Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery
Dilated cardiomyopathy (DCM), a primary myocardial disease, is characterized by dilation of the left or both ventricles and systolic dysfunction with or without congestive heart failure. DCM per se is a well-recognized risk factor for sudden cardiac death and poor surgical outcomes following noncard...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/59/9/1567 |
| _version_ | 1797578940211003392 |
|---|---|
| author | Mengxin Li Han Huang |
| author_facet | Mengxin Li Han Huang |
| author_sort | Mengxin Li |
| collection | DOAJ |
| description | Dilated cardiomyopathy (DCM), a primary myocardial disease, is characterized by dilation of the left or both ventricles and systolic dysfunction with or without congestive heart failure. DCM per se is a well-recognized risk factor for sudden cardiac death and poor surgical outcomes following noncardiac surgery. Surgical trauma/stress represents unique challenges for DCM patient management. Unfortunately, there is a big knowledge gap in managing DCM patients undergoing non-cardiac surgery. Therefore, the aim of our review is to provide basic facts and current advances in DCM, as well as a practical guideline to perioperative care providers, for the management of surgical patients with DCM, who are quite rare compared with the general surgical population. This review summarizes recent advances in the medical management of DCM as well as perioperative assessment and management strategies for DCM patients undergoing noncardiac surgery. Optimal surgical outcomes depend on multiple-disciplinary care to minimize perioperative cardiovascular disturbances. |
| first_indexed | 2024-03-10T22:28:49Z |
| format | Article |
| id | doaj.art-32127abb17a14282b2593549db2c7b3d |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T22:28:49Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-32127abb17a14282b2593549db2c7b3d2023-11-19T11:51:45ZengMDPI AGMedicina1010-660X1648-91442023-08-01599156710.3390/medicina59091567Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac SurgeryMengxin Li0Han Huang1Department of Anesthesiology and Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Anesthesiology and Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, ChinaDilated cardiomyopathy (DCM), a primary myocardial disease, is characterized by dilation of the left or both ventricles and systolic dysfunction with or without congestive heart failure. DCM per se is a well-recognized risk factor for sudden cardiac death and poor surgical outcomes following noncardiac surgery. Surgical trauma/stress represents unique challenges for DCM patient management. Unfortunately, there is a big knowledge gap in managing DCM patients undergoing non-cardiac surgery. Therefore, the aim of our review is to provide basic facts and current advances in DCM, as well as a practical guideline to perioperative care providers, for the management of surgical patients with DCM, who are quite rare compared with the general surgical population. This review summarizes recent advances in the medical management of DCM as well as perioperative assessment and management strategies for DCM patients undergoing noncardiac surgery. Optimal surgical outcomes depend on multiple-disciplinary care to minimize perioperative cardiovascular disturbances.https://www.mdpi.com/1648-9144/59/9/1567anesthetic managementdilated cardiomyopathynoncardiac surgery |
| spellingShingle | Mengxin Li Han Huang Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery Medicina anesthetic management dilated cardiomyopathy noncardiac surgery |
| title | Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery |
| title_full | Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery |
| title_fullStr | Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery |
| title_full_unstemmed | Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery |
| title_short | Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery |
| title_sort | anesthetic management of patients with dilated cardiomyopathy undergoing noncardiac surgery |
| topic | anesthetic management dilated cardiomyopathy noncardiac surgery |
| url | https://www.mdpi.com/1648-9144/59/9/1567 |
| work_keys_str_mv | AT mengxinli anestheticmanagementofpatientswithdilatedcardiomyopathyundergoingnoncardiacsurgery AT hanhuang anestheticmanagementofpatientswithdilatedcardiomyopathyundergoingnoncardiacsurgery |