06-10-2007, 12:41 PM
S 51 yr old man is undergoing abdominal surgery and becomes hypotensive while under general anesthesia. The patient had been doing well during most of the procedure but now has a blood pressure of 80/40 mm of Hg. His past medical history is significant for coronary artery disease and diabetes mellitus. A pulmonary artery catheter placed prior to the procedure gives the folowing data:
Central venous pressure 10mmHg
Pulmonary artery pressure60/30mmHg
Pulmonary capillary occlusion pressure 24mm Hg
Cardiac output 2.3L/min
Which of the following is the most likely diagnosis?
a acute left heart failure
b Acute mitral regurgitation
c. Acute right heart failure
d Hypoxic pulmoary vasoconstriction
e Sepsis syndrome
Central venous pressure 10mmHg
Pulmonary artery pressure60/30mmHg
Pulmonary capillary occlusion pressure 24mm Hg
Cardiac output 2.3L/min
Which of the following is the most likely diagnosis?
a acute left heart failure
b Acute mitral regurgitation
c. Acute right heart failure
d Hypoxic pulmoary vasoconstriction
e Sepsis syndrome