MBcHB

Question 1

Symptoms of outflow tract obstruction?

Answer 1

Syncope, angina

Question 2

Signs and symptoms of HCM?

Answer 2

jerky pulse
forceful or double apical impulse
4th Heart Sound,
mid systole murmur exacerbated by Valsalva manoeuvre (30-40% of patients)

Question 3

Which sound and murmur in HCM?

Answer 3

4th heart sound

Mid systole murmur

Question 4

Signs and symptoms of RCM?

Answer 4

rapid x and y descent of the JVP

loud 3rd and 4th Heart Sound.

Question 5

Left ventricular cardiomyopathy ECG features?

Answer 5

Increased voltage and ST

Mainly negative in II and III

Question 6

When is HCM high risk?

Answer 6

• NSVT
• Syncope
• LV >30mm
• Low BP on ETT
• Family history of SCD
• specific mutations

Question 7

Different morphologies of HCM?

Answer 7

Asymmetric septal hypertrophy (65%)
Symmetric or concentric LV hypertrophy (20-25%)
Apical 10%