Anesthetic Challenges of Labor and Delivery in a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia and Left Ventricular Non‐Compaction Cardiomyopathy
ABSTRACT Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) and Left Ventricular Non‐Compaction Cardiomyopathy (LVNC) are inherited disorders that pose significant challenges in the obstetric population due to the potential exacerbation of ventricular arrhythmias and potentially lethal car...
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| Format: | Article |
| Language: | English |
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Wiley
2025-04-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70454 |
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| author | Chase Jackson Jibran Ikram Jose L. Diz Ferre Sabry Ayad |
| author_facet | Chase Jackson Jibran Ikram Jose L. Diz Ferre Sabry Ayad |
| author_sort | Chase Jackson |
| collection | DOAJ |
| description | ABSTRACT Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) and Left Ventricular Non‐Compaction Cardiomyopathy (LVNC) are inherited disorders that pose significant challenges in the obstetric population due to the potential exacerbation of ventricular arrhythmias and potentially lethal cardiac compromise during pregnancy and labor. This case report aims to provide insights into the anesthetic management of CPVT and LVNC in obstetric patients. Goals of management should include careful optimization of anesthesia and analgesia, particularly during the birthing process. The choice of anesthetic agents, particularly the avoidance of sympathomimetic drugs, is crucial in preventing catecholamine‐induced arrhythmias. Additionally, the utilization of regional anesthesia techniques, such as epidural analgesia, may offer benefits in mitigating sympathetic activation during labor while providing adequate pain relief. Close collaboration between obstetricians, anesthesiologists, and cardiologists is imperative to develop a comprehensive management plan tailored to the individual patient's needs. |
| format | Article |
| id | doaj-art-e883c837a80649e68764c021855aa001 |
| institution | OA Journals |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-e883c837a80649e68764c021855aa0012025-08-20T02:18:33ZengWileyClinical Case Reports2050-09042025-04-01134n/an/a10.1002/ccr3.70454Anesthetic Challenges of Labor and Delivery in a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia and Left Ventricular Non‐Compaction CardiomyopathyChase Jackson0Jibran Ikram1Jose L. Diz Ferre2Sabry Ayad3Outcomes Research Consortium, Anesthesiology Department Cleveland Clinic Cleveland Ohio USAOutcomes Research Consortium, Anesthesiology Department Cleveland Clinic Cleveland Ohio USAOutcomes Research Consortium, Anesthesiology Department Cleveland Clinic Cleveland Ohio USAOutcomes Research Consortium, Anesthesiology Department Cleveland Clinic Cleveland Ohio USAABSTRACT Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) and Left Ventricular Non‐Compaction Cardiomyopathy (LVNC) are inherited disorders that pose significant challenges in the obstetric population due to the potential exacerbation of ventricular arrhythmias and potentially lethal cardiac compromise during pregnancy and labor. This case report aims to provide insights into the anesthetic management of CPVT and LVNC in obstetric patients. Goals of management should include careful optimization of anesthesia and analgesia, particularly during the birthing process. The choice of anesthetic agents, particularly the avoidance of sympathomimetic drugs, is crucial in preventing catecholamine‐induced arrhythmias. Additionally, the utilization of regional anesthesia techniques, such as epidural analgesia, may offer benefits in mitigating sympathetic activation during labor while providing adequate pain relief. Close collaboration between obstetricians, anesthesiologists, and cardiologists is imperative to develop a comprehensive management plan tailored to the individual patient's needs.https://doi.org/10.1002/ccr3.70454anesthesia managementcatecholaminergic polymorphic ventricular tachycardia (CPVT)high‐risk pregnancyleft ventricular non‐compaction cardiomyopathy (LVNC)obstetric patientsperipartum cardiac risk |
| spellingShingle | Chase Jackson Jibran Ikram Jose L. Diz Ferre Sabry Ayad Anesthetic Challenges of Labor and Delivery in a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia and Left Ventricular Non‐Compaction Cardiomyopathy Clinical Case Reports anesthesia management catecholaminergic polymorphic ventricular tachycardia (CPVT) high‐risk pregnancy left ventricular non‐compaction cardiomyopathy (LVNC) obstetric patients peripartum cardiac risk |
| title | Anesthetic Challenges of Labor and Delivery in a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia and Left Ventricular Non‐Compaction Cardiomyopathy |
| title_full | Anesthetic Challenges of Labor and Delivery in a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia and Left Ventricular Non‐Compaction Cardiomyopathy |
| title_fullStr | Anesthetic Challenges of Labor and Delivery in a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia and Left Ventricular Non‐Compaction Cardiomyopathy |
| title_full_unstemmed | Anesthetic Challenges of Labor and Delivery in a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia and Left Ventricular Non‐Compaction Cardiomyopathy |
| title_short | Anesthetic Challenges of Labor and Delivery in a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia and Left Ventricular Non‐Compaction Cardiomyopathy |
| title_sort | anesthetic challenges of labor and delivery in a patient with catecholaminergic polymorphic ventricular tachycardia and left ventricular non compaction cardiomyopathy |
| topic | anesthesia management catecholaminergic polymorphic ventricular tachycardia (CPVT) high‐risk pregnancy left ventricular non‐compaction cardiomyopathy (LVNC) obstetric patients peripartum cardiac risk |
| url | https://doi.org/10.1002/ccr3.70454 |
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