Hypovolemia-induced reversible severe mitral regurgitation due to left ventricular outflow tract obstruction.
We describe a hypertensive patient who developed profound cardiogenic shock after treatment with nitrates and diuretics. Echocardiography revealed a marked left ventricular outflow tract obstruction with severe mitral regurgitation that were reversible after aggressive fluid therapy.
Rosen
Boaz
B
The Heart Institute, E. Wolfson Medical Center, Holon, 58-100, Israel. dharecho@netvision.net.il
Kriwisky
Michael
M
Rozenman
Yoseph
Y
Harpaz
David
D
D000368:Aged; D004452:Echocardiography; D005260:Female; D006801:Humans; D020896:Hypovolemia / Q000150:complications* / Q000175:diagnosis; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology*; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology; D014694:Ventricular Outflow Obstruction / Q000150:complications* / Q000175:diagnosis