Dynamic left ventricular outflow tract obstruction in critical illness: etiology-driven management and the role of bedside transthoracic echocardiography

LVOTO is a life-threatening yet underrecognized complication in critical care, requiring prompt and tailored management based on its diverse etiologies. Bedside TTE serves as an essential tool for rapid diagnosis, guiding targeted interventions, and optimizing outcomes in these high-risk patients. It should be stressed that almost all hypotensive patients in contemporary ICUs should receive bedside TTE as a standard of care, given its critical role in identifying underlying causes and informing timely treatment decisions.

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Publication Details

Journal
Critical Care
Published
2025-11-28
DOI
https://doi.org/10.1186/s13054-025-05748-2
Primary Topic
Cardiovascular Function and Risk Factors
Type
article
Field-Weighted Citation Impact
0.00
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article

Dynamic left ventricular outflow tract obstruction in critical illness: etiology-driven management and the role of bedside transthoracic echocardiography

Yan Zou, Quanhong Zhou, Mingjun Liang, Yi Lin et al.
Critical Care
Cardiovascular Function and Risk Factors
article

Dynamic left ventricular outflow tract obstruction in critical illness: etiology-driven management and the role of bedside transthoracic echocardiography

Yan Zou, Quanhong Zhou, Mingjun Liang, Yi Lin, Weimin Wang, Zhongwei Zhang, Xiang Li, Yongsheng Song, Fang Wu, Jiawei Shang
article en

Abstract

LVOTO is a life-threatening yet underrecognized complication in critical care, requiring prompt and tailored management based on its diverse etiologies. Bedside TTE serves as an essential tool for rapid diagnosis, guiding targeted interventions, and optimizing outcomes in these high-risk patients. It should be stressed that almost all hypotensive patients in contemporary ICUs should receive bedside TTE as a standard of care, given its critical role in identifying underlying causes and informing timely treatment decisions.

Critical CareVol. 29(1)
Shanghai Sixth People's Hospital (CN)
Openalex Percentile: Top 46%
Cardiovascular Function and Risk Factors
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Dynamic left ventricular outflow tract obstruction in critical illness: etiology-driven management and the role of bedside transthoracic echocardiography — Yan Zou, Quanhong Zhou, et al. · Critical Care (2025) | TGRS Research Map | TGRS