Cardiomyopathy is a disease of the heart muscle that can affect any age group or gender and can be acquired or inherited. Its literal meaning is “heart muscle disease” and refers to the deterioration of the function of the myocardium for any reason. Cardiomyopathy affects the shape, function, and/or electrical system of the heart. Patients with cardiomyopathy can present to anaesthesiologists in emergency situations or as elective cases. The patients are usually not aware of their condition and may be diagnosed at the time of pre-anaesthetic check-up. Advanced cases are always a challenge to the anaesthesiologist as they are most commonly complicated by progressive cardiac failure. Patients with cardiomyopathy are often at risk of dysrhythmias or sudden cardiac death. This chapter describes the main features and perioperative management of patients with cardiomyopathies undergoing non-cardiac surgery. In general, the optimal anaesthetic management of patients with cardiomyopathy requires good preoperative assessment, close perioperative monitoring, suitable anaesthetic agents, optimal perioperative fluid management, and an overall stable hemodynamic status.
Part of the book: Current Topics in Intensive Care Medicine