Anaesthesia for Non-Cardiac Surgery in Patients with Hypertrophic Cardiomyopathy

Abstract

Joy JX Chia, Kamen P Valchanov and Andrew J Roscoe

Hypertrophic cardiomyopathy (HCM) is a common condition. Recent advancements in treatment and access to multidisciplinary care have improved such patients' lifespans and lower morbidity. Anesthetists are thus likely to encounter patients with varying severity of HCM presenting for non-cardiac surgery. The pathophysiology of HCM is complex, and a thorough understanding is vital to provide a safe anesthetic to such patients. We present a review of reported anesthetic techniques that have been safely used in patients with HCM undergoing non-cardiac surgery since 1986, as well as the management of complications that were encountered. In most cases, HCM is a benign condition and patients can expect a normal life expectancy. As long as appropriate hemodynamic goals are achieved intraoperatively, most anesthetic techniques can be safely utilized for patients with HCM with good outcomes.

PDF