Fluoroscopic urodynamics was ordered to evaluate for obstructive uropathy and/or hypocontractile
bladder (McVary, 2003).
Shock Hypovolemic Distributive Heart Hypercontractile Hypercontractile (early sepsis) Small chamber size Hypocontractile
(late sepsis) IVC Flat IVC Normal or small IVC (early sepsis) Shock Cardiogenic Obstructive Hypercontractile Heart Hypocontractile
Pericardial effusion Dilated heart Cardiac tamponade RV strain Cardiac thrombus IVC Distended IVC Distended IVC RV = right ventricle, IVC = inferior vena cava.
A transthoracic echocardiogram (TTE) showed an ejection fraction of 72% with a dilated hypocontractile
right ventricle, mild right atrial enlargement, and right ventricular systolic pressure (RVSP) of 45-50 mmHg.
With long-standing and/or uncontrolled diabetes, decompensation of bladder tissue and function ensues, resulting in hypocontractile
detrusor which may lead to urinary voiding problems .
Transurethral prostate resection in patients with hypocontractile
detrusor-What is the predictive value of ultrastructural detrusor changes?
An electrocardiogram revealed sinus rhythm, right bundle branch block and frequent, premature ventricular beats (Fig 1).The echocardiogram showed right ventricular dilatation and hypocontractile
Transoesophageal echocardiography was performed because of persistent haemodynamic instability, which showed right ventricular pressure overload with a dilated, hypocontractile
right ventricle, septal bulging to the left and evidence of pulmonary hypertension.
Bladder dysfunction was present in 70%, and changed from unstable/hypercontractile in infancy, to hypocontractile
in childhood, to a true myogenic failure in adolescence,[sup.12] despite early valve ablation.