• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

肥厚型心肌病患者麻醉的精准性：应对围手术期挑战

Anesthetic Precision in Severe Hypertrophic Cardiomyopathy: Navigating Perioperative Challenges.

作者信息

Hannurkar Poonam, Phad Urmila, Suryawanshi Chhaya

机构信息

Department of Anesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

出版信息

Cureus. 2024 Nov 3;16(11):e72947. doi: 10.7759/cureus.72947. eCollection 2024 Nov.

DOI:10.7759/cureus.72947
PMID:39640096
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11617126/
Abstract

Managing a patient with hypertrophic obstructive cardiomyopathy (HOCM) presents a significant challenge for any anesthesiologist. A deep understanding of the pathophysiology, alongside meticulous planning and hemodynamic monitoring, is essential. Key considerations include maintaining sinus rhythm, ensuring adequate preload and afterload, and preventing tachycardia. Here, we present a unique case of ileal adenocarcinoma scheduled for resection and anastomosis in a patient with a 40-year history of seizure disorder and a severe left ventricular outflow tract gradient of 110 mm Hg, illustrating how a vigilant and methodical approach can lead to successful outcomes in such complex cases.

摘要

对于任何麻醉医生来说，管理一名肥厚性梗阻性心肌病（HOCM）患者都是一项重大挑战。深入了解病理生理学，同时进行细致的规划和血流动力学监测至关重要。关键考虑因素包括维持窦性心律、确保足够的前负荷和后负荷以及预防心动过速。在此，我们介绍一例患有40年癫痫病史且左心室流出道严重梯度为110 mmHg的回肠腺癌患者计划进行切除和吻合术的独特病例，说明在这种复杂病例中，警惕且有条不紊的方法如何能带来成功的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a587/11617126/b9c627292f5b/cureus-0016-00000072947-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a587/11617126/3db8a6701dd6/cureus-0016-00000072947-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a587/11617126/87ab55b22d6f/cureus-0016-00000072947-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a587/11617126/b9c627292f5b/cureus-0016-00000072947-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a587/11617126/3db8a6701dd6/cureus-0016-00000072947-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a587/11617126/87ab55b22d6f/cureus-0016-00000072947-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a587/11617126/b9c627292f5b/cureus-0016-00000072947-i03.jpg

相似文献

1
Anesthetic Precision in Severe Hypertrophic Cardiomyopathy: Navigating Perioperative Challenges.肥厚型心肌病患者麻醉的精准性：应对围手术期挑战
Cureus. 2024 Nov 3;16(11):e72947. doi: 10.7759/cureus.72947. eCollection 2024 Nov.
2
Preintervention imaging and intraoperative management care of the hypertrophic obstructive cardiomyopathy patient.肥厚型梗阻性心肌病患者的术前影像学检查和术中管理护理。
Asian Cardiovasc Thorac Ann. 2022 Jan;30(1):35-42. doi: 10.1177/02184923211047126. Epub 2021 Sep 24.
3
Pregnancy in Hypertrophic Cardiomyopathy with Severe Left Ventricular Outflow Tract Obstruction.肥厚型心肌病伴严重左心室流出道梗阻患者的妊娠情况
J Cardiovasc Ultrasound. 2016 Jun;24(2):158-62. doi: 10.4250/jcu.2016.24.2.158. Epub 2016 Jun 22.
4
Management of a Critically Ill Patient With Severe Hypertrophic Obstructive Cardiomyopathy Presenting for Emergent Craniotomy Due to Subdural Hemorrhage.因硬膜下出血需紧急开颅手术的重症肥厚型梗阻性心肌病患者的管理
Cureus. 2021 Dec 19;13(12):e20521. doi: 10.7759/cureus.20521. eCollection 2021 Dec.
5
Transient bradycardia induced by carotid sinus pressure increases outflow obstruction in hypertrophic obstructive cardiomyopathy but not in valvular aortic stenosis.颈动脉窦压力诱发的短暂性心动过缓会增加肥厚型梗阻性心肌病的流出道梗阻，但不会增加瓣膜性主动脉狭窄的流出道梗阻。
Chest. 1998 Aug;114(2):469-76. doi: 10.1378/chest.114.2.469.
6
Influence of right ventricular pacing site on left ventricular outflow tract obstruction in patients with hypertrophic obstructive cardiomyopathy.右心室起搏部位对肥厚型梗阻性心肌病患者左心室流出道梗阻的影响。
J Am Coll Cardiol. 1996 Apr;27(5):1219-24. doi: 10.1016/0735-1097(95)00573-0.
7
Bisoprolol transdermal patch for perioperative care of non-cardiac surgery in patients with hypertrophic obstructive cardiomyopathy.比索洛尔透皮贴剂用于肥厚性梗阻性心肌病患者非心脏手术的围手术期护理。
BMC Cardiovasc Disord. 2019 Dec 30;19(1):316. doi: 10.1186/s12872-019-01274-6.
8
Hypertensive hypertrophic obstructive cardiomyopathy crisis resolved with transvenous pacing guided by bedside echocardiography.经床旁超声心动图引导的经静脉起搏治疗高血压肥厚型梗阻性心肌病危象。
Echocardiography. 2021 Feb;38(2):347-350. doi: 10.1111/echo.14969. Epub 2021 Jan 25.
9
Symptom assessment and exercise impairment in surgical decision making in hypertrophic obstructive cardiomyopathy: Relationship to outcomes.肥厚型梗阻性心肌病手术决策中的症状评估和运动障碍：与结局的关系。
J Thorac Cardiovasc Surg. 2015 Oct;150(4):928-35.e1. doi: 10.1016/j.jtcvs.2015.07.063. Epub 2015 Jul 26.
10
Anesthetic management of a patient with hypertrophic obstructive cardiomyopathy undergoing modified radical mastectomy.肥厚性梗阻性心肌病患者行改良根治性乳房切除术的麻醉管理。
Middle East J Anaesthesiol. 2010 Jun;20(5):739-42.

