Sepsis-Induced Suicidal Left Ventricular in a Patient with Hypertrophic Cardiomyopathy/Hypertrophic Obstructive Cardiomyopathy

 Hypertrophic cardiomyopathy is the most common heritable cardiomyopathy, manifesting as left ventricular hypertrophy. In this case, a 48-year-male patient presented with complaints of shortness of breath, uneasiness for 15 days, right lower limb pain, and one episode of fever for 2 days. He was initiated on antibiotics but gradually started developing hypotension and oliguria. After optimizing the medical therapy and as a life-saving measure, alcoholic septal ablation was done in this patient as a last resort. The patient was weaned off the ventilator after 72 h and discharged in a stable condition. He has continued follow-up for 8 months and is asymptomatic; the gradient has not recurred. The patient had both issues, and timely alcohol septal ablation helped save the patient by optimizing the hemodynamics. This is a rare situation of suicidal left ventricular induced by sepsis-induced vasodilation.
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https://www.researchgate.net/publication/362494934_Sepsis-induced_suicidal_left_ventricular_in_a_patient_with_hypertrophic_cardiomyopathyhypertrophic_obstructive_cardiomyopathy

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