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本文引用的文献

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Anesthetic considerations in patients with cardiomyopathies --a review.心肌病患者的麻醉注意事项——综述
Middle East J Anaesthesiol. 2009 Oct;20(3):347-54.
2
Haemoglobin predicts survival in patients with chronic heart failure: a substudy of the ELITE II trial.
Eur Heart J. 2004 Jun;25(12):1021-8. doi: 10.1016/j.ehj.2004.04.023.
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Effectiveness of resynchronization therapy in patients with end-stage heart failure.
Am J Cardiol. 2002 Aug 15;90(4):379-83. doi: 10.1016/s0002-9149(02)02493-1.
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Implanted cardiac pacemakers and defibrillators in anaesthetic practice.麻醉实践中的植入式心脏起搏器和除颤器
Br J Anaesth. 2002 May;88(5):627-31. doi: 10.1093/bja/88.5.627.
5
Hypomagnesemia in heart failure with ventricular arrhythmias. Beneficial effects of magnesium supplementation.心力衰竭合并室性心律失常时的低镁血症。补充镁的有益作用。
J Intern Med. 2000 Jan;247(1):78-86. doi: 10.1046/j.1365-2796.2000.00585.x.
6
[Preanesthetic evaluation of cardiovascular reserve in a patient with dilated cardiomyopathy].[扩张型心肌病患者心血管储备的麻醉前评估]
Masui. 1996 Apr;45(4):491-5.
7
Anaesthetic induction in a child with end-stage cardiomyopathy.终末期心肌病患儿的麻醉诱导
Can J Anaesth. 1995 May;42(5 Pt 1):404-8. doi: 10.1007/BF03015486.
8
The dilated cardiomyopathies: clinical aspects.扩张型心肌病：临床方面。
Cardiol Clin. 1988 May;6(2):187-218.

扩张型心肌病：麻醉面临的挑战。

Dilated cardiomyopathy: an anaesthetic challenge.

作者信息

Kaur Haramritpal, Khetarpal Ranjana, Aggarwal Shobha

机构信息

Assistant Professor, Department of Anaesthesia, GGS Medical College and Hospital , Faridkot, India .

出版信息

J Clin Diagn Res. 2013 Jun;7(6):1174-6. doi: 10.7860/JCDR/2013/5390.3069. Epub 2013 Jun 1.

DOI:10.7860/JCDR/2013/5390.3069
PMID:23905133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3708228/
Abstract

Idiopathic dilated cardiomyopathy is a primary myocardial disease of unknown etiology characterized by left ventricular or biventricular dilation and impaired contractility. Depending upon diagnostic criteria used, the reported annual incidence varies between 5 and 8 cases per 100,000 populations. Dilated cardiomyopathy is defined by presence of: a) fractional myocardial shortening less than 25% (>2SD) and/or ejection fraction less than 45% (>2SD) and b) Left Ventricular End Diastolic Diameter (LVEDD) greater than 117% excluding any known cause of myocardial disease. Such cases are always a challenge to the anesthesiologist as they are most commonly complicated by progressive cardiac failure. We report the anesthetic management of a patient with dilated cardiomyopathy undergoing surgery for carcinoma breast.

摘要

特发性扩张型心肌病是一种病因不明的原发性心肌疾病，其特征为左心室或双心室扩张以及收缩功能受损。根据所采用的诊断标准，报告的年发病率在每10万人中为5至8例。扩张型心肌病的定义为：a）心肌缩短分数小于25%（>2个标准差）和/或射血分数小于45%（>2个标准差），以及b）左心室舒张末期内径（LVEDD）大于117%，排除任何已知的心肌疾病病因。这类病例对麻醉医生来说始终是一项挑战，因为它们最常见的并发症是进行性心力衰竭。我们报告了一例扩张型心肌病患者行乳腺癌手术的麻醉管理情况。