Myocardial and Pericardial Disease

Myocardial disease is subdivided into: primary and secondary myocardial diseases. The primary type most common due to genetic cause, secondary myocardial diseases are mostly acquired but may be precipitated by a genetic background. In the primary myocardial disease the most common is the hypertrophic cardiomyopathy, which is associated with a wide variety of genetic abnormalities.

Myocardial disease with a known cause is termed secondary myocardial disease.

Nine different etiologies can be distinguished they are Hypertension, Ischaemia, Valvular disease, Alcohol, Metabolic cardiomyopathy, Takotsubo cardiomyopathy, Peripartum cardiomyopathy, Tachycardia.

 

Pericardial Diseases:

The pericardium comprises two layers; the visceral layer that adheres to epicardial surface of the heart, and the parietal layer that surrounds most of the heart. Pericardial disease is common, and diagnosis is usually straightforward as the pericardium reacts to disruption by a wide variety of agents and processes in a relatively uniform manner. Typical presentation is with chest pain and fever, production of pericardial fluid with possible cardiac tamponade, or a constrictive pattern by thickening, retraction and calcification.

2 types of pericardial diseases: Acute & Chronic.

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