Home > Journals > Indian Journal of Anesthesia and Analgesia

Indian Journal of Anesthesia and Analgesia

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Anesthetic Management of Dilated Cardiomyopathy for Cesarean Section

Vishnuvardhan V null, Paidmuddala Yashwanth 1 null, Vishnuvardhan V 2 null, Sravanthi GNS 3 null, Ravi Madhusudhana 4 null

Author Information

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.

Indian Journal of Anesthesia and Analgesia 9(3):p 149-151, May-June 2022. | DOI: https://doi.org/10.21088/ijaa.2349.8471.9322.16

How Cite This Article:

Paidmuddala Yashwanth, Vishnuvardhan V, Sravanthi GNS, et al./Anesthetic Management of Dilated Cardiomyopathy for Cesarean Section/Indian J Anesth Analg. 2022;9(3):149-151.
 

Timeline

Received : April 19, 2022         Accepted : May 03, 2022          Published : June 20, 2022

Abstract

Introduction:Dilated cardiomyopathy(DCM) is one of the most common types of non ischemic heart muscle disease among the adult population, and it is associated with a high perioperative mortality. Case Report: A 33-year-old female, G2P1L1+1 at 37 weeks of gestation admitted electively for cesarean section who is a known case of DCM with an ejection fraction of 40%. In the preoperative evaluation, patient has a history of shortness of breath on mild to moderate physical exercise, 12-lead electrocardiography (ECG) showed sinus rhythm with occasional premature ventricular complexes and other parameters are normal. Echocardiogram (Echo) showed severely dilated left ventricle with moderately to severely reduced systolic function due to global hypokinesia and indeterminate filling pressures, and no thrombi were present. All monitoring parameters were connected and an awake arterial line was inserted first followed by epidural in the sitting position. Inj. bupivacaine 0.25% 20 mL + 40 μgn fentanyl was given into the epidural space. The depth of the epidural space was 9.5 cm, while the depth of the catheter was 5.5 cm. The epidural was uneventful, and we changed the patient position into a supine position. Intravenous fluids were maintained at 60–80 mL/h. Intra operative vitals are stable and baby was extracted and blood loss around 700ml.Patient shifted to ICU for close monitoring. Conclusion: Dilated cardiomyopathy is associated with high mortality and persistewnt decrease in quality of mother. Careful selection of drugs and best anesthetic techniques is important for good maternal and fetal outcome.

References

  • 1.   Dec GW, Fuster V. Idiopathic dilated cardiomyopathy. N Engl J Med. 1994;331:1564–75.
  • 2.   Chen CQ, Wang X, Zhang J, Zhu SM. Anesthetic management of patients with dilated cardiomyopathy for noncardiac surgery. Eur Rev Med Pharmacol Sci. 2017;21:627–34.
  • 3.   Kumar M, Batra M, Raj R. Anaesthetic management of a case of dilated cardiomyopathy for emergency
  • 4.   Brown G, O'Leary M, Douglas I, Herkes R. Perioperative management of a case of severe peripartum cardiomyopathy. Anaesth Intens Care. 1992;20:80–3
  • 5.   Dutt A, Agarwal A, Chatterji R, Ahmed F. Anesthetic management for caesarean section in a case of peripartum cardiomyopathy. Anesth Essays Res. 2013;7:273.
  • 6.   Kaur H, Khetarpal R, Aggarwal S. Dilated cardiomyopathy: an anaesthetic challenge. J ClinDiagn Res. 2013;7(6):1174-1176.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

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.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

About this article

Cite this article

Paidmuddala Yashwanth, Vishnuvardhan V, Sravanthi GNS, et al./Anesthetic Management of Dilated Cardiomyopathy for Cesarean Section/Indian J Anesth Analg. 2022;9(3):149-151.
 

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
April 19, 2022 May 03, 2022 June 20, 2022
DOI: https://doi.org/10.21088/ijaa.2349.8471.9322.16

Keywords

Dilatedcardiomyopathy;Caesareansection.

Article Level Metrics

Last Updated

Tuesday 14 July 2026, 07:41:54 (IST)

5689

Accesses

7
679
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received April 19, 2022
Accepted May 03, 2022
Published June 20, 2022

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.


Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share