Department of Cardiac Anaesthesiology, Sri Ramachandra Insititute of Higher Education and Research, Chennai, Tamil Nadu, India.
Department of Critical Care Medicine, Virinchi Hospital, Hyderabad, Telangana, India.
Ann Card Anaesth. 2024 Oct 1;27(4):357-360. doi: 10.4103/aca.aca_21_24. Epub 2024 Oct 4.
Heart failure poses significant challenges in perioperative settings, with an increasing prevalence in India. While much attention has been given to the management of symptomatic heart failure, there is a dearth of literature on asymptomatic left ventricular systolic dysfunction (ALVSD). In this case report, we present the successful perioperative management of a 35-year-old male with ALVSD and a low ejection fraction undergoing lower limb surgery under combined spinal epidural anesthesia. Our approach aimed to maintain hemodynamic stability, minimize myocardial overload, and mitigate the adverse effects of neuraxial blockade.
心力衰竭在围手术期面临重大挑战，在印度的发病率呈上升趋势。尽管人们对有症状心力衰竭的管理给予了极大关注，但对于无症状左心室收缩功能障碍（ALVSD）的文献却很少。在本病例报告中，我们成功地管理了一名 35 岁男性患者的围手术期，该患者患有 ALVSD 和低射血分数，在脊髓-硬膜外联合麻醉下接受下肢手术。我们的方法旨在维持血流动力学稳定，最大限度地减少心肌过载，并减轻椎管内阻滞的不良影响。
