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Anesthetic Management in Peripartum Cardiomyopathy: A Contemporary Review

Aishwarya Nayak1, Sanjot Ninave1, Surekha Tayade2

  • 1Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.

Cureus
|February 2, 2023
PubMed

Peripartum cardiomyopathy (PPCM) is an uncommon disorder of the cardiovascular system and is linked to high rates of morbidity and mortality. It is an idiopathic condition characterized by left ventricular systolic dysfunction with an ejection fraction of approximately 45% near the end of pregnancy or immediately after delivery. Anesthesia management in these women is challenging due to low physiological reserve and potential negative effects on the fetus. To ensure that mother and child are supported safely through delivery, careful anesthesia control is required. Here, in this review article, we discuss the anesthetic implications in preoperative, operative, and postoperative phases in women with perioperative cardiomyopathy undergoing vaginal delivery or cesarean section.

Keywords:
anesthesiaanesthesia in high risk pregnancyanesthesia in ppcmhigh-risk pregnancyobstetric anesthesiaobstetric anesthesia in critical illnessperipartum cardiomyopathy

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