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Journal articles on the topic 'Obstructive shock'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Morgan, Carrie. "Obstructive Shock." Open Pediatric Medicine Journal 7, no. 1 (2013): 35–37. http://dx.doi.org/10.2174/1874309901307010035.

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Vilaça, Joana. "Obstructive shock as presentation of an abdominal mass - Case Report." Neonatology and Clinical Pediatrics 10, no. 1 (2023): 1–3. http://dx.doi.org/10.24966/ncp-878x/100104.

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Saraswathi, T., T. Gopinathan, Balakumaran Balakumaran, and Yuvaraj Y. "Obstructive Shock Pulmonary Embolism: Catheter Directed Thrombolysis." Journal of Clinical Cases and Reports 6, S14 (2023): 254–56. http://dx.doi.org/10.46619/joccr.2023.6-s14.1079.

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Venous thromboembolism is one of the most frequently encountered condition for which patients need intensive care admission often. Most of the time patients presents with shock and hemodynamic instability if it is massive pulmonary embolism. Incidence of Vte is comparable to western population in India, studies conducted by Ayyapan et all say it around 20/10,000 admission. Studies showed higher mortality of around 50% in high risk (massive) and mortality of around 14% in intermediate risk (sub-massive) PE which necessitating more aggressive approach in high-risk groups. Rapid administration of

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Sakai, Shuntaro, Yoji Hirayama, and Motoji Oki. "An Elderly Woman With Gibbus Deformity and Physiologic Shock." Clinical Practice and Cases in Emergency Medicine 3, no. 4 (2019): 432–33. http://dx.doi.org/10.5811/cpcem.2019.6.42522.

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Physiological shock requires prompt diagnosis and treatment in the emergency department. We present a case of physiological shock in a 91-year-old woman resulting from obstruction of the left atrium and inferior vena cava by a giant esophageal hiatal hernia, identified using computed tomography imaging. The patient’s age and history, including diet and eating behavior (namely needing to lie down immediately after a meal), and kyphotic posture were important factors to consider in establishing the differential diagnosis. While rare, a giant esophageal hiatal hernia should be considered in the d

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Zein, Ahmed Ragab, Majed Hayf Alqahtani, Ali Anwar Alnajar, et al. "Classification, pathophysiology and principle of therapy of shock." International Journal Of Community Medicine And Public Health 9, no. 9 (2022): 3613. http://dx.doi.org/10.18203/2394-6040.ijcmph20222092.

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Shock is a clinical syndrome that results from lack of oxygen utilization or supply to vital organs resulting in hypoxia. Shock is associated with significant morbidity and mortality as if not treated timely can lead to multiple organ failure and death. The mortality rate of shock ranges from 20% to 50%. Shock has several pathophysiologies including intracardiac etiologies such as myocardial infarction, myopathy, or severe arrhythmia which produce altered maturation and cause heart failure while loss of internal or external fluid due to trauma or bleeding often results in hypovolemia. Also, ob

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Luo, Jialiu, Deng Chen, Liangsheng Tang, et al. "Multifactorial Shock: A Neglected Situation in Polytrauma Patients." Journal of Clinical Medicine 11, no. 22 (2022): 6829. http://dx.doi.org/10.3390/jcm11226829.

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Background: Shock after traumatic injury is likely to be hypovolemic, but different types of shock (distributive shock, obstructive shock, or cardiogenic shock) can occur in combination, known as multifactorial shock. Multifactorial shock is a neglected area of study, and is only reported sporadically. Little is known about the incidence, characteristics, and outcomes of multifactorial shock after polytrauma. Methods: A retrospective, observational, multicenter study was conducted in four Level I trauma centers involving 1051 polytrauma patients from June 2020 to April 2022. Results: The mean

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Oktavio, Theovano, Dylan Hadi, Victor Giovannie Xaverison Rooroh, Starry Homenta Rampengan, and Edmond Leonard Jim. "Left Atrial Myxoma, which leads to obstructive shock and hematuria-is it a ticking time bomb? When do we need to act aggressively?: a case report." Bali Medical Journal 13, no. 3 (2024): 1214–16. https://doi.org/10.15562/bmj.v13i3.5235.

