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Suggest Treatment To Reverse Vasoplegia Syndrome
My newphew has chronic hypotension (vasoplegia syndrome) or low blood pressure (less than 35 MAP) following a heart transplant. We are about 3.5 months since he had the transplant and every time they try and ween him off norepinephrine and vasopressers, his blood pressure falls dramatically. We have tried: 1. Midodrine 2. Methylene Blue 3. Fludrocrotisone My question is what else can we try to help reverse vasoplegia? Please note that he has a damaged kidney as well and is on dialysis. Thanks, XXXX
Wed, 25 Sep 2019
Hello,
The chronic BP fluctuation narrate problems at conduction pathway or baro chemo receptor malfunction.
Need a detailed work up with expert cardiologist for all relevant evaluations and further guidelines. Only thing you can opt is to maintain hydration with plenty of liquids to avoid hypotension.
Hope I have answered your query. Let me know if I can assist you further.
Wishing you all the best.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon
The chronic BP fluctuation narrate problems at conduction pathway or baro chemo receptor malfunction.
Need a detailed work up with expert cardiologist for all relevant evaluations and further guidelines. Only thing you can opt is to maintain hydration with plenty of liquids to avoid hypotension.
Hope I have answered your query. Let me know if I can assist you further.
Wishing you all the best.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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