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September 11, 2023CASEOpen Access

Intra-Aortic Balloon Pump Exacerbates Left Ventricular Outflow Tract Obstruction in a Patient With Takotsubo and Hypertrophic Cardiomyopathy

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Why the study?

Does an intra-aortic balloon pump exacerbate left ventricular outflow tract obstruction in a patient with takotsubo and hypertrophic cardiomyopathy?

Comparison

Active IABP vs IABP on standby

Design

Case report

Key result

Intra-aortic balloon pump therapy exacerbated left ventricular outflow tract obstruction in a patient with shock due to hypertrophic cardiomyopathy and takotsubo syndrome.

Authors

MGMatthew D. GriffinNONatalija OdanovićRMRobert L. McNamara

Discussion

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Member takes

Overview

Alerts to potential IABP harm in LVOT obstruction shock; single case leaves open need for validation before practice change.

Structured PICO

Does an intra-aortic balloon pump exacerbate left ventricular outflow tract obstruction in a patient with takotsubo and hypertrophic cardiomyopathy?

P
Population
1 patient with obstructive hypertrophic cardiomyopathy (HCM) and superimposed takotsubo syndrome presenting with shock
I
Intervention
Intra-aortic balloon pump (IABP)
C
Comparator
IABP on standby
O
Outcome
Left ventricular outflow tract (LVOT) obstruction/gradientssurrogate

An IABP should not be used in shock with LVOT obstruction as it can exacerbate the outflow tract gradients.

Cite This Study

Griffin et al. (2023) studied this question. Intra-aortic balloon pump therapy exacerbated left ventricular outflow tract obstruction in a patient with shock due to hypertrophic cardiomyopathy and takotsubo syndrome.

synapsesocial.com/papers/6a78a3db6789de8d0af7e0cehttps://doi.org/10.1016/j.case.2023.07.003
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