Anesthetic Challenges of Labor and Delivery in a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia and Left Ventricular Non-Compaction Cardiomyopathy

Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) and Left Ventricular Non-Compaction Cardiomyopathy (LVNC) are inherited disorders that pose significant challenges in the obstetric population due to the potential exacerbation of ventricular arrhythmias and potentially lethal cardiac compromise during pregnancy and labor. This case report aims to provide insights into the anesthetic management of CPVT and LVNC in obstetric patients. Goals of management should include careful optimization of anesthesia and analgesia, particularly during the birthing process. The choice of anesthetic agents, particularly the avoidance of sympathomimetic drugs, is crucial in preventing catecholamine-induced arrhythmias. Additionally, the utilization of regional anesthesia techniques, such as epidural analgesia, may offer benefits in mitigating sympathetic activation during labor while providing adequate pain relief. Close collaboration between obstetricians, anesthesiologists, and cardiologists is imperative to develop a comprehensive management plan tailored to the individual patient's needs.