Nama Rajnish K, Parikh Geeta P, Patel Hiren R
Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt. G.R. Doshi Institute of Kidney Diseases and Research Center, Dr. H.L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, Gujarat, India.
Anesth Essays Res. 2015 May-Aug;9(2):284-6. doi: 10.4103/0259-1162.156372.
Hypertrophic cardiomyopathy (HCM) is a most common genetic cardiovascular disorder, characterized by asymmetric hypertrophy of the interventricular septum that leads to intermittent obstruction of the left ventricular outflow tract (LVOT). Clinical presentation ranges from absence of symptoms to sudden death in the young and disability at any age. Although patients are asymptomatic in basal conditions, but anesthesia and surgical stress can lead to exacerbation of the LVOT obstruction and may complicate the perioperative course. Therefore, complete understanding of the pathophysiology and anesthetic implications is needed for the successful perioperative outcome. We describe the successful management of a case of HCM with atrial flutter posted for percutaneous nephrolithotomy.
肥厚型心肌病（HCM）是最常见的遗传性心血管疾病，其特征是室间隔不对称肥厚，导致左心室流出道（LVOT）间歇性梗阻。临床表现从无症状到年轻人猝死以及任何年龄的残疾不等。尽管患者在基础状态下无症状，但麻醉和手术应激可导致LVOT梗阻加重，并可能使围手术期过程复杂化。因此，为了围手术期取得成功的结果，需要全面了解其病理生理学和麻醉相关问题。我们描述了一例患有心房扑动的HCM患者成功接受经皮肾镜取石术的治疗过程。
