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Chapter: Clinical Cases in Anesthesia : Hypertrophic Obstructive Cardiomyopathy

Hypertrophic Obstructive Cardiomyopathy

A 28-year-old woman with hypertrophic obstructive cardiomyopathy (HOCM) presents for labor and delivery.

HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY

 

A 28-year-old woman with hypertrophic obstructive cardiomyopathy (HOCM) presents for labor and delivery. She is initially managed by the obstetrician with intra-venous meperidine, but becomes progressively more uncomfortable. The anesthesiologist is then consulted for further management.

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Clinical Cases in Anesthesia : Hypertrophic Obstructive Cardiomyopathy : Hypertrophic Obstructive Cardiomyopathy |

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Clinical Cases in Anesthesia : Hypertrophic Obstructive Cardiomyopathy
Hypertrophic Obstructive Cardiomyopathy
Describe the anatomic abnormalities in HOCM
What changes in preload, afterload, heart rate, and contractility will optimize hemodynamic performance in a patient with HOCM?
What are the treatment options for HOCM?
What monitoring would be required in HOCM patients?
What considerations should be given in planning the anesthetic management of a patient with HOCM?
What are the special considerations for anesthetic management of labor and delivery in a patient with HOCM?


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