Key result
Extracorporeal life support was utilized as part of a specific treatment strategy for refractory cardiogenic shock in a patient with previously undiagnosed hypertrophic cardiomyopathy.
Why the study?
Dynamic LVOT obstruction and acute apical ballooning in hypertrophic cardiomyopathy are rare causes of cardiogenic shock requiring a specific treatment approach differing from other causes.
Case Report (n=1)
Extracorporeal life support can be utilized as part of a specific treatment strategy for refractory cardiogenic shock in patients with hypertrophic cardiomyopathy complicated by apical ballooning.
May support tailored shock management in rare HCM presentations; leaves open optimal strategies pending larger studies.
Hypertrophic cardiomyopathy can be accompanied by dynamic obstruction in the left ventricular outflow tract and acute apical ballooning, which are among the very rare causes of cardiogenic shock. This condition requires a specific treatment approach that in many ways differs from the treatment of other causes of cardiogenic shock. We present a case and our treatment strategy (including extracorporeal life support) for refractory cardiogenic shock in a patient with previously undiagnosed hypertrophic cardiomyopathy.
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Strýček et al. (2025) conducted a case report in Refractory cardiogenic shock in hypertrophic cardiomyopathy complicated by apical ballooning (n=1). Extracorporeal life support was evaluated. Extracorporeal life support was utilized as part of a specific treatment strategy for refractory cardiogenic shock in a patient with previously undiagnosed hypertrophic cardiomyopathy.
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