| English |
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| Title | Anesthesia in a Patient with Dilated Cardiomyopathy Using Sevoflurane |
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| Subtitle | |
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| Authors | Taeko Fukuda*, Ryu Okutani** |
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| Authors(kana) | |
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| Organization | *Department of Anesthesiology,Hyogo College of Medicine, **Department of Anesthesia,Hyogo Prefectural Nishinomiya Hospital |
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| Journal | Circulation Control |
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| Volume | 14 |
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| Number | 4 |
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| Page | 551-554 |
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| Year/Month | 1993/ |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Dilated cardiomyopathy (DCM) is a myocardial disease of unknown etiology, which is associated with a poor prognosis. The ventricular dilation and systolic dysfunction observed are due to degeneration and fibrosis of myocardial cells. It is important during anesthesia in patients with DCM to avoid depression of cardiac contractility, control arrhyhmias and prevent acute heart failure. When using anesthesia for DCM patients, generally, narcotics are recommended due to their minimal effects on myocardial contractility. In our case, we selected an inhalation anesthetic agent, sevoflurane and then evaluated whether sevoflurane is acceptable anesthetic agent or not for the management of DCM. 「Case Report」A 42-year-old male, weighing 55 kg and with a height 161 cm, developed exertional palpitations 2 years prior to this operation. The diagnosis of DCH was made based on detailed examination by a local physician. He had received outpatient medical treatment since the time of diagnosis. Towards the end of April 1990, the patient developed dyspnea and orth opnea and was admitted to another hospital on an emergency basis. |
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| Practice | Basic medicine |
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| Keywords | Dilated Cardiomyopathy, Sevoflurane, RVEF-Swan-Ganz Catheter |
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