[Perioperative management of patients with cardiomyopathies: preface and comments]

Area of Science:

• Cardiology
• Myocardial Diseases

Context:

• Cardiomyopathies represent a diverse group of myocardial diseases.
• These conditions lead to myocardial dysfunction, causing heart failure via systolic and/or diastolic dysfunction.

Purpose:

• To outline the complexities in managing patients with cardiomyopathies, particularly during the perioperative period.
• To highlight the need for tailored management strategies based on specific pathophysiological characteristics.

Summary:

• Cardiomyopathies often have a poor prognosis due to progressive heart failure and risk of sudden cardiac death from arrhythmias.
• Effective perioperative management focuses on addressing low cardiac output, managing serious arrhythmias, and considering anticoagulation for conditions like atrial fibrillation.
• Evaluation and management of cardiac implantable electronic devices, such as pacemakers and implantable cardioverter-defibrillators, are crucial.

Impact:

• This information is vital for clinicians to optimize perioperative care for cardiomyopathy patients.
• Improved management can potentially reduce adverse outcomes, including heart failure progression and sudden cardiac death.