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Evaluation of left ventricular performance during sympathetic nervous storm in a case with severe tetanus by transesophageal M-mode echocardiography

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Abstract

Transesophageal M-mode echocardiography was applied for the evaluation of left ventricular performance in a case of severe tetanus with labile hypertension due to sympathetic nervous ‘torm’. When systemic blood pressure was elevated, increases in pulmonary arterial pressure, cardiac output, left ventricular enddiastolic diameter, fractional shortening and mean velocity of circumferential fiber shortening were noted. No changes were found in total peripheral vascular resistance or left ventricular endsystolic diameter. Positive pressure ventilation, rendered standard transthoracic echocardiography ineffective.

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References

  1. 1.

    Kerr JH, Corbett JL, Prys-Roberts C, Crampton Smith A, Spalding JMK (1968) Involvement of the sympathetic nervous system in tetanus. Studies on 82 cases. Lancet 2:236

  2. 2.

    Prys-Roberts C, Corbett JL, Kerr JH, Crampton Smith A (1969) Treatment of sympathetic overactivity in tetanus. Lancet 1:542

  3. 3.

    Kerr JH, Travis KW, O'Rourke RA, Sims JK, Uhl RR (1974) Autonomic complications in a case of severe tetanus. Am J Med 57:303

  4. 4.

    Matsumoto M, Hanrath P, Kremer P, Tams C, Langenstein BA, Schlüter M, Weiter R, Bleifeld W (1982) Evaluation of left ventricular performance during supine exercise by transesophageal M-mode echocardiography in mormal subjects. Br Heart J 48:61

  5. 5.

    Matsumoto M, Oka Y, Strom J, Frishman W, Kadish A, Becker RM, Frater RWM, Sonnenblick EH (1980) Application of transesophageal echocardiography to continuous intraoperative monitoring of left ventricular performance. Am J Cardiol 46:95

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Matsumoto, M., Yasui, K., Maeda, T. et al. Evaluation of left ventricular performance during sympathetic nervous storm in a case with severe tetanus by transesophageal M-mode echocardiography. Intensive Care Med 10, 201–202 (1984). https://doi.org/10.1007/BF00259438

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Key words

  • Transesophageal echocardiography
  • Left ventricular performance
  • Tetanus
  • Sympathetic nervous storm