Perioperative cardiovascular complications in patients with hypertrophic cardiomyopathy

Masayuki Kuroiwa, Masayasu Arai, Tetsuo Ueno, Tomoaki Takenaka, Hirotsugu Okamoto, Sumio Hoka

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Abstract

Background: The aim of this study was to examine the incidence of cardiac complications in patients with hypertrophic cardiomyopathy (HCM) during noncardiac surgery. Methods: A retrospective study was made for surgical patients in the period of 1989-2000 at Kitasato University Hospital. Results: Thirty out of 66000 patients were preoperatively diagnosed as HCM. Sixty percent of the HCM patients had one or more perioperative cardiovascular complications. There were perioperative congestive heart failure in 3 patients (10%), and myocardial ischemia in 4 patients (13%). However, there were no myocardial infarction, no life-threatening dysarrhythmia and no cardiac death. Factors which appeared to be associated with the perioperative cardiovascular complications were the type of HCM (HOCM), major surgery, general anesthesia and preoperative medication with a beta-blocker or a calcium channel blocker. Conclusions: It is suggested that patients with HCM undergoing noncardiac surgery have a high incidence of cardiac complications such as congestive heart failure and myocardial ischemia.

Original languageEnglish
Pages (from-to)733-739
Number of pages7
JournalJapanese Journal of Anesthesiology
Volume52
Issue number7
Publication statusPublished - Jul 1 2003
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Kuroiwa, M., Arai, M., Ueno, T., Takenaka, T., Okamoto, H., & Hoka, S. (2003). Perioperative cardiovascular complications in patients with hypertrophic cardiomyopathy. Japanese Journal of Anesthesiology, 52(7), 733-739.