Sepsis-induced suicidal left ventricular in a patient with hypertrophic cardiomyopathy/hypertrophic obstructive cardiomyopathy

Hypertrophic cardiomyopathy is the most common heritable cardiomyopathy, manifesting as left ventricular hypertrophy. In this case, a 48-year-male patient presented with complaints of shortness of breath, uneasiness for 15 days, right lower limb pain, and one episode of fever for 2 days. He was init...

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Main Authors: K Roshan Rao, Sarita Rao, Ankur Gupta
Format: Article
Language:English
Published: SAGE Publishing 2022-01-01
Series:Apollo Medicine
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Online Access:http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=3;spage=187;epage=189;aulast=Rao
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author K Roshan Rao
Sarita Rao
Ankur Gupta
author_facet K Roshan Rao
Sarita Rao
Ankur Gupta
author_sort K Roshan Rao
collection DOAJ
description Hypertrophic cardiomyopathy is the most common heritable cardiomyopathy, manifesting as left ventricular hypertrophy. In this case, a 48-year-male patient presented with complaints of shortness of breath, uneasiness for 15 days, right lower limb pain, and one episode of fever for 2 days. He was initiated on antibiotics but gradually started developing hypotension and oliguria. After optimizing the medical therapy and as a life-saving measure, alcoholic septal ablation was done in this patient as a last resort. The patient was weaned off the ventilator after 72 h and discharged in a stable condition. He has continued follow-up for 8 months and is asymptomatic; the gradient has not recurred. The patient had both issues, and timely alcohol septal ablation helped save the patient by optimizing the hemodynamics. This is a rare situation of suicidal left ventricular induced by sepsis-induced vasodilation.
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issn 0976-0016
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spelling doaj-art-0f51acf92a4448e19e20237a474262112025-02-03T11:48:20ZengSAGE PublishingApollo Medicine0976-00162213-36822022-01-0119318718910.4103/am.am_66_22Sepsis-induced suicidal left ventricular in a patient with hypertrophic cardiomyopathy/hypertrophic obstructive cardiomyopathyK Roshan RaoSarita RaoAnkur GuptaHypertrophic cardiomyopathy is the most common heritable cardiomyopathy, manifesting as left ventricular hypertrophy. In this case, a 48-year-male patient presented with complaints of shortness of breath, uneasiness for 15 days, right lower limb pain, and one episode of fever for 2 days. He was initiated on antibiotics but gradually started developing hypotension and oliguria. After optimizing the medical therapy and as a life-saving measure, alcoholic septal ablation was done in this patient as a last resort. The patient was weaned off the ventilator after 72 h and discharged in a stable condition. He has continued follow-up for 8 months and is asymptomatic; the gradient has not recurred. The patient had both issues, and timely alcohol septal ablation helped save the patient by optimizing the hemodynamics. This is a rare situation of suicidal left ventricular induced by sepsis-induced vasodilation.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=3;spage=187;epage=189;aulast=Raohcmhocmlvot
spellingShingle K Roshan Rao
Sarita Rao
Ankur Gupta
Sepsis-induced suicidal left ventricular in a patient with hypertrophic cardiomyopathy/hypertrophic obstructive cardiomyopathy
Apollo Medicine
hcm
hocm
lvot
title Sepsis-induced suicidal left ventricular in a patient with hypertrophic cardiomyopathy/hypertrophic obstructive cardiomyopathy
title_full Sepsis-induced suicidal left ventricular in a patient with hypertrophic cardiomyopathy/hypertrophic obstructive cardiomyopathy
title_fullStr Sepsis-induced suicidal left ventricular in a patient with hypertrophic cardiomyopathy/hypertrophic obstructive cardiomyopathy
title_full_unstemmed Sepsis-induced suicidal left ventricular in a patient with hypertrophic cardiomyopathy/hypertrophic obstructive cardiomyopathy
title_short Sepsis-induced suicidal left ventricular in a patient with hypertrophic cardiomyopathy/hypertrophic obstructive cardiomyopathy
title_sort sepsis induced suicidal left ventricular in a patient with hypertrophic cardiomyopathy hypertrophic obstructive cardiomyopathy
topic hcm
hocm
lvot
url http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=3;spage=187;epage=189;aulast=Rao
work_keys_str_mv AT kroshanrao sepsisinducedsuicidalleftventricularinapatientwithhypertrophiccardiomyopathyhypertrophicobstructivecardiomyopathy
AT saritarao sepsisinducedsuicidalleftventricularinapatientwithhypertrophiccardiomyopathyhypertrophicobstructivecardiomyopathy
AT ankurgupta sepsisinducedsuicidalleftventricularinapatientwithhypertrophiccardiomyopathyhypertrophicobstructivecardiomyopathy