Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
Importance of Recognizing Hypertrophic Cardiomyopathy in the Preoperative Clinic.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Botti Anne McRae, Bope Edward, Botti Charles, Brower Marc, Wada Akira, Arensman Meredith
Аннотация
BACKGROUND: Hypertrophic cardiomyopathy is a relatively common inherited disorder that may be asymptomatic. It is a common cause of sudden cardiac death and can lead to catastrophic cardiovascular collapse in the operating room if previously undiagnosed. This case report discusses the implications of unsuspected hypertrophic cardiomyopathy for anesthesia management.
CASE PRESENTATION: A veteran aged 55 years presented to the preadmission testing clinic prior to undergoing outpatient surveillance colonoscopy under anesthesia. His initial medical history was unremarkable. On physical examination, a murmur with benign characteristics was detected. However, further evaluation with echocardiography, revealed severe hypertrophic obstructive cardiomyopathy. The patient was ultimately referred for septal myectomy consideration.
CONCLUSIONS: Hypertrophic cardiomyopathy is a relatively common disorder that often remains undiagnosed. This condition has critical implications for preoperative evaluation, as patients with this disorder may develop sudden, unexpected, and refractory hypotension upon induction of anesthesia.
CASE PRESENTATION: A veteran aged 55 years presented to the preadmission testing clinic prior to undergoing outpatient surveillance colonoscopy under anesthesia. His initial medical history was unremarkable. On physical examination, a murmur with benign characteristics was detected. However, further evaluation with echocardiography, revealed severe hypertrophic obstructive cardiomyopathy. The patient was ultimately referred for septal myectomy consideration.
CONCLUSIONS: Hypertrophic cardiomyopathy is a relatively common disorder that often remains undiagnosed. This condition has critical implications for preoperative evaluation, as patients with this disorder may develop sudden, unexpected, and refractory hypotension upon induction of anesthesia.