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

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 ec...

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Published in:Oxford Medical Case Reports 2024-05, Vol.2024 (5), p.omae018
Main Authors: Saunders, Samantha L, Clifford, Liam M, Meere, William
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description 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.
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title Cardiogenic shock without hypotension in acute severe primary mitral regurgitation: a case report
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