Abstract
We describe the anaesthetic management of a parturient with catecholaminergic polymorphic ventricular tachycardia and an implantable cardioverter-defibrillator during induction of labour and subsequent emergency caesarean birth. Catecholaminergic polymorphic ventricular tachycardia is characterised by genetic mutations leading to increased sympathetic activity, potentially causing ventricular arrhythmias and cardiac arrest. There are limited data discussing the anaesthetic management of parturients with catecholaminergic polymorphic ventricular tachycardia. We describe our approach to anaesthetic management, focusing on minimising sympathetic stimulation through early combined spinal-epidural placement, the use of epidural adjuvants, such as α2-agonists, and the avoidance of catecholaminergic medications.