Obstructive Shock

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Obstructive Shock

Obstructive shock is a less common, but important cause of shock in critically ill infants and children. It is caused by mechanical obstruction of blood flow to and/or from the heart and causes can include a tension pneumothorax, cardiac tamponade, pulmonary embolus, or cardiac defects resulting in left-sided outflow tract obstruction. Each of these can result in similar physiology with poor pe...

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Prosthetic Mitral Valve Thrombosis Presented as a Pulmonary Embolism with Obstructive Shock in Emergency Department

We are describing a case of acute prosthetic valve thrombosis, presented in emergency department with clinical findings of pulmonary embolism. This case, underlines the best diagnostic accuracy of the chest CT scan, comparison to the trans thoracic echocardiogram for the differential diagnosis.

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Cardiogenic shock in a patient with hypertrophic obstructive cardiomyopathy after insertion of a pacemaker.

Hypertrophic obstructive cardiomyopathy (HOCM) is an obstructive subvariety of hypertrophic cardiomyopathy. In hypertrophic cardiomyopathy, the left ventricular wall of the heart is abnormally thick, and the left ventricular cavity is small. HOCM is characterized by an excessively thick interventricular septum, which obstructs left ventricular outflow during ventricular systole. Pericardial tam...

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Tubular expression of heat shock protein 27 inhibits fibrogenesis in obstructive nephropathy

Morphological changes that occur during kidney injury involve actin skeleton remodeling. Here we tested whether heat-shock protein 27 (HSP27), a small stress response protein involved in cytoskeletal remodeling, protects the kidney from tubulointerstitial fibrosis in obstructive nephropathy. Tubular cell HSP27 immunostaining was significantly increased in human kidneys with ureteropelvic juncti...

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Diagnosing obstructive shock: Echocardiography is the third eye of a vigilant intensivist

Training in echocardiography is essential for an intensivist. We present a rapidly fatal case of obstructive shock where a vigilant intensivist could diagnose left atrial mass obstructing the mitral inflow as the etiology of shock.

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ژورنال

عنوان ژورنال: The Open Pediatric Medicine Journal

سال: 2013

ISSN: 1874-3099

DOI: 10.2174/1874309901307010035