title: Acute cardiogenic shock immediately after successful intervention for failed thrombolysis.
abstract: We report the case of a 60-year-old female with a history of hypertension who was admitted with an acute inferior myocardial infarction. She received rescue percutaneous transluminal coronary angioplasty/stenting of an occluded right coronary artery for failed thrombolysis with a good initial result. However, this was immediately complicated by cardiogenic shock characterized by left ventricular outflow tract (LVOT) gradient. She was treated with intravenous fluids and adrenaline. Predischarge echocardiography showed no LVOT gradient and features of left ventricular hypertrophy that mainly affected the septum.
authors.affiliation: Department of Cardiology, Walsgrave Hospitals NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, United Kingdom.
authors.forename: Savvas
authors.initials: S
authors.lastname: Constantinides
authors.forename: Peter
authors.initials: P
authors.lastname: Wong
authors.forename: Man Fai
authors.initials: MF
authors.lastname: Shiu
mesh_terms: D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012770:Shock, Cardiogenic / Q000209:etiology*; D015912:Thrombolytic Therapy; D016896:Treatment Outcome