title: Dilated cardiomyopathy: an anaesthetic challenge.
abstract: Idiopathic dilated cardiomyopathy is a primary myocardial disease of unknown etiology characterized by left ventricular or biventricular dilation and impaired contractility. Depending upon diagnostic criteria used, the reported annual incidence varies between 5 and 8 cases per 100,000 populations. Dilated cardiomyopathy is defined by presence of: a) fractional myocardial shortening less than 25% (>2SD) and/or ejection fraction less than 45% (>2SD) and b) Left Ventricular End Diastolic Diameter (LVEDD) greater than 117% excluding any known cause of myocardial disease. Such cases are always a challenge to the anesthesiologist as they are most commonly complicated by progressive cardiac failure. We report the anesthetic management of a patient with dilated cardiomyopathy undergoing surgery for carcinoma breast.
authors.affiliation: Assistant Professor, Department of Anaesthesia, GGS Medical College and Hospital , Faridkot, India .
authors.forename: Haramritpal
authors.initials: H
authors.lastname: Kaur
authors.forename: Ranjana
authors.initials: R
authors.lastname: Khetarpal
authors.forename: Shobha
authors.initials: S
authors.lastname: Aggarwal
keywords: Anaesthetic management; Dilated cardiomyopathy; Idiopathic
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