Courbe de pression en présence d’une cardiomyopathie hypertrophique obstructive. S Noble, C Frangos, R Ibrahim, P L’Allier. DOI: /cvm. Contexte. L’efficacité de la stimulation cardiaque double-chambre comme traitement primaire de la cardiomyopathie hypertrophique obstructive (CMHO) reste. This is referred to as non-obstructive hypertrophic cardiomyopathy. The entire ventricle may thicken, or the thickening may happen only at the bottom of the heart.
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We report the case hypertropgique a caesarean section under combined spinal and epidural anaesthesia in a pregnant year-old woman with an hypertrophic obstructive cardiomyopathy. In these patients, variations of the ventricular load conditions may induce a cardiac inefficacy. In this context, the post-partum haemorrhage is a feared complication, prevent in part by oxytocine intravenously.
However, its injection can be associated with haemodynamic instability, even at a low dose, and it does not spread post-partum haemorrhage. The arterial ligation according to the technique of Tsirulnikov is an alternative that we reported.
This technique is followed by a good obstetrical prognosis. Hypertrophic obstructive cardiomyopathy, Caesarean section, Combined spinal and epidural anaesthesia, Uterine artery ligation, Tsirulnikov, Ocytocine, Post-partum haemorrhage.
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Hypertrophic Cardiomyopathy Overview – GeneReviews® – NCBI Bookshelf
Espitalier aJ. Fusciardi aM.
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