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Year : 2016  |  Volume : 2  |  Issue : 1  |  Page : 29-30

Cesarean Section in Patients with Hypertrophy Cardiomyopathy done Under Epidural Anesthesia

1 MD Anaesthesia and Intensive care, Assistant Professor, IGIMS, Patna, India
2 MD Anaesthesia and Intensive care, Additional Professor, IGIMS, Patna, India

Correspondence Address:
Swati Singh
Assistant Professor Department of Anesthesia, IGIMS
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Source of Support: None, Conflict of Interest: None

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Hypertrophic cardiomyopathy is characteristically associated with asymmetric hypertrophy of interventricular septum causing partial obstruction of the left ventricular outflow and reducing ejection fraction. Since Hypertrophic cardiomyopathy is the most common genetic cardiovascular disease, it is very commonly encountered by anesthesiologist during preoperative examination. Surgery and anesthesia often complicate the perioperative outcome if adequate monitoring and proper care are not taken. General anaesthesia is considered safer because of more cantrolled hemodynamics. Regional anesthesia is considered to be dangerous in these patients, especially in those with obstructive HCM, vasodilation associated with sympathetic blockade of the lower extremities may lead to a critical reduction of preload and afterload. Nevertheless, epidural anesthesia has been used safely for vaginal delivery in patients with HCM. Our report indicates that cesarean section also may be managed safely with epidural anesthesia in patients with HCM, by taking precaution.

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