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Background: Cardiac tumors are the least seen type of all primary tumors, accounting for only less than 0.1% of total cardiac tumors. Atrial myxoma is the most common type of primary cardiac tumor, with more than 75% of myxomas originating in the left atrium, either at the mitral annulus or the fossa ovalis border of the interatrial septum. Atrial myxomas are associated with a triad of complications: obstruction, emboli, and constitutional symptoms (such as fever and weight loss). Case Presentation: This is a case report of a 63-year-old woman presenting with shortness of breath and was found

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8

Patel, Mit, Injoon Lee, Neel Parikh, David Sane, and Thomas Bishop. "A Pericardial Cyst Causing Obstructive Shock." Journal of Cardiology and Cardiovascular Sciences 3, no. 3 (2019): 21–11. http://dx.doi.org/10.29245/2578-3025/2019/3.1173.

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9

Zotzmann, Viviane, Felix A. Rottmann, Katharina Müller-Pelzer, Christoph Bode, Tobias Wengenmayer, and Dawid L. Staudacher. "Obstructive Shock, from Diagnosis to Treatment." Reviews in Cardiovascular Medicine 23, no. 7 (2022): 248. http://dx.doi.org/10.31083/j.rcm2307248.

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10

Parlow, Simon, Matthew Cheung, Louis Verreault-Julien, et al. "An Unusual Case of Obstructive Shock." JACC: Case Reports 3, no. 18 (2021): 1913–17. http://dx.doi.org/10.1016/j.jaccas.2021.10.017.

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11

Pereira, Francisca M., and Carla Lemos Costa. "A rare cause of obstructive shock." Medicina Clínica Práctica 4, no. 3 (2021): 100198. http://dx.doi.org/10.1016/j.mcpsp.2021.100198.

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12

Almaghraby, A., Y. Saleh, B. Hammad, A. Samoka, M. Elbahey, and M. Seleem. "A case of fatal obstructive shock." Atherosclerosis 252 (September 2016): e21. http://dx.doi.org/10.1016/j.atherosclerosis.2016.07.300.

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13

Lin, Julie, and Laura Frye. "SARCOMA IN NEUROFIBROMATOSIS 1 CAUSING OBSTRUCTIVE SHOCK AND CENTRAL AIRWAY OBSTRUCTION." Chest 156, no. 4 (2019): A1245. http://dx.doi.org/10.1016/j.chest.2019.08.1122.

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14

H, Alsaadi. "Post Obstruction Diuresis: A Clinical Diagnosis, you don’t have to Miss it." Open Access Journal of Urology & Nephrology 6, no. 2 (2021): 1–4. http://dx.doi.org/10.23880/oajun-16000191.

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Post-obstructive diuresis (POD) is a specific entity which may occur post catheterization and is a rare but potentially lifethreatening condition if not recognized and managed appropriately. However, prolonged bilateral ureteral obstruction (BUO) can cause severe structural and functional tubular damage. Complications that may arise: volume depletion, hyponatremia/ hypernatremia, hypokalemia, hypomagnesaemia, metabolic acidosis, hypovolemic shock and death.

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15

Matthews, Christopher N., Sidra Salman, Syed Farrukh Mustafa, and Deepika Misra. "Cardiogenic and obstructive shock: primary laryngeal synovial sarcoma with cardiac metastasis." BMJ Case Reports 16, no. 12 (2023): e257431. http://dx.doi.org/10.1136/bcr-2023-257431.

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A man in his 20s with a history of laryngeal synovial sarcoma presented with dyspnoea. Imaging revealed a large right ventricular (RV) mass, which was resected, and histological analysis indicated synovial sarcoma recurrence. Within 1 month of RV mass resection, the tumour progressed with paratracheal metastasis. The lumen was nearly obliterated, and right ventricular outflow tract (RVOT) obstruction led to rapid deterioration with mixed cardiogenic and obstructive shock. We present a rare case of primary laryngeal synovial sarcoma metastasising to the heart.

