Key result
Anaesthetic management of a parturient with catecholaminergic polymorphic ventricular tachycardia focused on minimising sympathetic stimulation through early combined spinal-epidural placement.
Why the study?
There are limited data discussing the anaesthetic management of parturients with catecholaminergic polymorphic ventricular tachycardia.
Case Report (n=1)
In parturients with CPVT, anaesthetic management during labour and delivery should focus on minimising sympathetic stimulation to prevent ventricular arrhythmias.
We describe the anaesthetic management of a parturient with catecholaminergic polymorphic ventricular tachycardia and an implantable cardioverter-defibrillator during induction of labour and subsequent emergency caesarean birth. Catecholaminergic polymorphic ventricular tachycardia is characterised by genetic mutations leading to increased sympathetic activity, potentially causing ventricular arrhythmias and cardiac arrest. There are limited data discussing the anaesthetic management of parturients with catecholaminergic polymorphic ventricular tachycardia. We describe our approach to anaesthetic management, focusing on minimising sympathetic stimulation through early combined spinal-epidural placement, the use of epidural adjuvants, such as α2-agonists, and the avoidance of catecholaminergic medications.
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A 2025 study conducted a case report in Catecholaminergic polymorphic ventricular tachycardia (n=1). Anaesthetic management (early combined spinal-epidural, epidural adjuvants, avoidance of catecholaminergic medications) was evaluated. Anaesthetic management of a parturient with catecholaminergic polymorphic ventricular tachycardia focused on minimising sympathetic stimulation through early combined spinal-epidural placement.
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