Hypertensive hypertrophic obstructive cardiomyopathy crisis resolved with transvenous pacing guided by bedside echocardiography.
Jeffrey F SpindelMohammad MathboutShahab GhafghaziPublished in: Echocardiography (Mount Kisco, N.Y.) (2021)
Cardiogenic shock due to hypertrophic obstructive cardiomyopathy (HoCM) crisis presents a clinical challenge as pharmacologic vasopressor and/or inotropic support can compromise hemodynamics and acute afterload reduction worsens left ventricular outflow tract (LVOT) obstruction. Hypertensive hypertrophic obstructive cardiomyopathy (HHoCM) is an entity mostly affecting elderly hypertensive women and could present with a clinical phenotype similar to HoCM crisis. We present a case of an 81-year-old female patient with HHoCM complicated by severe mitral regurgitation, in cardiogenic shock, in whom hemodynamic stability was restored with transvenous pacing guided by bedside echocardiography to optimize rate, left ventricle (LV) filling time, and cardiac output.
Keyphrases
- left ventricular
- cardiac resynchronization therapy
- heart failure
- blood pressure
- public health
- pulmonary hypertension
- mitral valve
- hypertrophic cardiomyopathy
- acute myocardial infarction
- aortic stenosis
- liver failure
- left atrial
- polycystic ovary syndrome
- type diabetes
- metabolic syndrome
- respiratory failure
- coronary artery disease
- intensive care unit
- adipose tissue
- acute coronary syndrome
- hepatitis b virus
- pregnancy outcomes