Key result
Anesthetic management was successfully performed in a parturient with preexisting severe dilated cardiomyopathy undergoing an emergency lower segment cesarean section.
Why the study?
Dilated cardiomyopathy in pregnancy carries a grave prognosis and makes anesthetic management challenging, particularly during emergency presentations when time to optimize the patient is limited.
Case Report (n=1)
Demonstrates successful anesthetic management of a pregnant patient with severe dilated cardiomyopathy during an emergency cesarean section.
May guide individualized anesthetic planning in high-risk parturients; hypothesis-generating and should not change practice.
Dilated cardiomyopathy (DCM) is a rare condition in pregnancy and has an established grave prognosis as such. Anesthetic management of pregnant patients with dilated cardiomyopathy is quite challenging either because of preexisting DCM or the risk of precipitating sudden cardiac failure. Pregnancy in patients with preexisting DCM can further flare-up disease and can be life- threatening, especially in patients who land up in an emergency when there is less time to optimize the patient's condition. The anesthesiologist thus must have knowledge of its causes, pathophysiology, clinical features, and various anesthetic modalities available. The present case report illustrates the successful management of a parturient with preexisting DCM undergoing emergency caesarean section. It is very important that patients with DCM should have regular follow-up so that timely intervention can be done about the mode of delivery for the safety of both mother and child.
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Bhardwaj et al. (2020) conducted a case report in Dilated cardiomyopathy in pregnancy (n=1). Anesthetic management for emergency cesarean section was evaluated on Successful management of emergency cesarean section. Anesthetic management was successfully performed in a parturient with preexisting severe dilated cardiomyopathy undergoing an emergency lower segment cesarean section.
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