title: [Refractory heart failure and sepsis in a patient with hypertrophic cardiomyopathy].
abstract: A twenty one years old man with obstructive hypertrophic cardiomyopathy with resting gradient and which develops subacute infectious endocarditis and acute mitral regurgitation by valvular apparatus destruction. During the course occurs refractory heart failure and sepsis. The association between these diseases and difficulties in management are analyzed, and literature is reviewed. It is emphasized the high mortality of this condition and indication for surgical referral, as well the necessity for infectious endocarditis prophylaxis in patients with obstruction at rest.
authors.affiliation: Hospital de Clínicas de Porto Alegre, RS.
authors.forename: A F
authors.initials: AF
authors.lastname: Pinotti
authors.forename: A S
authors.initials: AS
authors.lastname: de Quadros
authors.forename: A K
authors.initials: AK
authors.lastname: Saadi
authors.forename: J F
authors.initials: JF
authors.lastname: Saadi
authors.forename: A J
authors.initials: AJ
authors.lastname: Zago
mesh_terms: D000208:Acute Disease; D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D004452:Echocardiography; D004698:Endocarditis, Subacute Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
vernacular_title: Insuficiência cardíaca refratária e sepse em portador de miocardiopatia hipertrófica.