Valvularheartdisease 101005111315-phpapp01

DR CHANDRA SEKHAR BEHERA PG FINAL YEAR ANAESTHESIOLOGY Valvular Heart Disease cardiomyopathy and Anaesthesia

Valvular Heart Disease & anaesthesia

Valvular Heart Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What Information is Required? ,[object Object],[object Object],[object Object]

Common findings of the history and physical exam in patients with valvular disease: ,[object Object],[object Object],[object Object],[object Object]

Mitral Stenosis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology ,[object Object],[object Object]

Pathophysiology ,[object Object],[object Object]

Signs and symptoms: ,[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object]

Anesthesia concerns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pregnancy Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mitral Regurgitation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pathophysiology ,[object Object],[object Object],[object Object],[object Object]

Signs and symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object]

Anesthesia concerns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anesthetic Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pregnancy Considerations ,[object Object],[object Object],[object Object]

Mitral Valve Prolapse Anesthetic Considerations ,[object Object],[object Object],[object Object]

Aortic Stenosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology ,[object Object],[object Object],[object Object]

Pathophysiology ,[object Object],[object Object],[object Object]

Anesthesia concerns: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Peri-operative Care. ,[object Object],[object Object],[object Object]

Haemodynamic goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Postoperative Management ,[object Object],[object Object],[object Object]

Pregnancy considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Aortic regurgitation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Anesthetic considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Peri-operative Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pregnancy considerations ,[object Object]

Pulmonary Stenosis ,[object Object],[object Object],[object Object],[object Object]

Pregnancy Considerations ,[object Object]

Endocarditis prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prophylaxis for valvular heart disease. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

No prophylaxis required ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Antibiotic regimens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONCLUSION ,[object Object],[object Object]

Cardiomyopathies and anaesthetic implications

Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

WHO Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Br Heart J 1980; 44:672-673

Functional Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Idiopathic Dilated Cardiomyopathy

Dilated cardiomyopathy ,[object Object]

Clinical findings ,[object Object],[object Object],[object Object]

History and Physical Examination ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiac Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anaesthetic concern ,[object Object]

Concern…….. ,[object Object],[object Object]

Concern………….. ,[object Object]

[object Object],[object Object]

[object Object],[object Object],[object Object]

Hypertrophic Cardiomyopathy ,[object Object],[object Object],[object Object],[object Object]

65% 35% 10% www.kanter.com/hcm

Familial HCM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Manifestation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Increase in Gradient and Murmur ,[object Object]

Decrease in Gradient and Murmur ,[object Object]

Natural History ,[object Object],[object Object],[object Object],[object Object]

Risk Factors for SCD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Br Heart J 1994; 72:S13

Recommendations for Athletic Activity ,[object Object],[object Object]

Recommendations for Athletic Activity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HCM vs Aortic Stenosis ,[object Object],[object Object],[object Object]

Other Causes of Hypertrophy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HCM vs Athlete’s Heart ,[object Object],[object Object],Circulation 1995; 91:1596

Hypertensive HCM of the Elderly ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anaesthetic management ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Preoperative evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Intraoperative management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Restrictive Cardiomyopathies ,[object Object],[object Object],[object Object],[object Object]

Exclusion “Guidelines” ,[object Object],[object Object],[object Object],[object Object]

Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Constrictive - Restrictive Pattern “ Square-Root Sign” or “Dip-and-Plateau”

Restriction vs Constriction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anaesthetic management ,[object Object],[object Object],[object Object]

conclusion ,[object Object],[object Object]

Valvularheartdisease 101005111315-phpapp01

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