A 60-year-old female developed cardiogenic shock with an LVOT gradient immediately after rescue PCI for failed thrombolysis, which resolved with intravenous fluids and adrenaline.
Case Report (n=1)
Highlights a rare complication of cardiogenic shock due to dynamic LVOT obstruction immediately following successful rescue PCI for acute inferior MI, successfully managed with fluids and adrenaline.
We report the case of a 60-year-old female with a history of hypertension who was admitted with an acute inferior myocardial infarction. She received rescue percutaneous transluminal coronary angioplasty/stenting of an occluded right coronary artery for failed thrombolysis with a good initial result. However, this was immediately complicated by cardiogenic shock characterized by left ventricular outflow tract (LVOT) gradient. She was treated with intravenous fluids and adrenaline. Predischarge echocardiography showed no LVOT gradient and features of left ventricular hypertrophy that mainly affected the septum.
Constantinides et al. (Fri,) conducted a case report in Acute inferior myocardial infarction complicated by cardiogenic shock (n=1). Rescue percutaneous transluminal coronary angioplasty/stenting, intravenous fluids, and adrenaline was evaluated. A 60-year-old female developed cardiogenic shock with an LVOT gradient immediately after rescue PCI for failed thrombolysis, which resolved with intravenous fluids and adrenaline.
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