Title: Cardiomyopathy in the Emergency Room
Authors: Vishal C. Bhatt, Santoshkumar G. Thakur
DOI: https://dx.doi.org/10.18535/jmscr/v7i12.05
Abstract
Cardiomyopathy is one of the common etiologies for heart failure and causes can be ischemic, non ischemic, alcoholic, viral cardiomyopathy etc. Early recognition of the condition helps in reversing the etiology and further functional deterioration of heart. Bedside screening of 2D ECHO has helped in early recognition of the condition along with troponins which helps in ruling out ischemic cause of carsiomyopathy. Here we are presenting a case series of 4 patients who had different presentations in emergency room (ER) and a diagnosis of cardiomyopathy were made with the help of either troponins, 2D ECHO or angiography.
References
- Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, Fonarow GC, Geraci SA, Horwich T, Januzzi JL, Johnson MR, Kasper EK, Levy WC, Masoudi FA, McBride PE, McMurray JJ, Mitchell JE, Peterson PN, Riegel B, Sam F, Stevenson LW, Tang WH, Tsai EJ, Wilkoff BL. 2013 ACCF/AHA guideline for the management of heart failure: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation. 2013;128:1810–1852.
- Dec GW, Fuster V. Idiopathic dilated cardiomyopathy. N Engl J Med. 1994;331:1564–1575.
- Sugrue DD, Rodeheffer RJ, Codd MB, Ballard DJ, Fuster V, Gersh BJ. The clinical course of idiopathic dilated cardiomyopathy: a population-based study. Ann Intern Med. 1992;117:117–123.
- Richardson P, McKenna W, Bristow M, Maisch B, Mautner B, O’Connell J, Olsen E, Thiene G, Goodwin J, Gyarfas I, Martin I, Nordet P. Report of the 1995 World Health Organization/International Society and Federation of Cardiology Task Force on the Definition and Classification of cardiomyopathies. Circulation. 1996;93:841–842
- Fonarow GC et al ADHERE Scientific Advisory Committee. The Acute Decompensated Heart Failure National Registry (ADHERE): opportunities to improve care of patients hospitalized with acute decompensated heart failure.Rev Cardiovasc Med 2003;4 Suppl 7:S21-30
- 6- National Heart, Lung, and Blood Institute. Diseases and Conditions Index. Types of cardiomyopathy.
- Pinamonti B, Cacciatore G. Dilated cardiomyopathy: indication and role of non-invasive instrumental evaluation. Ital Heart J Suppl. 2002 Apr;3(4):405-11.
- Dewi E. Thomas, Richard Wheeler, Zaheer R. Yousef, Navroz D. Masani, The role of echocardiography in guiding management in dilated cardiomyopathy, European Journal of Echocardiography, Volume 10, Issue 8, December 2009, Pages iii15–iii21.
- Metra M, Nodari S, Trussardi E, Vizzardi E, Cas LD.Dilated cardiomyopathy: indication and role of invasive evaluation. Ital Heart J Suppl. 2002 Apr;3(4):412-8.