Anesthetic Management of a Patient with Severe Dilated Cardiomyopathy: Case Report

Authors

  • Md Shafiul Alam Shaheen Assistant Professor, Department of Anaesthesia & Surgical ICU, Ibrahim Medical College & BIRDEM General Hospital,
  • AKM Nurnobi Chowdhury Professor, Department of Anesthesia & Surgical ICU, Ibrahim Medical College & BIRDEM General Hospital.
  • Md Mushfiqur Rahman Junior Consultant, Department of Anaesthesia, Analgesia & Surgical-ICU, BIRDEM General Hospital, Shahbagh, Dhaka,
  • Md Mahabubul Hasan Associate Professor, Department of Anesthesia & Surgical ICU, Ibrahim Medical College & BIRDEM General Hospital.
  • Raju Ahmed Assistant Professor, Ibrahim Cardiac Hospital & Research Institute (ICHRI)

DOI:

https://doi.org/10.3329/jbsa.v31i2.66494

Keywords:

Anaesthetic management, dilated cardiomyopathy, laparoscopic cholecystectomy.

Abstract

Anesthetic management of patients with dilated cardiomyopathy (DCM) is a challenge to theanesthesiologist, due to poor left systolic function, ventricular enlargement, risk of malignant arrhythmiasand sudden cardiac death. Therefore, preoperative assessment and appropriate anesthetic managementare important in patients with DCM. Five to eight people per 100,000 develop this disorder each year.Malignant arrhythmias are the most common cause of death in DCM.1 Around 50% of cases ofnonischaemic dilated cardiomyopathy is idiopathic. Other causes are familial, infectious, infiltrativeand connective tissue diseases. This is a report of successful anesthetic management of a patient withsevere DCM undergoing laparoscopic cholecystectomy using general anesthesia (GA).

JBSA 2018; 31(2): 95-98

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Published

2018-08-01

How to Cite

Shaheen, M. S. A., Chowdhury, A. N. ., Rahman, M. M. ., Hasan, M. M. ., & Ahmed, R. . (2018). Anesthetic Management of a Patient with Severe Dilated Cardiomyopathy: Case Report. Journal of the Bangladesh Society of Anaesthesiologists, 31(2), 95–98. https://doi.org/10.3329/jbsa.v31i2.66494

Issue

Vol. 31 No. 2 (2018)

Section

Case Reports