本文引用的文献

1
Metoprolol or Verapamil in the Management of Patients With Hypertrophic Cardiomyopathy: A Systematic Review.美托洛尔或维拉帕米用于肥厚型心肌病患者的治疗：一项系统评价
Cureus. 2023 Aug 9;15(8):e43197. doi: 10.7759/cureus.43197. eCollection 2023 Aug.
2
Management of a Critically Ill Patient With Severe Hypertrophic Obstructive Cardiomyopathy Presenting for Emergent Craniotomy Due to Subdural Hemorrhage.因硬膜下出血需紧急开颅手术的重症肥厚型梗阻性心肌病患者的管理
Cureus. 2021 Dec 19;13(12):e20521. doi: 10.7759/cureus.20521. eCollection 2021 Dec.
3
Preintervention imaging and intraoperative management care of the hypertrophic obstructive cardiomyopathy patient.
肥厚型梗阻性心肌病患者的术前影像学检查和术中管理护理。
Asian Cardiovasc Thorac Ann. 2022 Jan;30(1):35-42. doi: 10.1177/02184923211047126. Epub 2021 Sep 24.
4
Anticoagulation for stroke prevention in patients with hypertrophic cardiomyopathy and atrial fibrillation: A review.肥厚型心肌病合并心房颤动患者预防卒中的抗凝治疗：综述
Heart Rhythm. 2021 Feb;18(2):297-302. doi: 10.1016/j.hrthm.2020.09.018. Epub 2020 Oct 3.
5
Hypertrophic Cardiomyopathy-Related Sudden Cardiac Death in Young People in Ontario.安大略省年轻人肥厚型心肌病相关心源性猝死。
Circulation. 2019 Nov 19;140(21):1706-1716. doi: 10.1161/CIRCULATIONAHA.119.040271. Epub 2019 Oct 21.
6
Anesthetic management of a patient with hypertrophic cardiomyopathy with atrial flutter posted for percutaneous nephrolithotomy.一名患有肥厚型心肌病合并心房扑动的患者拟行经皮肾镜取石术的麻醉管理。
Anesth Essays Res. 2015 May-Aug;9(2):284-6. doi: 10.4103/0259-1162.156372.
7
Hypertrophic cardiomyopathy: can the horse be put back in the barn?肥厚型心肌病：还能挽回局面吗？
J Am Coll Cardiol. 2015 Feb 17;65(6):570-2. doi: 10.1016/j.jacc.2014.12.004.
8
Anesthesia management of patients with hypertrophic obstructive cardiomyopathy.肥厚型梗阻性心肌病患者的麻醉管理。
Prog Cardiovasc Dis. 2012 May-Jun;54(6):503-11. doi: 10.1016/j.pcad.2012.04.002.
9
Perioperative anesthetic management of patients with hypertrophic cardiomyopathy for noncardiac surgery: a case series.肥厚型心肌病患者非心脏手术的围手术期麻醉管理：病例系列
Ann Card Anaesth. 2010 Sep-Dec;13(3):253-6. doi: 10.4103/0971-9784.69049.
10
Hypertrophic cardiomyopathy.肥厚型心肌病
Anesthesiology. 2006 Jan;104(1):183-92. doi: 10.1097/00000542-200601000-00025.