Provocation of clinically significant left ventricular outflow tract obstruction by postural change in patients with sigmoid septum

2018 ◽  
Vol 16 (4) ◽  
pp. 173-174
Author(s):  
Yukina Hirata ◽  
Hirotsugu Yamada ◽  
Kenya Kusunose ◽  
Susumu Nishio ◽  
Yuta Torii ◽  
...  
2019 ◽  
Vol 12 (12) ◽  
pp. e225879 ◽  
Author(s):  
Warner Mbuila Mampuya ◽  
Jonathan Dumont ◽  
Francois Lamontagne

In the perioperative setting, norepinephrine is used to increase blood pressure, an effect mediated mostly via arterial and venous vasoconstriction. Thus, norepinephrine is, allegedly, less likely to cause or worsen left ventricular outflow tract obstruction (LVOTO) than other inotropes. We report a case of norepinephrine-associated dynamic LVOTO and systolic anterior movement in a predisposed patient. This report highlights that unrecognised dynamic LVOTO may worsen shock parameters in patients treated with norepinephrine who have underlying myocardial hypertrophy.


2021 ◽  
Vol 23 (4) ◽  
pp. 181-188
Author(s):  
Kazuyuki Ozaki ◽  
Takeshi Okubo ◽  
Kenichi Hagiya ◽  
Naoki Kubota ◽  
Keiichi Tsuchida ◽  
...  

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