Case Study: 50-year-old obese female with long history of severe
The patient underwent coronary angiography, and the coronary arteries were normal with no significant coronary artery disease noted. It was then revealed that the patient’s symptoms begun 2 days ago following a funeral for her mother. What is the most likely diagnosis for this patient and what are the proposed causes of this abnormality? Briefly state the typical population that is affected by this condition Describe the four major types/variants of this condition and how they can be differentiated State the echo features of this condition and discuss ways of differentiating this condition with typical ischaemic cardiomyopathy 3 Mark Describe how you would assess this patient’s left ventricular wall thickness and determine if there is left ventricular hypertrophy (LVH), if applicable classify the type of LVH. Include all relevant parameters and methods in your explanation. 3 Marks Looking at all the echo images in this study, what specific type of cardiomyopathy does this patient have and is this type of cardiomyopathy reversible? List the typical echo features of this cardiomyopathy and say whether they are observed in this study or not sing the table below, compare and contrast the given type of cardiomyopathy with three other types of cardiomyopathies. Refer to the examples in the left column as a basis for your discussion, and feel free to include additional examples if relevant. Type of Cardiomyopathy This type Other type #1 Other type #2 Other type #3 Cause Diagnosis Pathophysiology of the cardiomyopathy Role of Echo Echo Features 3 Marks Classify, grade, and discuss the left ventricular (LV) diastolic function and LV filling pressures using the current 2016 ASE guidelines, “Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging”. Include in the answer all parameters considered as well as relevant equations and workings and relevant reference values. Indicate and describe any additional parameters or calculations that support the grading of diastolic function in this study 3 Marks Would a Valsalva manoeuvre be beneficial in assessing diastolic function in this study and why? Describe how you would ask a patient to perform a Valsalva manoeuvre and discuss the haemodynamic changes that occur in relation to LV diastolic function. Discuss how a Valsalva manoeuvre will aid in the grading of diastolic dysfunction
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