Dilated Cardiomyopathy:
An Anaesthetic Challenge
Published: June 1, 2013 | DOI: https://doi.org/10.7860/JCDR/2013/.3069
Haramritpal Kaur, Ranjana Khetarpal, Shobha Aggarwal
1. Assistant Professor, Department of Anaesthesia, GGS
Medical College and Hospital, Faridkot, India.
2. Assistant Professor, Department of Anaesthesia, GMC
Medical College and Hospital, Amritsar, India.
3. Professor & Head, Department of Anaesthesia, GGS
Medical College and Hospital, Faridkot, India.
Correspondence Address :
Dr. Haramritpal Kaur,
Department of Anaesthesia,
GGS Medical College and Hospital, Faridkot, India.
Phone: 0091-9878088013
E-mail: amritk_dr@yahoo.co.in
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
Idiopathic, Dilated cardiomyopathy, Anaesthetic management