Cardiomyopathies are diseases of the heart muscle, resulting in structural and functional abnormalities. The most common types of cardiomyopathy include dilated cardiomyopathy, hypertrophic obstructive cardiomyopathy, and restrictive/infiltrative cardiomyopathy. Understanding these conditions is essential for medical students preparing for the USMLE Step 1 exam.

| Treatment Option | Purpose |
|---|---|
| Sodium restriction | Reduce fluid retention |
| ACE inhibitors | Reduce afterload and improve EF |
| Beta-blockers (e.g., Metoprolol) | Improve symptoms and prevent arrhythmias |
| Diuretics | Reduce fluid overload |
| Mineralocorticoid receptor blockers (e.g., Spironolactone) | Prevent fibrosis and improve survival |
| Digoxin | Improve contractility in severe cases |
| Implantable cardioverter defibrillator (ICD) | Prevent sudden death from arrhythmias |
| Heart transplant | Consider for end-stage heart failure |
| Treatment Option | Purpose |
|---|---|
| Cessation of high-intensity athletics | Prevent arrhythmias and sudden death |
| Beta-blockers (e.g., Metoprolol) | Improve symptoms and reduce arrhythmias |
| Non-dihydropyridine calcium channel blockers (e.g., Verapamil) | Improve diastolic filling and prevent arrhythmias |
| Implantable cardioverter defibrillator (ICD) | Prevent sudden death due to arrhythmias |
Restrictive cardiomyopathies are characterized by impaired ventricular filling due to stiffened myocardium.
| Treatment Option | Purpose |
|---|---|
| Treatment of underlying cause (e.g., chelation for hemochromatosis) | Address the root cause |
| Diuretics | Manage symptoms of fluid overload |
| Heart transplant | For severe cases |
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