A 59-Year-Old Man in Refractory Shock

Slides:

Advertisements

Similar presentations

Fig 39 Tetralogy of Fallot.

Advertisements

Systolic and Diastolic Pulsus Alternans in Severe Heart Failure

Volume 1, Issue 2, Pages (April 2017)

Frank W. Ewald, MD, FCCP, Albert H. Scherff, MD CHEST

Pursuing the Perfect Pacemaker

Mitral Stenosis Reversed by Medical Treatment for Heart Failure

Dual-Chamber Pacing for Cardiomyopathies: A 1996 Clinical Perspective

Fixed versus dynamic subaortic stenosis: Hemodynamics and resulting differences in Doppler echocardiography and aortic pressure contour Joon Hwa Hong,

Asem Qadeer, MD, Sahar Ahmad, MD CHEST

A 47-Year-Old Man With Recurrent Unilateral Pleural Effusion

Recommendations on the Echocardiographic Assessment of Aortic Valve Stenosis: A Focused Update from the European Association of Cardiovascular Imaging.

Mohamed Ramez Mourad, MD, Olivia M. Siwoski, MD, Kyle R. Brownback, MD

Mitral Stenosis Reversed by Medical Treatment for Heart Failure

A 71-Year-Old Woman Presenting With Abdominal Pain and Dyspnea

Elderly Man With Acute Respiratory Distress

Volume 153, Issue 2, Pages e33-e36 (February 2018)

Volume 154, Issue 4, Pages e101-e105 (October 2018)

Prevalence and clinical significance of acquired left coronary artery fistulas after surgical myectomy in patients with hypertrophic cardiomyopathy Aurelio.

Wretched Excess: Stool-softener Abuse and Cardiogenic Shock

Volume 152, Issue 6, Pages e139-e142 (December 2017)

Volume 153, Issue 1, Pages (January 2018)

Jimmy Mbogori, MD, Karan Chawdhary, James L. Vacek, MD

Confirmation of Anomalous Origin of the Right Coronary Artery From the Left Sinus of Valsalva With Magnetic Resonance Imaging Christian Machado, M.D.,

Volume 154, Issue 3, Pages e69-e72 (September 2018)

Volume 149, Issue 5, Pages e141-e145 (May 2016)

A 61-Year-Old Caribbean Man With Thrush and Acute Respiratory Failure

A 26-Year-Old Man With a Pleural Effusion and Headache

Peter Hountras, MD, Hector Cajigas, MD CHEST

An Elderly Man With Dyspnea and Chest Pain

A 43-Year-Old Man With Daytime Sleepiness and a Heart Murmur

A 67-Year-Old Man With Palpitations During Sleep

A 48-Year-Old Woman Presenting With Syncope and Shortness of Breath

A 74-Year-Old Man With Refractory Hypotension After Spine Surgery

“Code Blue” in a 66-Year-Old Man in the Cardiology Department

A Young Man With Abdominal Pain, Shock, and Respiratory Distress

Volume 149, Issue 1, Pages e29-e33 (January 2016)

A Patient With Chest Pain and Hyperacute T Waves

Elderly man with ICD shocks

Nihan Kayalar, MD, Hartzell V. Schaff, MD, Richard C

Right ventricular outflow tract resection for treatment of refractory ventricular tachycardia in a 2-year-old child S. Kanaan, MD, K. Shamsuddin, MD,

Hemoptysis as a rare presentation of cor triatriatum sinister

Amanda M. Marshall, MD, Mitchell I. Cohen, MD, Ashish B

Sixty Years After Tetralogy of Fallot Correction

Nonobstructive septal hypertrophy in a young adult provoking recurrent polymorphic ventricular tachycardia successfully treated with transaortic and transventricular.

Bedside Calibration Of Pulmonary Artery Catheters

A 7-Year-Old Boy With Sudden Onset of Loud Snoring

An 80-Year-Old Man With Hemoptysis and Unilateral Patchy Opacities

A Man in His 70s Presenting With Chest Pain and Hematuria

Yin Ge, MD, Shiying Liu, MD, Sheldon M. Singh, MD

Volume 154, Issue 6, Pages e169-e171 (December 2018)

Rapid progression of midventricular obstruction in adults with double-chambered right ventricle José María Oliver, MD, Ana Garrido, MD, Ana González,

Dobutamine-induced midcavitary gradients do not cause dyspnea

Sean Connolly, MD, Peter Hountras, MD CHEST

Volume 72, Issue 5, Pages (November 1977)

Pulse Deficit during Ventricular Tachycardia

Robert Morgan, DO, Robert Murdock, DO, Poh Leng, MBBS, FCCP CHEST

A 3-Year-Old Girl With a Mediastinal Mass

Volume 154, Issue 3, Pages e83-e86 (September 2018)

A 30-Year-Old Woman With Tricuspid Valvectomy Presents With Shock

Case of Tuberculous Pericarditis Mimicking Lupus Carditis

Volume 74, Issue 5, Pages (November 1978)

POINT: Should Inhaled Antibiotic Therapy Be Used Routinely for the Treatment of Bacterial Lower Respiratory Tract Infections in the ICU Setting? Yes

Volume 107, Issue 2, Pages (February 1995)

Volume 156, Issue 1, Pages e9-e13 (July 2019)

A Woman in Her 70s on Anticoagulation With Sudden Shock

A 79-Year-Old Man With Dyspnea and a Cold Shock

Dynamic right ventricular outflow tract obstruction in cardiac surgery

Volume 155, Issue 5, Pages e149-e154 (May 2019)

Mohamed Ramez Mourad, MD, Olivia M. Siwoski, MD, Kyle R. Brownback, MD

A 21-Year-Old Man With “Sloshing” in the Chest

Presentation transcript:

A 59-Year-Old Man in Refractory Shock Minkyung Kwon, MD, Yalew T. Debella, MD, John E. Moss, MD, Olga Paniagua, MD, Jose L. Diaz-Gomez, MD CHEST Volume 154, Issue 4, Pages e93-e96 (October 2018) DOI: 10.1016/j.chest.2018.04.050 Copyright © 2018 Terms and Conditions

Figure 1 Pulsed-wave Doppler and continuous-wave Doppler. A, Initial pulsed-wave Doppler gate from apical five-chamber view sampling left ventricular outflow tract velocity could not be registered accurately because of aliasing. B, Continuous-wave Doppler gate from apical five-chamber view sampling of left ventricular outflow tract velocity revealed a maximal velocity up to 6 m/s and respiratory variation in left ventricular outflow tract in the setting of sinus tachycardia. CHEST 2018 154, e93-e96DOI: (10.1016/j.chest.2018.04.050) Copyright © 2018 Terms and Conditions

Figure 2 Continuous-wave Doppler after treatment of dynamic left ventricular outflow tract obstruction. Continuous-wave Doppler gate from apical five-chamber view sampling of left ventricular outflow tract velocity revealed a maximal velocity of 1.5 m/s and peak pressure gradient of 9 mm Hg, confirming the resolution of dynamic left ventricular outflow tract obstruction. CHEST 2018 154, e93-e96DOI: (10.1016/j.chest.2018.04.050) Copyright © 2018 Terms and Conditions