Malignant Hyperthermia, was first perceived in 1962 by Denborough et al., characterized by a state of hyper-metabolic syndrome accompanied with high fever and muscular rigidity, due to a hereditary skelelal muscle defect, excited by inhalant anesthetics.
Since it's a rare hereditary condition a good patient history including hereditary and previous problems - thus on clinical grounds
So far, specially autossomic dominant hereditary with incidence of 1:15,000 and 1:50,000 respectively in children and adults.
Yes definitely a good pre anesthesia history is a must with emphasis on anesthesia problems with the patient and family members , Any doubt avoid triggering agents or use alternate anesthesia like regional blocks .
A good family patient history, because, reports of latent myopathies and MHS by statins, as well as evidence of statin myotoxicity in small animals, has raised concerns that this drug class might adversely affect the outcomes of diagnostic MH susceptibility testing in vitro or the course of MH in vivo