Department of Internal Medicine, University of Health Sciences, Antalya, Turkey
Commentary
Update on hypertrophic cardiomyopathy
Author(s): Romany He*
Hypertrophic Cardiomyopathy (HCM) is a rather common condition
seen by anesthesiologists in the perioperative phase. HCM was
thought to be a rare condition fifty years ago. However, our
understanding and capacity to diagnose HCM patients has vastly
increased in recent years. Patients with HCM have a wide range of
genotypic and phenotypic characteristics. A subset of these patients
does, in fact, have the HCM genotype but not the manifestation (left
ventricular hypertrophy). Pharmacotherapy to control symptoms,
implantable cardiac defibrillators to manage malignant arrhythmias,
and surgical myectomy and septal ablation to reduce the left
ventricular outflow obstruction are all options for these individuals.
For the perioperative care of these patients, an accurate diagnosis
is critical. Left ventricular hypertrophy, left ventricular outfl.. View More»
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