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SAMJ: South African Medical Journal
On-line version ISSN 2078-5135
Print version ISSN 0256-9574
Abstract
STEYN, F A; VOSLOO, J; NAUDE, H and STEYN, A J. Cardiogenic shock - a look at acute functional mitral incompetence. SAMJ, S. Afr. med. j. [online]. 2016, vol.106, n.8, pp.789-791. ISSN 2078-5135. http://dx.doi.org/10.7196/samj.2016.v106i8.10283.
A 44-year-old man presented with cardiogenic shock secondary to acute functional mitral incompetence as well as septic shock related to pneumonia. The patient deteriorated haemodynamically despite adequate medical therapy. An echocardiogram revealed a massive mitral incompetence and an ejection fraction of 32%. An intra-aortic balloon pump was placed and the patient improved dramatically. On day 6 after admission the echocardiogram was repeated, revealing a mild mitral incompetence and an ejection fraction of 58%.