Cardiogenic shock without hypotension in acute severe primary mitral regurgitation: a case report

Author:

Saunders Samantha L12ORCID,Clifford Liam M3,Meere William1,Spina Roberto1

Affiliation:

1. Department of Cardiology, Gosford Hospital , Gosford NSW, Australia

2. School of Medicine and Public Health, The University of Newcastle , Newcastle NSW, Australia

3. Department of Endocrinology, Gosford Hospital , Gosford NSW, Australia

Abstract

Abstract A 60-year-old gentleman who presented with features of end-organ hypoperfusion despite initial hypertension was promptly diagnosed with cardiogenic shock following evidence of hyperlactatemia on biochemistry and left ventricular global hypokinesis with severe mitral regurgitation on transthoracic echocardiogram. He responded well to dobutamine and later underwent definitive surgical mitral valve replacement.

Publisher

Oxford University Press (OUP)

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