Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/11/2025

Anesthesia Management for Patients with Reduced Left Ventricular Ejection Fraction

Patient Evaluation and Anesthesia Selection

  • Patients with LVEF ≤35% require careful evaluation before any intervention that might affect cardiovascular status, as recommended by the European Society of Cardiology 1
  • The European Society of Cardiology recommends assessing patient's cardiac status including most recent echocardiogram confirming LVEF of 35% 3

Hemodynamic Considerations

  • Patients with reduced LVEF (35%) are at risk for hemodynamic instability during anesthesia, requiring careful monitoring and management, as stated by the European Heart Journal 2

REFERENCES

1

Safety of Sildenafil in Patients with Severely Reduced Left Ventricular Ejection Fraction [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

2

LVEF Measurement and Classification [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025