Anaesthetic considerations in patients with mitral valve prolapse

Thiagarajah, Somasundaram; Frost, Elizabeth A. M.

doi:10.1111/j.1365-2044.1983.tb12115.x

Cited by 21 publications

(31 citation statements)

References 39 publications

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“…However myocardial depressant effects of anaesthetic agents and stress of laryngoscopy and intubation are not desirable in these patients. Patients of left ventricular dysfunction have increased incidence of deep vein thrombosis (DVT) and pulmonary embolism [2]. Keeping the above facts in mind combined spinal epidural (CSE) technique was adopted with low dose spinal block and extension with epidural catheter.…”

Section: Discussionmentioning

confidence: 99%

“…Adequate volume expansion and a CVP of 10−15 mmHG are required [1]. However excessive hydration may lead to congestive cardiac failure in patients with poor left ventricular function [2]. So our fluid therapy was guided by cardiac filling pressures.…”

Section: Discussionmentioning

confidence: 99%

“…Pulmonary artery catheterization and invasive arterial pressure monitoring are recommended in patients with left ventricular dysfunction undergoing renal transplantation [1]. The goals of anaesthetic management are [1,2] (i) maintenance of myocardial contractility,…”

Section: Discussionmentioning

confidence: 99%

“…Chronically increased intravascular volume may lead to concentric hypertrophy or dilated cardiomyopathy. Dilated cardiomyopathy (DCM) is defined by the presence of (a) fractional myocardial shortening <25% and/or ejection fraction <45% and (b) left ventricular end diastolic diameter >117% excluding any known cause of myocardial disease [2]. Management of patients with severe cardiomyopathies and left ventricular dysfunction is associated with a high morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

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Anaesthetic management of renal transplant surgery in patients of dilated cardiomyopathy with ejection fraction less than 40%

Sahu

Dhiraaj

Srivastava

et al. 2014

Indian Journal of Transplantation

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Cardiovascular disease (CVD) is an important comorbidity of chronic kidney disease, and reducing cardiovascular events in this population is an important goal for the clinicians who care for chronic kidney disease patients. The high risk for CVD in transplant recipients is in part explained by the high prevalence of conventional CVD risk factors (e.g., diabetes, hypertension, and dyslipidemia) in this patient population. Current transplant success allows recipients with previous contraindications to transplant to have access to this procedure with more frequency and safety. Herein we provide a series of eight patients with dilated cardiomyopathy with poor ejection fraction posted for live donor renal transplantation which was successfully performed under regional anesthesia with sedation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anaesthetic management of renal transplant surgery in patients of dilated cardiomyopathy with ejection fraction less than 40%

Sahu

Dhiraaj

Srivastava

et al. 2014

Indian Journal of Transplantation

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“…Drugs causing tachycardia (atropine) or alpha blocking agents (droperidol) should be avoided. 15 In terms of anaesthetic technique, it is more important to understand the underlying pathophysiology and treat the patient accordingly, than to specify general versus regional anaesthesia. The principles of management include maintenance of a large left ventricular end diastolic volume by keeping the patient well volume loaded, and avoidance of sudden afterload reduction.…”

Section: Mitral Valve Prolapse and Anaesthesiamentioning

confidence: 99%

Mitral valve prolapse

Kowalski

1985

Can Anaesth Soc J

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Mitral valve prolapse (MVP) was first described as a clinical-pathological entity in the mid 1960's t'2 when the auscultatory findings of a mid-systolic click were correlated with angiographically demonstrated valve prolapse. Prior to that time, these findings were thought to be caused by extra-cardiac pathology. Since the advent of echo-cardiography, this entity has been increasingly recognized and diagnosed. IncidenceMitral valve prolapse is the most common valvular cardiac abormality with published prevalence rates ranging from five per cent to 20 per cent. 3-6 The ongoing Framingham study 6 has sought to determine the prevalence and features of mitral valve prolapse in the general population. The incidence of mitral valve prolapse in men was a constant two to four per cent in all age groups; however, in women it varied with age. The incidence in women aged 20-29 was 17 per cent but declined with each subsequent decade to 1.4 per cent in women over 80 years of age 3 (see Figure). The reason for the age-related decline in women remains unclear. Aetiology

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Cardiovascular Disease in Pregnancy

Mushlin¹,

Davidson²

Anesthetic and Obstetric Management of High-Risk Pregnancy

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Anaesthetic considerations in patients with mitral valve prolapse

Cited by 21 publications

References 39 publications

Anaesthetic management of renal transplant surgery in patients of dilated cardiomyopathy with ejection fraction less than 40%

Anaesthetic management of renal transplant surgery in patients of dilated cardiomyopathy with ejection fraction less than 40%

Mitral valve prolapse

Cardiovascular Disease in Pregnancy

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