Symptomatic orthostatic hypotension due to standing mid-left ventricular obstruction: a case report.

ABSTRACT:

Background

Orthostatic hypotension (OH) is a common cardiovascular disorder typically associated with autonomic dysfunction. However, various other mechanisms can contribute to its occurrence.

Case summary

An 88-year-old woman was referred to the cardiology unit due to recurrent syncope episodes while standing. Echocardiography revealed a normally contracting left ventricle with severe hypertrophy, a restrictive filling pattern, reduced stroke volume, and a decreased inferior vena cava diameter (4 mm/m²). In the standing position, she experienced syncope, and invasive blood pressure monitoring confirmed OH, alongside a normal increase in heart rate and evidence of mid-left ventricular obstruction (MVO) on echocardiogram. Discontinuation of diuretics and administration of flu

SUBMITTER: Ordine L 

PROVIDER: S-EPMC11538991 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature