MCQ 37: Hypertrophic cardiomyopathy

Q. Prevalence of hypertrophic cardiomyopathy in general populations is?
A. 1 in 5000
B. 1 in 500
C. 1 in 1000
D. 1 in 100

Answer: B. 1 in 500

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ECG Spotter

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Peripartum Cardiomyopathy

Peripartum Cardiomyopathy (PPCM) • Usually develops in last month of pregnancy or first 5 months post-delivery. • Presents as heart failure with reduced ejection fraction (dilated cardiomyopathy) ↳ LV EF < 45% • PPCM is a diagnosis of exclusion. • Risk factors → 1- History of Hypertension, Pre-eclampsia 2- Black women • Incidence → 1 in 2000 live births. • Management → 1. Guideline directed medical therapy for HF- Beta-blockers Hydralazine plus isosorbide dinitrate Diuretics 2. Bromocriptine 3. Low threshold for anticoagulation 4. ...

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