Dilated cardiomyopathy is associated with depressed ventricular systolic function and large ventricular cavity dimension. Anaesthesia for patients with dilated cardiomyopathy presents considerable challenges to the clinicians. Maintanence of anaesthesia without depression in myocardial functions and changes in hemodynamic values is necessary. Effective preoperative preparation of the patient to attenuate the signs of congestive heart failure, overall monitoring of hemodynamics, prevention of arrhythmias, balanced use of anesthetic agents in the doses that exert no cardiosuppressive effect, preload optimization and postload reduction are the essential points in patients with dilated cardiomyopathy during anaesthesia. Here we aimed to report our anaesthetic management of an elderly patient with dilated cardiomyopathy.
Key Words: Dilated cardiomyopathy, General anaesthesia
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