26 Restrictive Cardiomyopathy

  • infiltrative cardiomyopathy
  • nl EF, nl contractility

Diagnosis

  • normal: inspiration, increase venous return, JVP falls slightly
  • restrictive: ventricle restricted, can't accept venous return

  • venous return from SVC, fills up heart, shoots back into venous system

  • PCWP: same as LA pressure, same problem

Causes

  • echo: thick myocardium
  • right: low EKG, normally large EKG with large heart
  • build up of amyloid protein: small EKG because amyloid protein does not generate electric activity

  • chronically after radiation
  • chronic pericardial disease

  • endomyocardial layer setup for thrombus