muscular subaortic stenosis </li></ul><ul><li>Hypertrophic obstructive cardiomyopathy </li></ul><ul><li>Nonobstructive HCM </li></ul><ul><li>Athletic heart muscle disease </li></ul>
    4. 4. Etiology <ul><li>Not known </li></ul><ul><li>Congenital </li></ul><ul><ul><li>Inherited </li></ul></ul><ul><ul><li>Abnormal gene </li></ul></ul><ul><li>Acquired </li></ul><ul><ul><li>Acromegaly </li></ul></ul><ul><ul><li>Pheochromocytoma </li></ul></ul><ul><ul><li>Part of aging </li></ul></ul><ul><ul><li>High blood pressure </li></ul></ul><ul><li>Neurofibromatosis </li></ul>
    5. 5. Signs and Symptoms <ul><li>Asymptomatic/minor </li></ul><ul><li>Lightheadedness </li></ul><ul><li>Dizziness </li></ul><ul><li>Clinical manifestations </li></ul><ul><ul><li>Angina pectoris </li></ul></ul><ul><ul><li>Syncope </li></ul></ul><ul><ul><li>Palpitations </li></ul></ul><ul><ul><li>Dyspnea on exertion </li></ul></ul><ul><ul><li>Sudden cardiac death caused by arrhythmias </li></ul></ul>
    6. 6. Signs and Symptoms (continued) <ul><li>Signs of raised pulmonary venous pressure rare until terminal phase </li></ul><ul><ul><li>Jugular venous distention </li></ul></ul><ul><ul><li>Ascites* </li></ul></ul><ul><ul><li>Ankle edema* </li></ul></ul><ul><ul><li>Pleural effusion </li></ul></ul><ul><li>Pulmonary edema </li></ul><ul><li>* also signs of heart failure </li></ul>
    7. 7. Diagnostic Procedures <ul><li>Physical exam </li></ul><ul><ul><li>Auscultation (murmurs, atrial gallop) </li></ul></ul><ul><ul><li>Carotid pulse </li></ul></ul><ul><ul><li>Palpation </li></ul></ul><ul><ul><li>Check legs for fluid buildup </li></ul></ul><ul><li>ECG </li></ul><ul><li>Echo </li></ul><ul><li>Cardiac catheterization </li></ul><ul><li>Radionuclide angiography </li></ul>
    8. 8. Diagnostic Procedures (continued) <ul><li>Chest X-ray </li></ul><ul><li>Holter monitor </li></ul><ul><li>MRI of the heart </li></ul><ul><li>Blood tests </li></ul><ul><li>Exercise stress test </li></ul><ul><li>Biopsy </li></ul><ul><li>CT scan </li></ul>
    9. 9. Treatment <ul><li>None </li></ul><ul><li>Medicines </li></ul><ul><ul><li>Beta-blockers – propanolol (Inderal), atenolol (Tenormin) </li></ul></ul><ul><ul><li>Calcium channel blockers – verapamil (Calan, Isoptin) </li></ul></ul><ul><ul><li>Antiarrhythmics – disopyramide (Norpace), amiodarone (Cordarone) </li></ul></ul><ul><ul><li>Anticoagulants </li></ul></ul>
    10. 10. Treatment (continued) <ul><li>Septal myectomy </li></ul><ul><li>Alcohol septal ablation </li></ul><ul><li>Pacemaker </li></ul><ul><li>Mitral valve replacement </li></ul><ul><li>Implantable cardioverter-defibrillator (ICD) </li></ul><ul><li>Heart transplant </li></ul>
    11. 11. Prognosis <ul><li>Normal life span </li></ul><ul><li>Death and severe complications rare </li></ul><ul><ul><li>Dilated cardiomyopathy </li></ul></ul><ul><ul><li>Infective endocarditis </li></ul></ul><ul><ul><li>Heart block </li></ul></ul><ul><ul><li>Thromboembolism </li></ul></ul><ul><ul><li>Severe injury from fainting </li></ul></ul><ul><li>With treatment, symptoms may improve </li></ul>
    12. 12. Prevention <ul><li>HCM cannot be prevented </li></ul><ul><li>Preventing sudden death </li></ul><ul><ul><li>Screen close blood relatives </li></ul></ul><ul><ul><li>Avoid intense exercise, competitive sports </li></ul></ul><ul><ul><li>ICD </li></ul></ul><ul><ul><li>Have family members learn CPR </li></ul></ul><ul><li>Prolonged activity in hot weather not recommended </li></ul><ul><li>Stay well hydrated </li></ul>
    13. 13. Prevention (continued) <ul><li>Preventing infective endocarditis </li></ul><ul><ul><li>Antibiotics if having respiratory, GI, dental procedures </li></ul></ul><ul><ul><li>Take care of teeth and gums </li></ul></ul><ul><ul><li>Call doctor if symptoms of infection </li></ul></ul><ul><li>Call doctor if sudden weight gain </li></ul><ul><li>If high BP, take your medication </li></ul><ul><li>Avoid alcohol </li></ul><ul><li>Don’t smoke </li></ul><ul><li>Restrict sodium intake </li></ul>
    14. 14. Questions and answers

    ×