Key result
Doppler echocardiography identifies A-dip AR and diastolic MR in a septic shock case.
Case Report (n=1)
Detailed Doppler echocardiography can identify specific markers of elevated left atrial and ventricular filling pressures, providing valuable hemodynamic insights in critically ill patients.
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May highlight flow abnormalities in septic shock; leaves open whether Doppler aids hemodynamic assessment in critical illness.
Accurate assessment of intracardiac flows by Doppler echocardiography may add important hemodynamic information in the critically ill patient. Detailed analysis of flow gradients through different sites and their correlation with timing of cardiac events may help us in better understanding the pathophysiology of the underlying disease. We report the clinical case of a 78-year-old patient with septic shock, in whom an A-dip of aortic regurgitation, shortening of diastolic filling, and diastolic mitral regurgitation were detected by Doppler analysis. Pathophysiologic explanation of these phenomena and their evolution after inotropic drug infusion are reported.
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Caselli et al. (2013) conducted a case report in Septic shock (n=1). Doppler echocardiography was evaluated on Detection of A-dip of aortic regurgitation, shortening of diastolic filling, and diastolic mitral regurgitation. Doppler echocardiography detected an A-dip of aortic regurgitation, shortening of diastolic filling, and diastolic mitral regurgitation in a 78-year-old patient with septic shock.
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