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Medicine

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Cardiology

Question
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Cardiomyopathy may be seen in all of the following except: (AIIMS May 2011)



A Duchenne muscular dystrophy

B Friedrich's ataxia

C Type II glycogen storage disease

D Alkaptonuria

Ans. D

Alkaptonuria

A. Dilated cardiomyopathy (Systolic dysfunction)

Pre disposing conditions

1. Drugs doxorubicin, cyclophosphamide QCocaine, imatinib, trastuzumab

2. Alcohol Q (AIPG 2006)

3. Autoimmune

4. Peri- or postpartum Q

5. Congenital (x-linked)Q.

6. Selenium deficiencyQ

7. Duchenne myopathyQ

8. Freidrich’s ataxia

9. Glycogen storage disease (Pompe’s disease) (AIPG 2007)


CF:There are features of LVF and RVF

Tests:

CXR: cardiomegaly, pulmonary oedema

ECG:tachycardia, non-specific T wave changes, poor R wave progression

Echo:globally dilated hypokinetic heart and low ejection fraction. Q

MR Q. TR Q, Mural thrombus Q.

Management: Bed rest, diuretics, digoxin, ACE-inhibitor, anticoagulation cardiac transplantation.

Cardiology Flashcard List

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