Study note

Restrictive cardiomyopathy: impaired filling and atrial consequences

THE CONTEXT
Restrictive cardiomyopathy is a rare condition in which stiff ventricles impair ventricular filling.

Mechanism and consequences

•
Ventricular filling: Increased ventricular stiffness impairs filling.
•
Atrial consequences: High atrial pressures lead to atrial hypertrophy and dilatation, followed later by atrial fibrillation.

Causes and diagnostic assessment

•
Most common UK cause: Amyloidosis is the most common cause in the UK.
•
Other causes: Glycogen storage diseases, idiopathic perimyocyte fibrosis and a familial form can also cause restrictive cardiomyopathy.
•
Assessment: Diagnosis can be difficult and requires Doppler echocardiography, computed tomography or magnetic resonance imaging, and endomyocardial biopsy.

Treatment and prognosis

•
Treatment: Management is symptomatic, and cardiac transplantation may be indicated.
•
Prognosis: The prognosis is usually poor.
Explore this chapter
NEETx
Learn. Practise. Remember.