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Published on: May 16, 2020
Dilated cardiomyopathy: an anaesthetic challenge
Haramritpal Kaur1, Ranjana Khetarpal, Shobha Aggarwal
1Assistant Professor, Department of Anaesthesia, GGS Medical College and Hospital , Faridkot, India .
Journal of Clinical and Diagnostic Research : JCDR
|August 2, 2013
Summary
Idiopathic dilated cardiomyopathy, a heart muscle disease, presents challenges for anesthesiologists. This case report details anesthetic management for a patient with this condition undergoing breast cancer surgery.
Area of Science:
- Cardiology
- Anesthesiology
- Oncology
Background:
- Idiopathic dilated cardiomyopathy (IDCMP) is a myocardial disease characterized by ventricular dilation and impaired contractility.
- Its incidence ranges from 5 to 8 cases per 100,000 population, posing anesthetic challenges due to potential cardiac failure.
- Diagnostic criteria include reduced fractional shortening (<25%) and/or ejection fraction (<45%) with increased Left Ventricular End Diastolic Diameter (LVEDD).
Purpose of the Study:
- To report the anesthetic management of a patient with IDCMP undergoing surgery for breast carcinoma.
- To highlight the complexities and considerations for anesthesiologists managing patients with dilated cardiomyopathy.
Main Methods:
- Case report detailing the anesthetic approach for a patient with diagnosed dilated cardiomyopathy.
- Review of anesthetic considerations for patients with compromised cardiac function undergoing elective surgery.
Main Results:
- The anesthetic management was successfully implemented for the patient with dilated cardiomyopathy undergoing breast cancer surgery.
- The patient's cardiac status was carefully monitored and managed throughout the perioperative period.
Conclusions:
- Anesthetic management in patients with dilated cardiomyopathy requires meticulous planning and vigilant monitoring.
- Successful surgical outcomes are achievable with appropriate perioperative strategies tailored to the individual patient's cardiac condition.
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