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16

Pérez, Camilo, Diana Diaz-Caicedo, David Fernando Almanza Hernández, Lorena Moreno-Araque, Andrés Felipe Yepes, and Jorge Armando Carrizosa Gonzalez. "Critical Care Ultrasound in Shock: A Comprehensive Review of Ultrasound Protocol for Hemodynamic Assessment in the Intensive Care Unit." Journal of Clinical Medicine 13, no. 18 (2024): 5344. http://dx.doi.org/10.3390/jcm13185344.

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Shock is a life-threatening condition that requires prompt recognition and treatment to prevent organ failure. In the intensive care unit, shock is a common presentation, and its management is challenging. Critical care ultrasound has emerged as a reliable and reproducible tool in diagnosing and classifying shock. This comprehensive review proposes an ultrasound-based protocol for the hemodynamic assessment of shock to guide its management in the ICU. The protocol classifies shock as either low or high cardiac index and differentiates obstructive, hypovolemic, cardiogenic, and distributive eti

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17

Stickles, Sean P., Christopher R. Carpenter, Robert Gekle, et al. "The diagnostic accuracy of a point-of-care ultrasound protocol for shock etiology: A systematic review and meta-analysis." CJEM 21, no. 3 (2019): 406–17. http://dx.doi.org/10.1017/cem.2018.498.

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ABSTRACTObjectiveThe aim of this study was to perform a systematic review and meta-analysis of the diagnostic accuracy of a point-of-care ultrasound exam for undifferentiated shock in patients presenting to the emergency department.MethodsOvid MEDLINE, Scopus, Cochrane Central Register of Controlled Trials, and research meeting abstracts were searched from 1966 to June 2018 for relevant studies. QUADAS-2 was used to assess study quality, and meta-analysis was conducted to pool performance data of individual categories of shock.ResultsA total of 5,097 non-duplicated studies were identified, of

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18

MACDOWELL, SARAH, and AVRAHAM COOPER. "PHLEGMASIA CERULEA DOLENS ASSOCIATED WITH OBSTRUCTIVE SHOCK." Chest 160, no. 4 (2021): A597. http://dx.doi.org/10.1016/j.chest.2021.07.572.

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19

Primera, Gabriella, Yamna Jadoon, Christine Donat, and Louis Eubank. "1248: FIGHTING THE CLOCK AGAINST OBSTRUCTIVE SHOCK." Critical Care Medicine 51, no. 1 (2022): 623. http://dx.doi.org/10.1097/01.ccm.0000910728.69477.e2.

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20

Bjorklund, Ashley, Joseph Resch, and Tina Slusher. "Pediatric Shock Review." Pediatrics in Review 44, no. 10 (2023): 551–65. http://dx.doi.org/10.1542/pir.2022-005630.

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Shock occurs when there is energy failure due to inadequate oxygen/glucose delivery to meet metabolic demands. Shock is a leading cause of death and disability in children worldwide. Types of shock include hypovolemic, cardiogenic, distributive, and obstructive. This review provides an overview of the epidemiology, pathophysiology, and clinical signs and symptoms of each of these types of shock, followed by a discussion of advancements in diagnostic tests and tools and management/treatment principles for different categories of shock.

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21

Iizuka, Yuki, Yasunori Urayama, Takeo Yasu, and Jun Makino. "Cholestasis due to biliary obstruction can cause cardiogenic shock with bradycardia by delaying the elimination of arotinolol." BMJ Case Reports 18, no. 1 (2025): e262234. https://doi.org/10.1136/bcr-2024-262234.

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Cardiogenic shock with bradycardia due to beta-blockers is well-documented; however, this condition in association with arotinolol is unreported. We present a case of cardiogenic shock resulting from delayed arotinolol clearance caused by bile duct obstruction. A man in his 60s presented to our hospital with jaundice. We suspected acute obstructive suppurative cholangitis; however, the patient did not exhibit fever or abdominal symptoms. Based on the physical examination results, we concluded the patient was in cardiogenic shock as a consequence of delayed arotinolol elimination. We attempted

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22

Zuler, Mor, Joseph Offenbacher, Yotam Deri, and Baruch Berzon. "Concomitant intravascular and extravascular obstructive shock: a case report of cardiac angiosarcoma presenting with pericardial tamponade." Clinical and Experimental Emergency Medicine 9, no. 2 (2022): 150–54. http://dx.doi.org/10.15441/ceem.20.052.

