Perioperative Anaesthesia Management of Patient with Dilated Cardiomyopathy Posted for Total Abdominal Hysterectomy

Dilated cardiomyopathy (DCM) is characterized by progressive cardiac dilation resulting in impaired systolic function of one or both ventricles. [1] Its prevalence is 36 per 100000 with dominance in males. Although idiopathic, familial association is observed in case of DCM. It may be of ischemic type related to atherosclerosis and nonischemic variety may be secondary to viral infections, alcoholism, hypothyroidism or chemotherapy induced. DCM can also be associated with sickle cell anemia, valve dysfunction, and muscle dystrophy and during peripartum period. [2, 3] Perioperative anaesthetic management of patients with DCM undergoing noncardiac surgery always poses several challenges to anaesthesiologist. Progressive cardiac failure and malignant arrhythmias worsen outcome in such patients. We share our experience of perioperative management of obese patient with severe DCM and co morbidities of hypertension and hypothyroidism.

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