25 Systolic Diastolic HF

• left: can't squeeze at all
• both similar signs and symptoms

• low CO signs only in end stage systolic

Systolic

• VR: venous return
• move to the right on end diastolic volume line, but also moves a little higher (higher pressure)
• major problem is volume increase. Pressure increase a little

Nonischemic Cardiomyopathy

• Selenium

• Coxsackie B
• floppy bags of seeds: Dilated cardiomyopathy
• zoo keeper grab: "Devil's grip = Bornholm's disease / pleurodynia" Strange sharp pain in unilateral lower chest

• asympatomatic acutely. Symptoms several years later
• swollen colon: Megacolon with constipation
• Tunneled up mole: Burrows into endocardium
• floppy heart on bike: Dilated cardiomyopathy
• snake with dilated snake: Mega-esophagus

• Rubies: “-rubicin” suffix of anthracyclines (e.g. doxorubicin, daunorubicin)
• Dilated heart ruby sacks: anthracyclines (e.g. doxorubicin) can cause cardiotoxicity (e.g. dilated cardiomyopathy). Free radicals

• normal angiogram
• base contracts normally, apex doesn't
• common in japan

• alcoholic cardiomyopathy

• quick moving blood hits wall

Diastolic

• major problem is pressure increase

• slams blood hitting stiff wall and making a loud noise, requires atrial kick, can't occur in afib
• Tennessee

High Output

• HF symptoms with high CO