CARDIOMYOPATHY
CARDIOMYOPATHY
CARDIOMYOPATHY
Y
CADIOMYOPATHY
Is a group of diseases that weakened the
heart muscle, the myocardium making it
harder to the heart to pump blood.
symptoms
shortness of breath
Fatigue
Rapid heartbeats
Chest pain
Swelling of lower limbs
Dizziness
fainting
Types of cardiomyopathy
DILATED
HYPERTROPHIC
RESTRICTIVE
DILATED CARDIOMYOPATHY
Thinning of myocardium and enlargement
of heart chamber most commonly in left
ventricle.
Cause:
unknown
Risk factor:
High blood presure
Previous heart attack
Alcohol/cocaine use
Toxin (lead ,mercury)
Infections
Obesity and diabetes
Diagnostic measures
History
Echocardiography
Chest x-ray
ECG
Cardiac catheterization
management
Nitratres
Loop diuretics
ACE inhibitors
Beta adrenergic blockers
Aldosterone agonist
Cardiac glycoside
Anticoagulation theraphy
Surgical management
Cardiac transplantation
HYPERTROPHIC CARDIOMYOPATHY
Thickening of heart muscle most
commonly occurs in the interventricular
septum facing the LV. It obstruct the blood
flow into the aorta this condition is called
outflow tract obstruction or obstructive
hypertrophic cardiomyopathy.
etiology
Inherited (autosomal dominant)
Risk factor :
High blood pressure
Aging
“major cause of sudden cardiac death in
young athlete.”
Diagnostic test
History and physical examination
Transthoracic echocardiogram
ECG
Cardiac MRI
Cardiac catheterization
management
Beta adrenergic blockers
Calcium channel blocker
Antidysrhytmic drugs
Surgical management
Septal myectomy
Septal ablation
Implantable cardioverter-defibrillator
(ICD)
RESTRICTIVE CARDIOMYOPATHY
When the heart muscle becomes rigid,
lacking the elasticity require to properly fill
and pump blood.
etiology
Unknown
Myocardial fibrosis, endocardial fibrosis,
sarcoidosis and radiation to the thorax.
“more likely in older people”
Diagnostic test
Chest x-ray
ECG
Echocardiography
CT-Scan and MRI Scan
management
Beta adrenergic blockers
Calcium channel blockers
Steroids
Antidysrhytmic drugs
“a heart transplantation may be considered
if the heart function is very poor and the
symptoms are severe.
NURSING MANAGEMENT
Instruct the pt to take all medicines on prescribed
time.
Encourage to use low sodium diet
Instruct to drink more water
Instruct the pt to maintain proper body weight
Teach the pt to balance activity and rest
Instruct the pt to avoid vigorous activities and
exercises.
Encourage to perform stress reduction
activities
Teach about breathing and coughing
exercise
Suggest the family members to learn about
CPR.
Nursing diagnosis
Decreased cardiac output related to altered
contractility
Activity intolerance related to imbalance
between oxygen supply and demand
Ineffective role performance related to
changes in physical health, stress, demands
of job/life.