Risk of patients with hypertrophic cardiomyopathy undergoing noncardiac surgery.
- Author:
Tian-ming XUAN
1
;
Yong ZENG
;
Wen-ling ZHU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Cardiomegaly; surgery; Female; Humans; Male; Middle Aged; Risk Assessment
- From: Chinese Medical Sciences Journal 2007;22(4):211-215
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo determine the risk of noncardiac surgery in patients with hypertrophic cardiomyopathy.
METHODSWe reviewed the medical records of all patients who were diagnosed as hypertrophic cardiomyopathy at Peking Union Medical College Hospital from January 1998 to August 2006 and identified 24 patients who subsequently underwent noncardiac surgery.
RESULTSThere were no intraoperative cardiac events. Postoperative cardiac events were identified in 3 patients including 1 death due to acute myocardial infarction and 2 episodes of transient hypotension.
CONCLUSIONSThe risk of anesthesia and noncardiac surgery is low in patients with hypertrophic cardiomyopathy. During the perioperative period, beta-blockers and/or calcium channel blockers should be given; vasodilator and inotropic agents should be avoided due to the side effects on hemodynamics.