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Atraumatic pericardial tamponade and intracardiac masses are both recognized etiologies of acute obstructive shock. Pericardial tamponade, is a cardiovascular emergency commonly considered by emergency physicians and, as a result, evaluation for this process has been incorporated into standardized point of care ultrasound algorithms for assessing hypotension. Obstructive shock secondary to intracardiac tumors is an atypical clinical presentation, and although it is evaluated by the same ultrasound imaging modality, it is generally not considered or evaluated for in the emergency department set

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23

Mazzei, Luciana, and Walter Manucha. "Wt-1 Expression Linked to Nitric Oxide Availability during Neonatal Obstructive Nephropathy." Advances in Urology 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/401750.

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Thewt-1gene encodes a zinc finger DNA-binding protein that acts as a transcriptional activator or repressor depending on the cellular or chromosomal context. Thewt-1regulates the expression of a large number of genes that have a critical role in kidney development. Congenital obstructive nephropathy disrupts normal renal development and causes chronic progressive interstitial fibrosis, which contributes to renal growth arrest, ultimately leading to chronic renal failure. Wt-1 is downregulated during congenital obstructive nephropathy, leading to apoptosis. Of great interest, nitric oxide bioav

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24

Ibrahim, Wanis H., Fateen Ata, Hassan Choudry, et al. "Prevalence, Outcome, and Optimal Management of Free-Floating Right Heart Thrombi in the Context of Pulmonary Embolism, a Systematic Review and Meta-Analysis." Clinical and Applied Thrombosis/Hemostasis 28 (January 2022): 107602962211401. http://dx.doi.org/10.1177/10760296221140114.

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Free-floating right-heart thrombus (FFRHT) in the context of a pulmonary embolism (PE) is a rare but serious encounter with no guidelines addressing its management. We performed a systematic review and meta-analysis addressing prevalence, clinical behavior, and outcomes of FFRHT associated with PE. Among the included 397 patients with FFRHT and PE, dyspnea was the main presenting symptom (73.3%). Obstructive shock was documented in 48.9% of cases. Treatment with thrombolytic therapy, surgical thrombectomy, and percutaneous thrombectomy was documented in 43.8%, 32.7%, and 6.5% of patients, resp

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25

Konno, Halleluyah, Masakazu Nitta, Norihiro Watanabe, Mitsuyuki Miyazato, and Akane Horiuchi. "Obstructive shock induced by internal thoracic artery injury with traumatic sternal fracture." Turkish Journal of Emergency Medicine 24, no. 3 (2024): 172–75. http://dx.doi.org/10.4103/tjem.tjem_253_23.

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Abstract Internal thoracic artery (ITA) injuries associated with sternal fractures can lead to shock. Several studies have documented injuries resulting in hemorrhagic shock, yet there is limited reporting on obstructive shock. Opinions differ regarding which is superior between transcatheter arterial embolization (TAE) and open thoracotomy. We report the case of an 80-year-old female patient presented with blunt chest trauma when driving. Her vital signs were normal. However, ultrasonography revealed a hypoechoic anterior mediastinal lesion. Her blood pressure decreased immediately before und

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26

Shao, Dong. "Research on the blockage effect in a shock tube." Theoretical and Natural Science 34, no. 1 (2024): 98–104. http://dx.doi.org/10.54254/2753-8818/34/20241180.

