{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:08:33Z","timestamp":1740164913850,"version":"3.37.3"},"reference-count":7,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T00:00:00Z","timestamp":1585612800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AR070029","HL134354","HL142097","HL126949"],"award-info":[{"award-number":["AR070029","HL134354","HL142097","HL126949"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AR070029","HL134354","HL142097","HL126949"],"award-info":[{"award-number":["AR070029","HL134354","HL142097","HL126949"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AR070029","HL134354","HL142097","HL126949"],"award-info":[{"award-number":["AR070029","HL134354","HL142097","HL126949"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AR070029","HL134354","HL142097","HL126949"],"award-info":[{"award-number":["AR070029","HL134354","HL142097","HL126949"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2020,3,31]]},"abstract":"<jats:p>An adult with surgically corrected Tetralogy of Fallot presented with profoundly elevated central venous pressure (CVP) and acute renal dysfunction thought secondary to acute on chronic right heart failure. Treatment with dopamine promoted diuresis and a stabilization of renal function. Repeated attempts to wean the patient from dopamine were associated with hypotension and worsening renal failure. Invasive hemodynamic assessment unexpectedly demonstrated high cardiac output with low systemic vascular resistance (SVR). In retrospect, the markedly elevated CVP had concealed the impact of reduced SVR on blood pressure. After reversible causes of low SVR state were excluded, the patient was successfully managed with oral alpha-adrenergic agents. While typically negligible under physiologic conditions, elevated CVP can artificially increase mean arterial pressure. We have coined the term \u201cmasked hypotension\u201d to describe this unique pathophysiological phenomenon.<\/jats:p>","DOI":"10.1155\/2020\/7148708","type":"journal-article","created":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T23:53:46Z","timestamp":1585698826000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Masked Hypotension due to Elevated Venous Pressure in a Patient with Complex Adult Congenital Heart Disease"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1661-7561","authenticated-orcid":true,"given":"Wytch","family":"Rigger","sequence":"first","affiliation":[{"name":"Department of Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean P.","family":"Javaheri","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Medical College of Georgia at Augusta University, Augusta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gyanendra K.","family":"Sharma","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Medical College of Georgia at Augusta University, Augusta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norris Stanley","family":"Nahman","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Medical College of Georgia at Augusta University, Augusta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Sheynshteyn","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes and Metabolism, Medical College of Georgia at Augusta University, Augusta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5138-3705","authenticated-orcid":true,"given":"Neal L.","family":"Weintraub","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Medical College of Georgia at Augusta University, Augusta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"doi-asserted-by":"publisher","key":"1","DOI":"10.1186\/s12963-015-0063-z"},{"doi-asserted-by":"publisher","key":"2","DOI":"10.1016\/j.jacc.2016.05.043"},{"doi-asserted-by":"publisher","key":"3","DOI":"10.1016\/S0002-9149(03)00536-8"},{"doi-asserted-by":"publisher","key":"4","DOI":"10.1007\/s10741-011-9246-2"},{"doi-asserted-by":"publisher","key":"5","DOI":"10.1001\/jama.2013.282190"},{"doi-asserted-by":"publisher","key":"6","DOI":"10.1513\/AnnalsATS.201312-446FR"},{"doi-asserted-by":"publisher","key":"7","DOI":"10.1161\/CIRCULATIONAHA.107.734921"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/7148708.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/7148708.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/7148708.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T23:53:49Z","timestamp":1585698829000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2020\/7148708\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,31]]},"references-count":7,"alternative-id":["7148708","7148708"],"URL":"https:\/\/doi.org\/10.1155\/2020\/7148708","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"type":"print","value":"2090-6404"},{"type":"electronic","value":"2090-6412"}],"subject":[],"published":{"date-parts":[[2020,3,31]]}}}