Cardiomyopathies/Heart Failure Flashcards
Goal in HF
avoid myocardial depression!
- HR normal to elevated
- Preload: normal to high
- Afterload: low
- Increase contractility
Things that help Hypertrophic Cardiomyopathy?
Decreased myocardial contractility, Beta Blockers, Volatiles Anesthetics, CCB, increased preload, HYPERvolemia, bradycardia, increased after load, HTN, aAdrenergic stimulation
Things to AVOID in hypertrophic cardiomyopathy
TPL, Propofol, ketamine, sympathomimetics, EPHEDRINE, opioids as sole anesthetic, NTP/NTG
Things to GIVE in hypertrophic cardiomyopathy
Fluids, BB, CCB, volatiles, HTN, alpha adrenergic stimulation, heavy premedication- Versed, LTA, opioids for DVL, Etomidate, Vec, Roc, Cis, Propranolol, esmolol, phenylephrine
Goals for Dilated cardiomyopathy
HR: normal to elevated
Preloard: normal to high
Afterload: low to normal
Contractility increased
things to avoid in cor pulmonale?
avoid histamine releasers, keep anesthetics deep