Aliases:
HOCM

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Maximise analgesia to reduce risk of sympathetic stimulation which could worsen the dynamic left ventricular outflow tract obstruction.

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Feb 20, 2012
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Aim to minimise any increases in myocardial contractility which will exacerbate the dynamic left ventricular outflow tract obstruction.

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Jan 10, 2012
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Avoid sympathetic nervous system SNS stimulation. This will both increase myocardial contractility which will worsen the outflow tract obstruction, as well as increase the heart rate which will reduce ventricular filling time.

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Feb 11, 2012
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Maintain high normal preload to encourage diastolic ventricular filling against what may be a non/compliant ventricle. Consider administering volume load prior to induction if the patient has been fasting.

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Feb 18, 2012
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Maintain high normal systemic vascular resistance SVR to improve coronary perfusion pressure to the usually hypertrophied ventricle

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Aug 20, 2011
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Maintain low normal heart rate to prolong diastolic filling time.

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Sep 14, 2011
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Maintain sinus rhythm where possible. Those with diastolic dysfunction/LVH dependent on atrial contraction for ventricular filling

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May 18, 2011
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Consider avoiding inotropes that will increase contractility and hence will worsen the dynamic outflow obstruction.

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