DOI: https://doi.org/10.22141/2224-0586.3.98.2019.165474

Cardiomyopathies in pregnant women: features of anesthetic management during labor

D.M. Stanin, O.M. Klygunenko, V.A. Sedinkin

Abstract


The article discusses the features of anesthesia in pregnant women with cardiomyopathies. The pathophysiological changes that occur in hypertrophic, dilated and restrictive cardiomyopathy during pregnancy are described. Anesthetic management for cardiomyopathy in pregnant women who need delivery is crucially determined by the degree of compensation of blood circulation. One of the main requirements for anesthesia du­ring delivery in this situation is the maximum possible stability of hemodynamic parameters. Epidural anesthesia is the method of choice for the delivery in pregnant women with cardiomyopathy.


Keywords


pregnancy; delivery; cardiomyopathy; anesthesia; review

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