<Cardiomyopathy>

1. : Primary
2.
DCMP
HCMP
RCMP
Myocarditis

<DCMP : Dilated cardiomyopathy, > Di :

: (Congestive heart failure 1/3)
-
- HF
1.

Inflammatory
: Coxsackie viral infection : Acute viral myocarditis URI symptom
Toxic
: Cyclophophamide, Doxorubicin, Herceptin

Alcoholic :
: or 6
2.
: CHF
3.
Echocardiography : LV dilatation

Systolic function : EF 30

4.
- HF : ACEi, BB, DU, dig
- anticoagulation : AF
- Alcohol, CCB, NSAIDs, .
- Cardiac resynchronization Tx & ICD : DCMP
- CT :
<HCMP : Hypertrophic cardiomyopathy, > Hi : , , SAM
:

preload

, preload / AL

preload
: ( )
preload
HCMP, MVP
nitrate preload / AL
- 50% AD
- : Dyspnea, anginal pain, +
1. 2
Asymmetric LV hypertrophy : ( )
Mitral valve Systolic anterior motion(SAM) [ ASH -> LVOTO -> -> SAM -> MR ]

2. Diastolic dysfunction : EF > 60%

: LV hypertrophy Stiffness Diastolic filling pressure
3. : S4 ( Stiffness ), Holo ( SAM MR )
4.
Echocardiography ( cf : E wave : AV flow , A wace : Atrial kicking )
- Asymmetrical septal hypertrophy
- Systolic anterior motion(SAM) of Mitral valve
5. LV
SAM ( LVOT Flow )
: Preload or Afterload or contractility
ex) Digitalis, -agonist, Diuretics, -dipine,
SAM
ex) -blocker, non-dipine(Diltiazem, Verapamil)
-blocker, non-dipine : ,

<RCMP : Restrictive cardiomyopathy, >

1. : Amyloidosis, Sarcoidosis, Hemochromatosis
2. Diastolic dysfunction : EF > 60%
3. : 3, 4
4. Kussmauls sign
5. : Echocardiography
- Symmetric LV wall hypertrophy
6. : X

1. DCMP : dilatated ventricle

-> Volume overload,
2. HCMP : Asymmetrical Hypertrophy
ventricle + stiffness
-> Pressure overload,
3. RCMP : symmetrical Hypertrophy
ventricle + stiffness
->

<Myocarditis : >
1. :
2. : Triad
URI history Pericarditis
Cardiac marker ( Troponin )
ST elevation
3. : Pericardial friction rub ( , , ),
4. : Viral infection (m/c, Coxsackie B virus)
5. : Supportive care( )