[Usefullness of Beta-blocker for Hemodynamic Changes Induced by Uterotonic Drug in a Patient with Hypertrophic Obstructive Cardiomyopathy Undergoing Elective Cesarean Section].

Abstract

Combined spinal-epidural anesthesia (CSEA) was given to a 27-year-old woman with hypertrophic obstructive cardiomyopathy (HOCM) for a selective cesarean section. After the injection of uterotonic drug via uterine muscle and a vein after delivery, the patient developed dyspnea, tachycardia, ST-change on elecrocardiogram and hypotension. It is important in HOCM patients to control heart rate and left ventricular contractile force. We started to infuse beta-blocker (landiolol, 10 μg x kg(-1) x min(-1)) and improved these symptoms of the patient. This case demonstrates that CSEA is safe for HOCM patients and beta-blocker is effective to improve hemodynamic changes induced by uterotonic drug in these patients.

• Authors: Yuri Tsukano, Michiko Sugita, Yoshihiro Ikuta, Tatsuo Yamamoto
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 64 Issue 6 Pg. 642-6 (Jun 2015) ISSN: 0021-4892 [Print] Japan
• PMID: 26437557 (Publication Type: Case Reports, Journal Article)

Chemical References

• Adrenergic beta-Antagonists

Topics

• Adrenergic beta-Antagonists (therapeutic use)
• Adult
• Anesthesia, Spinal
• Cardiomyopathy, Hypertrophic (diagnostic imaging, physiopathology)
• Cesarean Section (methods)
• Electromyography
• Female
• Hemodynamics (drug effects)
• Humans
• Infant, Newborn
• Pregnancy
• Pregnancy Outcome
• Ultrasonography