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A 59-Year-Old Man in Refractory Shock

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1 A 59-Year-Old Man in Refractory Shock
Minkyung Kwon, MD, Yalew T. Debella, MD, John E. Moss, MD, Olga Paniagua, MD, Jose L. Diaz-Gomez, MD  CHEST  Volume 154, Issue 4, Pages e93-e96 (October 2018) DOI: /j.chest Copyright © Terms and Conditions

2 Figure 1 Pulsed-wave Doppler and continuous-wave Doppler. A, Initial pulsed-wave Doppler gate from apical five-chamber view sampling left ventricular outflow tract velocity could not be registered accurately because of aliasing. B, Continuous-wave Doppler gate from apical five-chamber view sampling of left ventricular outflow tract velocity revealed a maximal velocity up to 6 m/s and respiratory variation in left ventricular outflow tract in the setting of sinus tachycardia. CHEST  , e93-e96DOI: ( /j.chest ) Copyright © Terms and Conditions

3 Figure 2 Continuous-wave Doppler after treatment of dynamic left ventricular outflow tract obstruction. Continuous-wave Doppler gate from apical five-chamber view sampling of left ventricular outflow tract velocity revealed a maximal velocity of 1.5 m/s and peak pressure gradient of 9 mm Hg, confirming the resolution of dynamic left ventricular outflow tract obstruction. CHEST  , e93-e96DOI: ( /j.chest ) Copyright © Terms and Conditions


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