Cardiogenic Shock due to Left Ventricular Outflow Obstruction and Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy with Acute Myocarditis
Key result
A 67-year-old woman with hypertrophic cardiomyopathy and acute myocarditis presenting with cardiogenic shock and complete atrioventricular block was successfully treated with negative inotropic drugs and a permanent pacemaker.
Population
A 67-year-old woman presenting with sudden syncopal attack and cardiogenic shock due to left ventricular…
Design
Case_report
Authors
Discussion
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Member takes
Implication
Should not change practice in HCM-myocarditis; single case leaves open need for prospective data on this overlap.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
P
Population
A 67-year-old woman presenting with sudden syncopal attack and cardiogenic shock due to left ventricular outflow stenosis and simultaneous complete atrioventricular block, diagnosed with hypertrophic cardiomyopathy and acute myocarditis (n=1).
I
Intervention
Permanent pacemaker implantation
Acute myocarditis in a patient with hypertrophic cardiomyopathy can present with cardiogenic shock due to transient LV outflow obstruction and persistent complete AV block requiring permanent pacing.
Cite This Study
Kusumoto et al. (2012) conducted a case report in Hypertrophic cardiomyopathy with acute myocarditis, cardiogenic shock, and complete atrioventricular block (n=1). Bisoprolol, cibenzoline, and permanent pacemaker implantation was evaluated. A 67-year-old woman with hypertrophic cardiomyopathy and acute myocarditis presenting with cardiogenic shock and complete atrioventricular block was successfully treated with negative inotropic drugs and a permanent pacemaker.