Cardiomyopathies/Heart Failure

Question 1

Goal in HF

Answer 1

avoid myocardial depression!

1. HR normal to elevated
2. Preload: normal to high
3. Afterload: low
4. Increase contractility

Question 2

Things that help Hypertrophic Cardiomyopathy?

Answer 2

Decreased myocardial contractility, Beta Blockers, Volatiles Anesthetics, CCB, increased preload, HYPERvolemia, bradycardia, increased after load, HTN, aAdrenergic stimulation

Question 3

Things to AVOID in hypertrophic cardiomyopathy

Answer 3

TPL, Propofol, ketamine, sympathomimetics, EPHEDRINE, opioids as sole anesthetic, NTP/NTG

Question 4

Things to GIVE in hypertrophic cardiomyopathy

Answer 4

Fluids, BB, CCB, volatiles, HTN, alpha adrenergic stimulation, heavy premedication- Versed, LTA, opioids for DVL, Etomidate, Vec, Roc, Cis, Propranolol, esmolol, phenylephrine

Question 5

Goals for Dilated cardiomyopathy

Answer 5

HR: normal to elevated
Preloard: normal to high
Afterload: low to normal
Contractility increased

Question 6

things to avoid in cor pulmonale?

Answer 6

avoid histamine releasers, keep anesthetics deep