Can I undergo surgery under general anesthesia with cardiomyopathy?

Hi doctor,

I am a female, and I had a history of PVC-induced cardiomyopathy, which was cured by ablation. That was more than six years ago, after which my heart returned to normal. I have maintained good cardiac health the entire time. Eleven months ago, I very suddenly lost the hearing in my left ear, SSHL, no explanation. At first, it was profound, and then after steroid treatment, I regained about 50% of the hearing, but I continue to have lousy tinnitus. Around the same time, I started experiencing pelvic pain. It took many months before I took it seriously and had ultrasounds and MRIs. My doctors could not agree that a 7 cm ovarian cyst and a uterine fibroid were causing my pain. Finally, I have been scheduled for laparoscopic removal of the cyst and the fibroid this week. My question is not gynecological but is about my cardiac status for such surgery. I last had my echo about eight months ago, it is normal, and I have attached it. My cardiologist says there is no need to repeat it before my surgery. I will be going under general anesthesia and have never been under it before. I was fully awake and without a painkiller during my ablation as the EP wanted to make sure the arrhythmia was at its worst during the surgery. I am anxious about the anesthesia, given my cardiac history. I know that fatal complications are rare, but I worry that I am more susceptible to other complications, particularly my blood pressure. While I had never sustained high blood pressure, I had a few higher readings when I was in severe pain and highly anxious. If I have significant pain from the cyst when I go into surgery and nervous, I may have higher than normal blood pressure. At my last echo and checkup previous year, it has been normal. Can blood pressure go up quickly from stress and pain and stay elevated? I know I have, generally, been healthy other than my transient cardiomyopathy. Still, with the hearing loss and the severe pelvic pain, I feel unwell, and I am concerned about the safety of a procedure under general anesthesia. However, I know there is no alternative. I am going to an outstanding gynecologic surgeon, but I remain anxious. Thank you for your help now and for many years. I hope you are doing well.