Botti Anne McRae, Bope Edward, Botti Charles, Brower Marc, Wada Akira, Arensman Meredith
Chalmers P. Wylie VA Ambulatory Care Center, Columbus, Ohio.
OhioHealth, Columbus.
Fed Pract. 2025 Apr;42(4):166-170. doi: 10.12788/fp.0567. Epub 2025 Apr 17.
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.
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.
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.
肥厚型心肌病是一种相对常见的遗传性疾病，可能无症状。它是心源性猝死的常见原因，如果之前未被诊断，在手术室可能导致灾难性的心血管崩溃。本病例报告讨论了未被怀疑的肥厚型心肌病对麻醉管理的影响。
一名55岁的退伍军人在接受麻醉下的门诊监测结肠镜检查前到入院前检测诊所就诊。他最初的病史无异常。体格检查时，发现有良性特征的杂音。然而，进一步的超声心动图评估显示为严重的肥厚型梗阻性心肌病。该患者最终被转诊考虑行室间隔肌切除术。
肥厚型心肌病是一种相对常见的疾病，常常未被诊断。这种情况对术前评估具有关键意义，因为患有这种疾病的患者在麻醉诱导时可能会突然出现意外的难治性低血压。
