Anesthesia Management of Patients with Hypertrophic Obstructive Cardiomyopathy

Michal Gajewski, Zak Hillel

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Hypertrophic obstructive cardiomyopathy presents a challenge to the anesthesiologist. Because the condition is relatively prevalent, it is important for anesthesiologist to be aware of the pathophysiology. In this review, we draw upon case reports and studies of the anesthesia management of patients with hypertrophic obstructive cardiomyopathy to enhance medical decision making. The scope of this article ranges from the preoperative period, when the severity of the obstruction needs to be assessed; the intraoperative period, with monitoring, as well as general management guidelines; and finally, the postoperative period, when it is important to minimize the sympathetic response. Furthermore, we address the management of the obstetric patient, with particular focus on neuraxial anesthesia, and extrapolate how this type of anesthesia may be applied to the management of patients undergoing nonlaboring, noncardiac surgery.

Original languageEnglish (US)
Pages (from-to)503-511
Number of pages9
JournalProgress in Cardiovascular Diseases
Volume54
Issue number6
DOIs
StatePublished - May 2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Keywords

  • Anesthetic management
  • Hypertrophic cardiomyopathy
  • Obstructive hypertrophic cardiomyopathy

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