Why the study?
Understanding the pathophysiology of cardiomyopathy, implanted devices, and their anaesthetic implications is important for preoperative hemodynamic management and device care in these patients.
Highlights the anesthetic considerations for managing hemodynamics and implanted cardiac devices in patients with dilated cardiomyopathy undergoing laparoscopic surgery.
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May inform individualized perioperative care in DCM with devices; leaves open need for prospective validation.
Introduction: Post-partum cardiomyopathy is one of the form of DCM which can occurs from the third trimester of pregnancy till the first 5 months after delivery (1) . In dilated cardiomyopathy cardiac reserve is reduced and is the common cause of cardiac failure. Many patients have implanted cardiac device so as to improve survival rate. In United States more than 5, 00,000 patients have pacemakers and each year nearly 1, 15,000 new devices are implanted (2) . Understanding the pathophysiology of cardiomyopathy, the implanted device and its anaesthetic implication is important in the management of these cases. The preoperative management involves not only maintaining hemodynamics but also care of such implanted device.
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Dr Deepali Rahate Gomase (2019) studied this question.
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