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hyperdynamic septic shock with midventricular gradient

added by Emmel

hyperdynamic septic shock with midventricular gradient
Posted By: ohtusabes (2353 days ago)

Hi Jörg. Impressive!

Altough the area or volume seems
small (hipovolemia likely?) If you look carefully the EDVarea and
ESVarea are very different. I mean, a higher LVEDarea and very very
small LVESarea, a finding indicative of very low LV afterload!!! />

Posted By: diego (2460 days ago)

nice job man
in my icu setting ....it's a common finding
especially among septic patients
thanks for putting it up

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Added: 24-10-2011
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A about 50 y old patient was admitted to our ICU from another hospital with severe septic shock. It was known a HIV-infection for over 15 y. In TEE we had no indication of endocarditic vegetation, but we could see a hyperdynamic RV and LV with a midventrcular gradient of the LV (> 2 m/sec).

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