Uncommon Cardiac Diseases

Oliver, William C.; Mauermann, William J.; Nuttall, Gregory A.

doi:10.1016/b978-1-4377-1617-7.00027-3

Cited by 3 publications

(5 citation statements)

References 423 publications

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“…Initially, the ventricle dilates to increase the force of contraction and stroke volume (Frank–Starling relationship); however, these compensatory mechanisms gradually fail, progressive ventricular failure ensues and cardiac output (CO) decreases [ Figure 1 ]. [ 4 5 ]…”

Section: Dilated Cardiomyopathymentioning

confidence: 99%

“…Presentation, investigations and medical management of DCM patients are shown in Table 2 . [ 4 5 6 ]…”

Section: Dilated Cardiomyopathymentioning

confidence: 99%

“…[ 7 ] Asymptomatic non-sustained ventricular tachycardia occurs commonly and is managed with antiarrhythmics, for example, amiodarone or AICD device which improves survival. [ 4 8 ] Patients with LVEF <30% and an intraventricular conduction defect with wide QRS complex ≥130 ms may lack synchronised contraction of both ventricles. Resynchronisation of left and right ventricle with biventricular pacing through a cardiac resynchronisation therapy device (CRT-D) restores synchronous contraction of both ventricles, shortens QRS interval, decreases LV size and improves systolic function, stroke volume and survival.…”

Section: Dilated Cardiomyopathymentioning

confidence: 99%

“…Anaesthetic management can be associated with morbidity and mortality, therefore, requires planning. [ 4 ] Optimisation of CHF at least for a week before the planned surgery is advisable. In critically ill or high-risk procedures or those in whom CHF management is not fully optimised, IABP can be inserted preoperatively.…”

Section: Dilated Cardiomyopathymentioning

confidence: 99%

“…Early labour epidural analgesia reduces the sympathetic response of labour contractions, decreases afterload and can be used for anaesthesia if operative intervention is required. [ 4 17 ]…”

Section: Post-partum Cardiomyopathymentioning

confidence: 99%

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Cardiomyopathies and anaesthesia

Juneja

Nambiar

2017

Indian J Anaesth

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Cardiomyopathy is considered as a heart muscle disease of multiple aetiologies, unlike other cardiac diseases related to a definitive pathophysiology. With more and more research and with the advent of genetic analysis pin pointing the disease causing mutations, causative factors have been defined and classifications and definitions have changed over time. Patients with these conditions present to anaesthesiologists in elective and emergency situations, placement of automated internal cardioverter defibrillator (AICD) devices or biventricular pacing but may also be diagnosed at anaesthetic pre-assessment. We describe cardiomyopathies such as dilated cardiomyopathy, hypertrophic cardiomyopathy, post-partum cardiomyopathy and Takotsubo cardiomyopathy in brief and their anaesthetic management.

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Section: Dilated Cardiomyopathymentioning

confidence: 99%

“…Presentation, investigations and medical management of DCM patients are shown in Table 2 . [ 4 5 6 ]…”

Section: Dilated Cardiomyopathymentioning

confidence: 99%

Section: Dilated Cardiomyopathymentioning

confidence: 99%

Section: Dilated Cardiomyopathymentioning

confidence: 99%

Section: Post-partum Cardiomyopathymentioning

confidence: 99%

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Cardiomyopathies and anaesthesia

Juneja

Nambiar

2017

Indian J Anaesth

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Hypertrophic cardiomyopathy part II - Anesthetic and surgical considerations

Varma¹,

Raman²,

Neema³

2014

Ann Card Anaesth

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Hypertrophic cardiomyopathy (HCM) poses many unique challenges regarding the conduct of anesthesia and surgery. Adequate preload, control of sympathetic stimulation, heart rate, and increased afterload are required to decrease the left ventricular outflow tract obstruction. Comprehensive intraoperative transesophageal echocardiography (TEE) examination confirms the diagnosis, elucidates the pathophysiology, and identifies the various anomalies of mitral valve apparatus and allows assessment of the adequacy of surgery. In this review, we focus on the preoperative assessment, conduct of anesthesia and comprehensive TEE examination of patients presenting for surgery with HCM. The various surgical options are extended myectomy and resection, plication and release.

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Left Atrial Myxoma with an Unusual Origin near Right Pulmonary Vein

Bhardwaj¹,

Makhija²,

Bhoje³

et al. 2017

Journal of Perioperative Echocardiography

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Atrial myxoma is the most frequent intracardiac tumor, account ing for nearly 50% of benign cardiac tumours in adults. We present here a rare case report of a solitary left atrial myxoma attached to the left atrial wall near the origin of the right pulmo nary vein. The stalk of tumor was not attached to the interatrial septum, which is the most common site of attachment. Instead, it was attached on the wall of left atrium adjacent to the inter atrial septum. Surgical exploration confirmed its attachment in the left atrium near the origin of right upper pulmonary vein.

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Uncommon Cardiac Diseases

Cited by 3 publications

References 423 publications

Cardiomyopathies and anaesthesia

Cardiomyopathies and anaesthesia

Hypertrophic cardiomyopathy part II - Anesthetic and surgical considerations

Left Atrial Myxoma with an Unusual Origin near Right Pulmonary Vein

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