title: Obstetric hemorrhage in a case of hypertrophic obstructive cardiomyopathy with automatic implantable cardioverter defibrillator: Anaesthesia and intensive care management.
abstract: The physiological changes occurring during pregnancy and labor may reveal or exacerbate the symptoms of hypertrophic obstructive cardiomyopathy (HOCM). The addition of obstetric hemorrhage to this presents a unique challenge to the anesthesiologists and intensivists managing these patients in the operation theatres and the Intensive Care Units. Here we present a case of HOCM with automatic implantable cardioverter defibrillator in situ and postpartum hemorrhagic shock.
authors.affiliation: Department of Anaesthesiology and Critical Care, JIPMER, Puducherry, India.
authors.forename: Sandeep Kumar
authors.initials: SK
authors.lastname: Mishra
authors.affiliation: Department of Anaesthesiology and Critical Care, IGMCRI, Puducherry, India.
authors.forename: Ravindra R
authors.initials: RR
authors.lastname: Bhat
authors.affiliation: Department of Anaesthesiology and Critical Care, JIPMER, Puducherry, India.
authors.forename: Jayaram
authors.initials: J
authors.lastname: Kavitha
authors.affiliation: Department of Anaesthesiology and Critical Care, JIPMER, Puducherry, India.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Kundra
authors.affiliation: Department of Anaesthesiology and Critical Care, JIPMER, Puducherry, India.
authors.forename: Satyen
authors.initials: S
authors.lastname: Parida
keywords: Anesthesia; automatic implantable cardioverter defibrillator; hypertrophic obstructive cardiomyopathy; obstetric hemorrhage