septic shock with hypodynamic left ventricle
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Yes, it´s right. She was in a oncological treatment for 3 months undgot several cycles of high dose of anthracyclines. Unfortunately itexists NO echocardiographic document during chemotherapy before shewas admitted to our ICU. So I actually don´t know what is the reasonfor this hypodynamic left ventricle: mycotic sepsis and/ oranthracyclines. Probably both. You´re right, I also think, thatthere´s a anterolateral myocardial movemnet disorder. Unfortunately Igot no better clips in mid-esophageal position to verify this.
Nice vid Jorg , yea It's really a hypokinetic ventricle . Getting acloser look to SAX It does seem affecting mainly the anterolateralportion of LV .Did that lady take anthraciciles?
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