Importance of history and physical; HOCM in pregnancy

Hypertrophic (Obstructive) Cardiomyopathy is typically well tolerated in pregnancy but patients may become symptomatic if given epidural anesthesia. Therefore it is very important to collect to do a through history and physical prior to any anesthetic procedure. We will discuss a patient who was 34 weeks pregnant and received epidural anesthesia which resulted in sudden drop in her blood pressure and development of chest pain. Learning Objective The learning objective of this case report is the importance of through history and physical before any and all procedures. We are physician should not simple rely on the history and physical of other because what if the pervious person failed to get important details. So each medical provider should get their own information from the patients as a way of confirming detailed medical history.