Baseline Predictors of Dynamic Obstruction During Stress Echocardiogram: The Importance of Ventricular Anatomy and Body Surface Area

The haemodynamic response to the beach-chair position may be affected by the presence of left ventricular hypertrophy where remodelling of cardiac chambers can potentially lead to left ventricular outflow tract obstruction. We present a case report of severe hypotension in the beach-chair position, where focused cardiac ultrasound identified left ventricular hypertrophy and geometric features that contributed to the hypotensive response. This case illustrates that focused cardiac ultrasound has the potential to alert the clinician preoperatively to left ventricular outflow tract obstruction susceptibility during surgery in the beach-chair position, and intraoperatively to direct management should sudden decreases in blood pressure occur.

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Focused cardiac echocardiography in beach-chair position surgery: A case study

Soeding

Steel

Wong

et al. 2019

Anaesth Intensive Care

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Baseline Predictors of Dynamic Obstruction During Stress Echocardiogram: The Importance of Ventricular Anatomy and Body Surface Area

Cited by 1 publication

References 6 publications

Focused cardiac echocardiography in beach-chair position surgery: A case study

Focused cardiac echocardiography in beach-chair position surgery: A case study

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