Hypertrophic Cardiomyopathy in Pregnancy

Evans-Jones, J.

doi:10.1177/014107688307600617

Cited by 5 publications

(2 citation statements)

References 1 publication

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“…This effect is considered unlikely with bolus doses of less than 2 units 19 . Antibiotic prophylaxis was not ordered for our patient but has been recommended in HOCM parturients during labour and delivery 4,7,9,20 .…”

Section: Discussionmentioning

confidence: 99%

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Epidural Analgesia for Labour and Delivery in a Parturient with Congenital Hypertrophic Obstructive Cardiomyopathy

Paix

Cyna

Belperio

et al. 1999

Anaesth Intensive Care

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We report a parturient delivering vaginally at term with symptomatic congenital hypertrophic obstructive cardiomyopathy. Epidural analgesia was used during labour and delivery and is likely to have made a useful contribution to the successful outcome. Although controversial, reported use of epidural analgesia during labour for hypertrophic obstructive cardiomyopathy parturients has been generally positive. A multi-disciplinary team approach, early anaesthetic assessment and a carefully managed epidural catheter inserted in early labour can optimize analgesia and minimize the stresses of labour and vaginal delivery provided the risks of reduced preload and after load are minimized.

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Section: Discussionmentioning

confidence: 99%

“…Although longterm prognosis of HOCM depends on the genotype 2 , vaginal delivery is usually tolerated without permanent adverse sequelae 4,20 . However, HOCM parturients with only minimal symptoms are still at risk of developing a fatal arrhythmia [21][22][23] .…”

Section: Discussionmentioning

confidence: 99%