A 50-year-old woman on ICU has septic shock from a urinary source. She is on noradrenaline 0.2 mcg/kg/min. Her bedside echocardiogram shows a hyperdyn...

Question

A 50-year-old woman on ICU has septic shock from a urinary source. She is on noradrenaline 0.2 mcg/kg/min. Her bedside echocardiogram shows a hyperdynamic LV with EF 75%, a small LV cavity, and the IVC is collapsing >50% with respiration. What does this echocardiographic pattern suggest?

Accepted Answer

The patient is likely volume-depleted despite vasopressor support - fluid responsiveness should be assessed and a fluid challenge considered

Answer

The patient has severe aortic stenosis

Answer

The patient has cardiac tamponade

Answer

The patient is fluid overloaded

Answer

The echocardiogram is normal and no intervention is needed

uk-fficm MCQ (SBA): Echocardiographic Volume Assessment

A 50-year-old woman on ICU has septic shock from a urinary source. She is on noradrenaline 0.2 mcg/kg/min. Her bedside echocardiogram shows a hyperdynamic LV with EF 75%, a small LV cavity, and the IVC is collapsing >50% with respiration. What does this echocardiographic pattern suggest?