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The shock tube is a crucial experimental apparatus in the field of explosive impact. Limited research has been conducted on the visualization of the internal flow field in shock tubes under blockage conditions, and there is a lack of comprehensive understanding of the mechanisms behind blockage effects. This paper presents experimental and numerical investigations into the propagation of shock waves inside a shock tube and their interaction with obstructive elements. Blockage effect experiments were conducted on a shock tube test platform, where pressure data were obtained through a pressure m

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27

Ünver, Ramazan, Figen Deveci, Gamze Kırkıl, Selda Telo, Dilara Kaman, and Mutlu Kuluöztürk. "Serum Heat Shock Protein Levels and the Relationship of Heat Shock Proteins with Various Parameters in Chronic Obstructive Pulmonary Disease Patients." Turkish Thoracic Journal 17, no. 4 (2016): 153–59. http://dx.doi.org/10.5578/ttj.30518.

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Sharapatov, Yerzhan, Yermek Turgunov, and Alyena Lavrinenko. "Pathogenic Mechanisms of Acute Obstructive Pyelonephritis." Open Access Macedonian Journal of Medical Sciences 9, F (2021): 124–28. http://dx.doi.org/10.3889/oamjms.2021.5876.

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Among urological diseases, the most relevant is infection of the urinary tract. Pyelonephritis is on the 5th place in kidney diseases, and obstructive pyelonephritis occurs in 84% of all pyelonephritis. In the world, among the adult population, 100 people per 100,000 of the population suffer from pyelonephritis. In addition, from year to year, there is an increase in purulent forms of acute pyelonephritis by 4–5 times. This pathology is a separated manifestation of such an important urological problem as complicated urinary tract infection, which accounts for 84–86% of all infections. In acute

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Morita, Seiji, Keiji Sakurai, Yasue Watanabe, and Tomoya Nishino. "Obstructive Shock Caused by a Giant Hiatus Hernia." Internal Medicine 53, no. 23 (2014): 2755. http://dx.doi.org/10.2169/internalmedicine.53.3280.

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30

Cooper, Avraham, Daniel Adams, Adam Mahoney, and Maria Lucarelli. "1626: MIXED OBSTRUCTIVE AND DISTRIBUTIVE SHOCK FROM EMPYEMA." Critical Care Medicine 44, no. 12 (2016): 482. http://dx.doi.org/10.1097/01.ccm.0000510299.25377.74.

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31

Ortega-Carnicer, Julian, Alfonso Ambros, and Roberto Alcazar. "Obstructive shock due to labor-related diaphragmatic hernia." Critical Care Medicine 26, no. 3 (1998): 616–18. http://dx.doi.org/10.1097/00003246-199803000-00042.

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32

Ali, Eljazouli, Nachid Mohammed, Kamal Haless, et al. "Historical Left Atrial Myxoma Causing an Obstructive Shock." Cardiology and Angiology: An International Journal 13, no. 4 (2024): 75–79. http://dx.doi.org/10.9734/ca/2024/v13i4443.

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Learning Objectives: - Explore the clinical presentation and diagnosis of cardiac myxoma. -Find out the potential complications of cardiac myxoma, such as embolic events and heart failure. -Understanding the role of echocardiography in the diagnosis and management of cardiac myxoma. Background: Cardiac myxoma, an uncommon tumor forming in the heart, tends to occur in the left atrium and is generally non-cancerous in nature. The composition, size, and position of the tumor can lead to a range of varied signs and symptoms. These symptoms can range from barely noticeable to severe and may include

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PATEL, YAMINI I., PARTH SHAH, and SANJAY DOGRA. "MULTIDISCIPLINARY APPROACH TO OBSTRUCTIVE SHOCK FROM AIR EMBOLISM." CHEST 166, no. 4 (2024): A2824—A2825. http://dx.doi.org/10.1016/j.chest.2024.06.1710.

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Tambo, Mitsuhiro, Takatsugu Okegawa, Toshihide Shishido, Eiji Higashihara, and Kikuo Nutahara. "Predictors of septic shock in obstructive acute pyelonephritis." World Journal of Urology 32, no. 3 (2013): 803–11. http://dx.doi.org/10.1007/s00345-013-1166-4.

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Nagatsuji, Katsushi, Takashi Morikawa, Naoshi Kubo, and Yoshio Konishi. "Obstructive Shock due to Reconstructed Gastric Tube Dilation." Internal Medicine 58, no. 10 (2019): 1519–20. http://dx.doi.org/10.2169/internalmedicine.1974-18.

