Manejo anestésico de un paciente con dispositivo de modulación de la contractilidad cardiaca

The cardiac contractility modulation (CCM) device is an electrical therapy for the treatment of patients with moderate-severe heart failure (HF), which has been shown a small improvement in exercise tolerance and quality of life in these patients. The Guidelines about the management of implantable cardiac devices do not include any recommendations about CCM and only one article refers to the anesthetic management of these patients. We present a clinical case about the anesthetic management of a patient with this cardiac device. We believe that in the future it will be more common to find patients with similar devices in anesthesia practice.