Severe volume depletion leading to mitral insufficiency
Arq Bras Cardiol. 2004 Jun;82(6):559-62.
doi: 10.1590/s0066-782x2004000600008.
Epub 2004 Jul 12.
[Article in
English,
Portuguese]
Affiliation
- 1 Department of Medicine, Division of Cardiology, Cardiovascular Center, University of Miami, Miami, Florida, USA.
Abstract
We report a patient with profound hypovolemia who developed dynamic left ventricular outflow tract obstruction and severe mitral regurgitation. Both the outflow tract obstruction and mitral regurgitation resolved with volume replacement. Unlike previous reports of dynamic left ventricular outflow obstruction and mitral regurgitation, the degree of mitral regurgitation was severe. Possible mechanisms are discussed.
MeSH terms
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Acute Disease
-
Aged
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Echocardiography, Doppler
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Female
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Humans
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Hypovolemia / complications*
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Hypovolemia / diagnostic imaging
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Mitral Valve Insufficiency / diagnostic imaging
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Mitral Valve Insufficiency / etiology*
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Ventricular Dysfunction, Left / physiopathology