preoperative of health status
Management of Patient with Congestive Heart’ Failure (Hypertrophic, Cardiomyopathy)
reducing drugs, such as nitrates, beta-antagonists; or calium channel antagonists, to control the amount of work he heart is required to do. In addition, patients with chronic atrial fibrillation caused by hypertrophic cardiomyopathy are usually prescribed anticoagulants .to pre- ‘
vent atrial thrombus formation.
Patients with congestive heart failure that is well compensated through’ dietary and drug therapy can safely undergo ambulatory oral surgery. The anxiety-reduction protocol and supplemental oxygen are helpful. Patients
with orthopnea should not be placed supine during any procedure, Surgery for patients with uncompensated hypertrocphic cardiomyopathy is best deferred until compensation is achieved Or procedures can be performed in the hospital setting (Box 1-12)./