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. 2013 Jun;7(6):1174-6.
doi: 10.7860/JCDR/2013/5390.3069. Epub 2013 Jun 1.

Dilated cardiomyopathy: an anaesthetic challenge

Haramritpal Kaur  1 , Ranjana Khetarpal, Shobha Aggarwal
Affiliations

Dilated cardiomyopathy: an anaesthetic challenge

Haramritpal Kaur et al. J Clin Diagn Res. 2013 Jun.

Abstract

Idiopathic dilated cardiomyopathy is a primary myocardial disease of unknown etiology characterized by left ventricular or biventricular dilation and impaired contractility. Depending upon diagnostic criteria used, the reported annual incidence varies between 5 and 8 cases per 100,000 populations. Dilated cardiomyopathy is defined by presence of: a) fractional myocardial shortening less than 25% (>2SD) and/or ejection fraction less than 45% (>2SD) and b) Left Ventricular End Diastolic Diameter (LVEDD) greater than 117% excluding any known cause of myocardial disease. Such cases are always a challenge to the anesthesiologist as they are most commonly complicated by progressive cardiac failure. We report the anesthetic management of a patient with dilated cardiomyopathy undergoing surgery for carcinoma breast.

Keywords: Anaesthetic management; Dilated cardiomyopathy; Idiopathic.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
ECG showing left bundle branch block and poor progression of R wave in lead V1-V5
[Table/Fig-2]:
[Table/Fig-2]:
Chest X-ray Showing dilated cardiomyopathy
See this image and copyright information in PMC

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