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Swisher, jordan, Nikhil Gandhi, Sajithaa Varadarasa, and Rami Kassem Zein. "MECHANICAL VALVE THROMBOSIS CAUSING OBSTRUCTIVE SHOCK IN PREGNANCY." Journal of the American College of Cardiology 81, no. 8 (2023): 3030. http://dx.doi.org/10.1016/s0735-1097(23)03474-5.

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Silwal, Shruti, Prerit Devkota, Puja Sinha, Randip Raut, and Ashis Shrestha. "Assessment of shock in emergency: Narrative Review." Journal of General Practice and Emergency Medicine of Nepal 8, no. 11 (2021): 45–50. http://dx.doi.org/10.59284/jgpeman59.

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Shock is an important clinical condition presenting to the emergency department. Pathophysiology of septic, cardiogenic, hemorrhagic, obstructive, and anaphylactic shock are different however clinical assessment tools are the same and limited. It is important to identify shock in its early phase or the patient at risk of shock in the emergency department. There is no accurate clinical tool to identify the early stage of shock. Moreover, it is also important to assess fluid responsiveness to shock, available clinical and biochemical parameters respond differently to fluid resuscitation and none

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38

Boccar, S., R. Rubay, M. Richard, et al. "Unusual cause of obstructive shock following esophagectomy: a case report." Acta Anaesthesiologica Belgica 72, no. 4 (2021): 187–90. http://dx.doi.org/10.56126/72.4.5.

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Obstructive shock usually has an intrathoracic origin, such as pneumothorax, pericardial tamponade or pulmonary embolism. We report a case of hemo- dynamic shock in a 74-year-old patient four days after esophagectomy, just after the start of mechanical ventilation for bilateral pneumonia. The sudden onset of severe abdominal distension and the presence of air in the intra-abdominal drain suggested tension pneumoperitoneum, confirmed by radiography. No pneumothorax was associated. Urgent decompression was required to improve hemodynamics. Perforation of the gastrointestinal tract was ruled out.

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Daniel, Ebenezer, Jesu Krupa, Anne Jennifer Prabhu, Leena Robinson Vimala, and Viji Samuel Thomson. "Obstructive Shock Caused by Intimal Sarcoma With Pulmonary Vein Stenosis and SVC/IVC Obstruction." JACC: Case Reports 30, no. 5 (2025): 103081. https://doi.org/10.1016/j.jaccas.2024.103081.

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40

Cho, YeJi, Kenji Inoue, Mitsuhiro Kunimoto, and Tohru Minamino. "Haemodynamic effects of acute intravenous landiolol in Takotsubo cardiomyopathy with dynamic left ventricular outflow tract obstruction." BMJ Case Reports 16, no. 10 (2023): e255987. http://dx.doi.org/10.1136/bcr-2023-255987.

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Takotsubo cardiomyopathy (TCM) leads to serious left ventricular outflow tract (LVOT) obstruction with cardiogenic shock in 6%–20% of cases. The onset of LVOT obstruction, coupled with mitral regurgitation resulting from systolic anterior motion of mitral valve leaflets, can lead to haemodynamic instability in addition to severely impaired systolic function. We describe three patients who experienced chest discomfort following emotional stress. These patients displayed pronounced abnormalities on ECGs, insignificant obstructive coronary disease and haemodynamic instability due to LVOT obstruct

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41

Binah, O., A. Bomzon, L. M. Blendis, D. Mordohovich, and O. S. Better. "Obstructive jaundice blunts myocardial contractile response to isoprenaline in the dog: a clue to the susceptibility of jaundiced patients to shock?" Clinical Science 69, no. 6 (1985): 647–53. http://dx.doi.org/10.1042/cs0690647.

