확장성 심근병증 산모의 제왕절개술을 위한 마취 경험
Anesthesia for Cesarean Section in a Parturient with Dilated Cardiomyopathy: A Case Report
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초록
Idiopathic peripartum cardiomyopathy is an uncommon malady disease. Making the diagnosis is often difficult and it is always necessary to exclude other prior heart disease and other causes of left ventricular dysfunction in pregnant women. Heart failure in these women ensues when the cardiovascular demands of normal pregnancy are further amplified when the common complications of pregnancy complications superimposed upon these underlying conditions that cause compensated ventricular hypertrophy. This may be aggravated by making a late diagnosis and providing inappropriate treatment. We experienced a 38-year-primigravida who has diagnosed with idiopathic peripartum cardiomyopathy and underwent elective cesarean section with general anesthesia.
Abstract
Idiopathic peripartum cardiomyopathy is an uncommon malady disease. Making the diagnosis is often difficult and it is always necessary to exclude other prior heart disease and other causes of left ventricular dysfunction in pregnant women. Heart failure in these women ensues when the cardiovascular demands of normal pregnancy are further amplified when the common complications of pregnancy complications superimposed upon these underlying conditions that cause compensated ventricular hypertrophy. This may be aggravated by making a late diagnosis and providing inappropriate treatment. We experienced a 38-year-primigravida who has diagnosed with idiopathic peripartum cardiomyopathy and underwent elective cesarean section with general anesthesia.
참고문헌 (11)
- Cunningham FG, "Peripartum heart failure; idiopathic cardiomyopathy or compounding cardiovascular events?", Obstet Gynecol, 67(2), pp.157~168 (1986)
- Demakis JG, "Natural course of peripartum cardiomyopathy", Circulation, 44(6), pp.1053~1061 (1971)
- Lampert MB, "Peripartum cardiomyopathy", Am Heart J, 130(4), pp.860~870 (1995)
- Hibbard JU, "A modified definition for peripartum cardiomyopathy and prognosis based on echocardiography", Obstet Gynecol, 94(2), pp.311~ (1999)
- Veille JC, "Peripartum cardiomyopathies: a review", Am J Obstet Gynecol, 148(6), pp.805~818 (1984)
- Cepin D, "Left ventricular function in peripartum cardiomyopathy", Chest, 83(4), pp.701~704 (1983)
- 이봉재, "제왕절개술 중 발견된 주산기 심근병증", Korean Journal of Anesthesiology, 52(3), pp.359~362 (2007), 대한마취통증의학회
- 박금숙, "주산기 심근병증 산모의 제왕절개술을 위한 척추-경막외 병용 마취", Korean Journal of Anesthesiology, 52(5), pp.605~608 (2007), 대한마취통증의학회
- 이재준, "Acute peripartum cardiomyopathy after cesarean section−A case report−", Korean Journal of Anesthesiology, 55(5), pp.634~638 (2008), 대한마취통증의학회
- McIndoe AK, "Peripartum cardiomyopathy presenting as a cardiac arrest at induction of anaesthesia for emergency caesarean section", Br J Anaesth, 75(1), pp.97~101 (1995)
- Burch GE, "The effect of prolonged bed rest on post partuml cardiomyopathy", Am Heart J, 81(2), pp.186~201 (1971)
