Dilated cardiomyopathy resident survival guide: Difference between revisions

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==Overview==
==Overview==
Dilatative cardiomyopathies are defined by the left ventricular dilatation and left ventricular systolic dysfunction.
Dilated cardiomyopathy (DCM) relates to a group of heterogeneous myocardial disorders and is characterized by dilatation and impaired contraction and systolic function of the left or both ventricles. Atrial and/or ventricular arrhythmias can occcur, and there is a risk for sudden death. <ref name="pmid7459150">{{cite journal| author=| title=Report of the WHO/ISFC task force on the definition and classification of cardiomyopathies. | journal=Br Heart J | year= 1980 | volume= 44 | issue= 6 | pages= 672-3 | pmid=7459150 | doi= | pmc=PMC482464 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7459150  }} </ref> The weight of the heart is increased but the maximal thicknesses of the left ventricular free wall and septum are usually normal as a result of the abnormally dilated chambers.<ref name="pmid3521345">{{cite journal| author=Tazelaar HD, Billingham ME| title=Leukocytic infiltrates in idiopathic dilated cardiomyopathy. A source of confusion with active myocarditis. | journal=Am J Surg Pathol | year= 1986 | volume= 10 | issue= 6 | pages= 405-12 | pmid=3521345 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3521345  }} </ref> 
   
   
==Causes==
==Causes==
 
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
==FIRE: Focused Initial Rapid Evaluation==
* Life-threatening causes:
A Focused Initial Rapid Evaluation (FIRE) should be performed to identify patients in need of immediate intervention.
:*[[Carbon monoxide poisoning]
* Common causes:
:*
==Complete Diagnostic Approach==
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==Complete Diagnostic Approach==
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Revision as of 14:48, 5 March 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Steven Bellm, M.D. [2]

Dilated cardiomyopathy resident survival guide Microchapters
Overview
Classification
Causes
Diagnosis
Treatment
Do's
Dont's

Overview

Dilated cardiomyopathy (DCM) relates to a group of heterogeneous myocardial disorders and is characterized by dilatation and impaired contraction and systolic function of the left or both ventricles. Atrial and/or ventricular arrhythmias can occcur, and there is a risk for sudden death. [1] The weight of the heart is increased but the maximal thicknesses of the left ventricular free wall and septum are usually normal as a result of the abnormally dilated chambers.[2]

Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

  • Life-threatening causes:
  • [[Carbon monoxide poisoning]
  • Common causes:

Complete Diagnostic Approach

 
 
 
 
 
 
 
A01
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
A01
 
 
 
 
 
 
 
 
A01
 
 
 
 
 
 
 
 
A01
 
 
 
 
 
 
 
 
A01
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
A01
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
A01
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
B01
 
 
 
 
 
 
 
B02
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
C01
 
 
 
 
 
 
 
 
 
 
 

Treatment

shown

hidden

Do's

Dont's

References

  1. "Report of the WHO/ISFC task force on the definition and classification of cardiomyopathies". Br Heart J. 44 (6): 672–3. 1980. PMC 482464. PMID 7459150.
  2. Tazelaar HD, Billingham ME (1986). "Leukocytic infiltrates in idiopathic dilated cardiomyopathy. A source of confusion with active myocarditis". Am J Surg Pathol. 10 (6): 405–12. PMID 3521345.