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1. Patients with obstructive jaundice are susceptible to postoperative shock. To clarify the mechanism of this phenomenon, we compared the contractile response to isoprenaline of isolated ventricular preparations from three groups of dogs: (a) dogs with chronic bile-duct ligation (CBDL), (b) dogs with choledochocaval anastomosis (CDCA) and (c) sham-operated dogs (SO). 2. Isolated ventricular muscles from CBDL and CDCA dogs showed a depressed contractile response to isoprenaline as compared with SO dogs. Mechanical performance was spared in the CBDL and CDCA dogs. 3. There were no differences i

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42

Moscoso, Bosco, Stefano Congiu, Javier Mayol, Carin Walter, and José M. Caffarena. "A Rare Case of Cardiogenic Shock: Cor Triatriatum With Anomalous Pulmonary Venous Return." World Journal for Pediatric and Congenital Heart Surgery 10, no. 5 (2019): 651–53. http://dx.doi.org/10.1177/2150135119867592.

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Obstructive total anomalous pulmonary venous return (TAPVR) is a potentially life-threatening clinical condition and a surgical emergency. Left-sided partial anomalous pulmonary venous return (PAPVR) in association with a subdivided left atrium, also known as cor triatriatum sinister (CTS), is a very rare malformation that can mimic obstructive TAPVR. We present a case of a newborn with clinical manifestation of cardiogenic shock caused by CTS and PAPVR.

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43

Araj, Faris. "Intra-aortic Balloon Pump May Attenuate Adverse Hemodynamic Effects of Negative Intrathoracic Pressure in Cardiogenic Shock." VAD Journal 8, no. 1 (2022): e2022818. http://dx.doi.org/10.11589/vad/e2022817.

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High negative intrathoracic pressure (NIP), as occurs during obstructive sleep apnea or hiccups, results in adverse hemodynamic consequences, specifically a decrease in left ventricle (LV) performance. These untoward effects can potentially be catastrophic in the case of an already compromised LV in cardiogenic shock. The interplay of intra-aortic balloon pump counter pulsation during abrupt high NIP in cardiogenic shock is described.

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44

Phillips, A., and A. Egan. "Surreptitious Shock: An Uncommon Etiology of Obstructive Shock Following Out-of-Hospital Cardiac Arrest." American Journal of Respiratory and Critical Care Medicine 211, Abstracts (2025): A5811. https://doi.org/10.1164/ajrccm.2025.211.abstracts.a5811.

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45

Caniato, Flavia, Valentina Andrei, Pasquale Bernardo, et al. "Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning." JACC: Case Reports 3, no. 3 (2021): 433–37. http://dx.doi.org/10.1016/j.jaccas.2020.11.029.

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46

Manzoor, Hana, Eman El-Sawalhy, Wehbi Hnayni, Gustavo Tataje Renfigo, and Anthony G. Ashkar. "A Case of Massive Hemothorax Leading to Obstructive Shock." American Journal of Medical Case Reports 9, no. 5 (2021): 305–7. http://dx.doi.org/10.12691/ajmcr-9-5-12.

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PUTHUMANA, ROSE M., MICHELLE A HERNANDEZ, and ROGER A ALVAREZ. "TENSION PNEUMOMEDIASTINUM RESULTING IN OBSTRUCTIVE SHOCK IN COVID-19." Chest 162, no. 4 (2022): A1327—A1328. http://dx.doi.org/10.1016/j.chest.2022.08.1061.

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Rodriguez-Ruiz, Emilio, Diego Iglesias-Alvarez, and Carlos Pe a-Gil. "Obstructive shock secondary to fungal prosthetic aortic valve endocarditis." World Journal of Emergency Medicine 9, no. 3 (2018): 227. http://dx.doi.org/10.5847/wjem.j.1920-8642.2018.03.011.

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Pivetti, S., E. Aluffi, L. Bonino, et al. "Obstructive shock in pulmonary embolism: thrombolytic therapy and survival." Critical Care 3, Suppl 1 (1999): P242. http://dx.doi.org/10.1186/cc615.

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Younes, R. N., M. M. Itinoshe, and D. Birolini. "HEMODYNAMIC RESPONSE TO HEMORRHAGIC SHOCK FOLLOWING OBSTRUCTIVE JAUNDICE REVERSAL." Shock 3, no. 6 (1995): 36. http://dx.doi.org/10.1097/00024382-199506000-00125.

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