Undiagnosed peripartum cardiomyopathy: Anesthesiologist 's nightmare!

Anuradha Borle, Devalina Goswami, Tanvi Meshram, Manpreet Kaur, Shiv AkshatJournal of Anaesthesiology Clinical Pharmacology 2019 35(4):566-568
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research

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HYPERTROPHIC CARDIOMYOPATHY (HCM) is a relatively common inherited cardiac disease characterized by asymmetrical left ventricle (LV) wall thickening. Because left ventricular outflow tract (LVOT) obstruction occurs in HCM and can lead to catastrophic circulatory collapse, its prevention is one of the most important issues in perioperative circulatory management. LVOT obstruction is induced or aggravated by a decrease in the preload or afterload; an increase in cardiac contractility or heart rate; or any combination of these factors.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Report Source Type: research
PERIPARTUM CARDIAC complications account for 41% of all maternal deaths in the United States.1 In parturients with cardiogenic shock from peripartum cardiomyopathy, amniotic fluid embolism, and pulmonary emboli, mechanical circulatory support (MCS) devices are increasingly used. Such devices include intra-aortic balloon pumps (IABP), veno-venous and veno-arterial extracorporeal membrane oxygenation (ECMO), left ventricular assist devices, and paracorporeal ventricular assist devices (PVAD).2-4 Respiratory syndromes exacerbated by pregnancy, such as influenza-induced acute respiratory distress syndrome, are also potentially...
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Original Research Source Type: research
We present a case of a 44-year-old pregnant female known for DCM with low ejection fraction who underwent an elective cesarean section and tubal ligation. The patient was transferred to the intensive care unit in a stable condition with a favorable outcome. Awareness about the appropriate anesthetic management for this type of patients is of paramount importance because similar cases are likely to be encountered with the advances in modern medicine.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
PMID: 31929264 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research
END-STAGE LIVER DISEASE (ESLD) is a syndrome that affects most of the body organ Cirrhotic cardiomyopathysystems, including the cardiovascular, respiratory, renal, nervous, hematologic, and gastrointestinal systems. Cardiovascular involvement is one of the major concerns for anesthesiologists during orthotopic liver transplants (OLTs).1-5 Patients with ESLD are at high cardiac risk from coronary artery disease, cirrhotic cardiomyopathy, portopulmonary hypertension, and alcoholic cardiomyopathy.1,3 Thorough preoperative assessments and preparations and adequate intraoperative monitoring with good team communication are key ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Report Source Type: research
A 14-year girl in England has died due to complications of being anesthetized prior to her imaging scan.Alice Sloman ’s heart was twice the size of normal hearts, a condition that put her in danger when administered anesthesia. Before her scan, she was described as “extremely anxious” and “hypersensitive,” prompting physicians to give her a dose of general anesthesia. According to her parents, they repea tedly insisted to her doctors that she suffered from a series of symptoms including breathlessness.However, the anesthesia was a miscalculated decision, and three days later Sloman died. Coron...
Source: radRounds - Category: Radiology Authors: Source Type: blogs
Sangeeta Khanna, Krishna Prasad, Vipin J Sharma, Nitul M BewalIndian Journal of Anaesthesia 2019 63(12):1041-1042
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
ont C Abstract Surgery of the cervical spine under conscious sedation has been rarely reported in the literature. The main indications are the lack of neurophysiological monitoring and surgery in patients with high cardiovascular risk. To date, no reports of awake C1-2 instrumentation have been published in the English-language literature. The authors present the case of a 76-year-old patient with multiple myeloma and severe cardiomyopathy associated with primary amyloidosis who experienced severe myelopathy from a C2 pseudotumor associated with an odontoid fracture. Due to his high cardiovascular risk, the patien...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
STRESS-INDUCED cardiomyopathy, also called Takotsubo cardiomyopathy (TC), is a clinical entity that was first described in Japan.1 It is characterized by a transient abnormality of left ventricular apical wall motion, electrocardiographic changes, and cardiac enzyme release. In the acute setting the condition mimics an acute coronary syndrome.2
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Report Source Type: research
We report a case of an 8-year-old girl who presented with syncopal attacks and a history of viral illness a month ago. On examination, she was conscious, oriented but had a heart rate of 42/min which was unresponsive to atropine. She was started on dobutamine and isoproterenol. Electrocardiography and echocardiography revealed complete heart block with moderate tricuspid regurgitation, dilated cardiomyopathy and low ejection fraction. Patient was planned for urgent permanent pacemaker insertion. General anaesthesia was administered with endotracheal tube and controlled ventilation using fentanyl, ketamine and pancuronium. ...
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
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