Parturients with hypertrophic cardiomyopathy: case series and review of pregnancy outcomes and anesthetic management of labor and delivery

International Journal of Obstetric Anesthesia
E AshikhminaK A Mizuguchi

Abstract

Advances in understanding the pathogenesis, diagnosis and management of hypertrophic cardiomyopathy have resulted in increased longevity and a better quality of life of affected patients considering pregnancy. Several case series which focused predominantly on obstetric details have reported generally good outcomes. However, there remains a paucity of data on the specifics of obstetric anesthesia in women with hypertrophic cardiomyopathy. After Institutional Review Board approval, we reviewed antepartum transthoracic echocardiograms, cardiology, obstetric, anesthetic, and nursing labor records with a focus on anesthesia for labor and delivery and early postpartum complications in patients with hypertrophic cardiomyopathy who delivered between January 1993 and December 2013. There were 23 completed pregnancies in 14 patients: 12 parturients (52%) delivered vaginally, of whom seven (30%) required assistance (forceps, vacuum), and 11 (48%) had a cesarean delivery. In 17 cases (74%) delivery was uneventful, but six patients (26%) had complications including congestive heart failure (n=3) and postpartum hemorrhage (n=3). All patients had neuraxial labor anesthesia/analgesia, and none received general anesthesia. No hemodynamic insta...Continue Reading

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Citations

Jul 8, 2017·Journal of Immunoassay & Immunochemistry·Saman JumaahMurat Sucu
Jul 17, 2019·Heart·Maria Schaufelberger
Aug 31, 2018·European Heart Journal·Vera Regitz-ZagrosekUNKNOWN ESC Scientific Document Group
Jun 24, 2017·European Heart Journal·Anjali Tiku Owens

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