25 Systolic Diastolic HF

  • left: can't squeeze at all
  • both similar signs and symptoms

  • low CO signs only in end stage systolic

Systolic

  • VR: venous return
  • move to the right on end diastolic volume line, but also moves a little higher (higher pressure)
  • major problem is volume increase. Pressure increase a little

Nonischemic Cardiomyopathy

  • Selenium

  • Coxsackie B
  • floppy bags of seeds: Dilated cardiomyopathy
  • zoo keeper grab: "Devil's grip = Bornholm's disease / pleurodynia" Strange sharp pain in unilateral lower chest

  • asympatomatic acutely. Symptoms several years later
  • swollen colon: Megacolon with constipation
  • Tunneled up mole: Burrows into endocardium
  • floppy heart on bike: Dilated cardiomyopathy
  • snake with dilated snake: Mega-esophagus

  • Rubies: “-rubicin” suffix of anthracyclines (e.g. doxorubicin, daunorubicin)
  • Dilated heart ruby sacks: anthracyclines (e.g. doxorubicin) can cause cardiotoxicity (e.g. dilated cardiomyopathy). Free radicals

  • normal angiogram
  • base contracts normally, apex doesn't
  • common in japan

  • alcoholic cardiomyopathy

  • quick moving blood hits wall

Diastolic

  • major problem is pressure increase

  • slams blood hitting stiff wall and making a loud noise, requires atrial kick, can't occur in afib
  • Tennessee

High Output

  • HF symptoms with high CO