Preoperative cardiomyopathy is a significant anaesthetic challenge. We present the anaesthetic managementof two cases of dilated cardiomyopathy both with global LV hypokinesia and EF <35% Intervention. A low trendelenberg position (10º) was used in both cases which might have helped in maintaining preload and hence hemodynamic stability. Minimum fluid was administered in the intraoperative phase in both cases.

Conclusion: Maintaining a low trendelenberg position during anaesthesia with careful monitoring may be beneficial for hemodynamic stability in dilated cardiomyopathy patients