Left Ventricular Outflow Tract Obstruction
Left Ventricular Outflow Tract Obstruction
19/1/11
Data Interpretation - Venkatesh
HISTORY
- HT (history of)
- post AVR
- known LVH
- increasing inotropes
- no tamponade
EXAMINATION
- late systolic murmur over the praecordium
INVESTIGATIONS
- ECHO:
-> small LV cavity
-> normal systolic function and no RWMA
-> AVR functioning well
-> flow acceleration noted in LVOT on colour Doppler
-> reduced LVOT area during systole
-> systolic anterior motion of valve leaflets (MR)
-> high peak gradient across LVOT
MANAGEMENT
- stop adrenaline
- volume load
- beta-blockers to slow heart rate and reduce contractility
- calcium antagonist
- AV sequential pacing
- vasoconstrictor without inotropic effect (ie. phenylephrine/noradrenaline)
- myomectomy or resection of outflow tract
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- alcohol septal ablation and septal myomectomy
- mvc aacn newsletter
- i have hypertrophic cardiomyopathy otherwise known as hcm
- left ventricular outflow tract obstruction
- ahrq safety program for perinatal care safe medication
- information sheet for patients in clinical research project
- red m south coast urogynecology