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Indian Journal of Anesthesia and Analgesia 12(1):p 75-77, Jan- March 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12125.15
Case Report
Anaesthetic Management of Acute Appendicitis Patient with Myocarditis
Nikhil Jalumurukasi, Ravi Madhusudhana
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 12(1):p 75-77, Jan- March 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12125.15
How Cite This Article:
Jalumurukasi N, Madhusudhana R. Anaesthetic Management of Acute Appendicitis Patient with Myocarditis. Ind J Anesth Analg. 2025; 12(1): 75-77.Timeline
Received : January 01, 2025
Accepted : February 03, 2025
Published : March 15, 2025
Abstract
Introduction: Myocarditis is usually difficult to diagnose because its clinical behaviour may be entirely asymptomatic. It is defined as inflammatory changes of the myocardium and could be associated with myocyte necrosis. Patients with myocarditis are regarded to be of high risk for perioperative complications, necessitating diligent anaesthetic management. Case Report: A 26-year-old male diagnosed with acute appendicitis, known history of cardiomyopathy and sub clinical hypothyroidism. Patient had history of palpitations and syncope since 2 years, consulted cardiologist diagnosed as cardiomyopathy with suspected myocarditis. He had preceding viral infection 2weeks ago. He was athletic and had satisfactory daily activity. pre-operative evaluation ECG showed sinus bradycardia, second degree atrioventricular block and T wave abnormality. 2d echo showed preserved ejection fraction 55% with LV dilation and normal chamber dimensions and normal pulmonary artery pressure. Patient was induced as per the standard anaesthesia protocol and maintained on O2, N2O and Isoflurane. blood pressure about 130/80 mm hg. Intraoperatively Blood pressure was maintained around 130 - 140 systolic BP. During laparoscopy, little fluctuation in HR and BP was managed well, extubated with out any problems. The main concerns of this surgery were to avoid intra operative arrhythmia and atrioventricular block and ST segment elevation. Utmost care was taken for fluid management and pain, patient was on post-operative observation to see for any signs of dyspnea and ST elevation. Conclusion: As the patient was posted for acute appendicitis with known history of myocarditis. Early intensive hemodynamic management and support was extremely useful to these patients. In view of haemodynamic collapse due to arrythmias, the anaesthetic management was planned successfully without any consequences.
References
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- 3. Andreas Schelldorfer, Claudia Gregoriano, Stephanie Hauser, Tobias A. Fuchs, Beat Mueller, Philipp Schuetz, Alexander Kutz, Rate of cardiovascular events up to 8 years after uncomplicated myocarditis: a nationwide cohort study, European Heart Journal. Acute Cardiovascular Care, Volume 13, Issue 5, May 2024, Pages 401–410,
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This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
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Cite this article
Jalumurukasi N, Madhusudhana R. Anaesthetic Management of Acute Appendicitis Patient with Myocarditis. Ind J Anesth Analg. 2025; 12(1): 75-77.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| January 01, 2025 | February 03, 2025 | March 15, 2025 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.12125.15
Keywords
Anaesthetic managementMyocarditisAcute appendicitisSearch for Similar Articles
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Timeline
| Received | January 01, 2025 |
| Accepted | February 03, 2025 |
| Published | March 15, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
