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Cardiovascular monitoring in patients with hypertrophic obstructive cardiomyopathy in a prone position: A report of 2 cases
Supine positioning in patients with hypertrophic obstructive cardiomyopathy (HOCM) can affect their preload, afterload, and heart rate, potentially leading to cardiovascular collapse. Here, we report the successful anesthetic management of two patients with HOCM who underwent spinal surgery in a pro...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8846242/ https://www.ncbi.nlm.nih.gov/pubmed/35261598 http://dx.doi.org/10.4103/sja.sja_379_21 |
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author | Koyama, Yukihide Asami, Yu Nishikawa, Haruko Ikezaki, Hiroyuki Tsuzaki, Koichi |
author_facet | Koyama, Yukihide Asami, Yu Nishikawa, Haruko Ikezaki, Hiroyuki Tsuzaki, Koichi |
author_sort | Koyama, Yukihide |
collection | PubMed |
description | Supine positioning in patients with hypertrophic obstructive cardiomyopathy (HOCM) can affect their preload, afterload, and heart rate, potentially leading to cardiovascular collapse. Here, we report the successful anesthetic management of two patients with HOCM who underwent spinal surgery in a prone position. The approximate values of the systemic vascular resistance index (SVRI) were continuously calculated without measuring the central venous pressure. Intraoperative monitoring of the SVRI estimates may be helpful in patients with HOCM so as to avoid cardiovascular collapse when monitoring with both transesophageal echocardiography and a central venous catheter is clinically inappropriate. |
format | Online Article Text |
id | pubmed-8846242 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-88462422022-03-07 Cardiovascular monitoring in patients with hypertrophic obstructive cardiomyopathy in a prone position: A report of 2 cases Koyama, Yukihide Asami, Yu Nishikawa, Haruko Ikezaki, Hiroyuki Tsuzaki, Koichi Saudi J Anaesth Case Report Supine positioning in patients with hypertrophic obstructive cardiomyopathy (HOCM) can affect their preload, afterload, and heart rate, potentially leading to cardiovascular collapse. Here, we report the successful anesthetic management of two patients with HOCM who underwent spinal surgery in a prone position. The approximate values of the systemic vascular resistance index (SVRI) were continuously calculated without measuring the central venous pressure. Intraoperative monitoring of the SVRI estimates may be helpful in patients with HOCM so as to avoid cardiovascular collapse when monitoring with both transesophageal echocardiography and a central venous catheter is clinically inappropriate. Wolters Kluwer - Medknow 2022 2022-01-04 /pmc/articles/PMC8846242/ /pubmed/35261598 http://dx.doi.org/10.4103/sja.sja_379_21 Text en Copyright: © 2022 Saudi Journal of Anesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Koyama, Yukihide Asami, Yu Nishikawa, Haruko Ikezaki, Hiroyuki Tsuzaki, Koichi Cardiovascular monitoring in patients with hypertrophic obstructive cardiomyopathy in a prone position: A report of 2 cases |
title | Cardiovascular monitoring in patients with hypertrophic obstructive cardiomyopathy in a prone position: A report of 2 cases |
title_full | Cardiovascular monitoring in patients with hypertrophic obstructive cardiomyopathy in a prone position: A report of 2 cases |
title_fullStr | Cardiovascular monitoring in patients with hypertrophic obstructive cardiomyopathy in a prone position: A report of 2 cases |
title_full_unstemmed | Cardiovascular monitoring in patients with hypertrophic obstructive cardiomyopathy in a prone position: A report of 2 cases |
title_short | Cardiovascular monitoring in patients with hypertrophic obstructive cardiomyopathy in a prone position: A report of 2 cases |
title_sort | cardiovascular monitoring in patients with hypertrophic obstructive cardiomyopathy in a prone position: a report of 2 cases |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8846242/ https://www.ncbi.nlm.nih.gov/pubmed/35261598 http://dx.doi.org/10.4103/sja.sja_379_21 |
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