Hypertrophic cardiomyopathy in the trauma patient: A case report and review of the literature
Introduction: Hypertrophic cardiomyopathy (HCM), a prevalent genetic cardiac condition characterized by myocardial thickening, poses unique challenges in trauma care. Sparse evidence seems to agree that HCM patients have worse outcomes following non-cardiac surgeries, particularly emergent procedure...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-08-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644025000810 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Introduction: Hypertrophic cardiomyopathy (HCM), a prevalent genetic cardiac condition characterized by myocardial thickening, poses unique challenges in trauma care. Sparse evidence seems to agree that HCM patients have worse outcomes following non-cardiac surgeries, particularly emergent procedures. However, despite a prevalence of 1 in 500 in the US population, the intersection of HCM and Advanced Trauma Life Support (ATLS) remains undiscussed in current literature. Case presentation: A 54-year-old female with unknown past medical history presented as a level 2 trauma alert following a motor vehicle collision. Due to persistent hypotension and transient bradycardia in the trauma bay a further cardiologic evaluation was performed and found severe hypertrophic obstructive cardiomyopathy (HOCM). Clinical discussion: We report a case of a polytrauma patient found to have severe HOCM as well as provide a review of the literature including pathophysiological considerations in the management of the trauma patient with HCM. Conclusions: Caring for the trauma patient with HCM requires a multidisciplinary strategy that integrates advanced cardiac imaging and cautious hemodynamic management, underlining the necessity for heightened awareness. |
|---|---|
| ISSN: | 2352-6440 |