MRCP UK EXAMINATIONS

CARDIOLOGY

TRICUSPID REGURGITATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
What etiologies are considered secondary mitral diseases. Check all that apply
A
Ischemic cardiomyopathy
B
Mitral Annular Calcification (MAC)
C
Hypertrophic cardiomyopathy
D
Dilated cardiomyopathy
E
Fibro-elastic deficiency (FED)
Explanation: 

Detailed explanation-1: -A primary heart muscle disease, dilated cardiomyopathy has no clear cause. Heart transplantation is the treatment of choice. Heart section from a cardiac explant in a patient with end-stage cardiomyopathy.

Detailed explanation-2: -Dilated cardiomyopathy is a type of heart muscle disease that causes the heart chambers (ventricles) to thin and stretch, growing larger. It typically starts in the heart’s main pumping chamber (left ventricle). Dilated cardiomyopathy makes it harder for the heart to pump blood to the rest of the body.

Detailed explanation-3: -The cause of dilated cardiomyopathy often isn’t known. Up to one-third of the people who have it inherit it from their parents. Some diseases, conditions and substances also can cause the disease, such as: Coronary heart disease, heart attack, high blood pressure, diabetes, thyroid disease, viral hepatitis and HIV.

Detailed explanation-4: -In most cases, no definite cause is identifiable. Most prevalent toxic cause is alcohol. Single gene mutations involve: Coronary artery disease. Infections: coxsackievirus, adenovirus, parvovirus, HIV, bacterial, fungal rickettsial, myobacterial and parasitic (Chagas disease) More items •01-Jun-2015

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