Case Report: An Unusual Case of Shock in an Octogenarian.

An octogenarian presented to our hospital in shock after being "found down" at home. She was dehydrated, hypernatremic and suffering from a urinary tract infection. A murmur and electrocardiogram lead to an echocardiogram all of which were consistent with hypertrophic obstructive cardiomyopathy. The patient was volume resuscitated and given antibiotics, and after stabilization started on a low dose beta blocker. Hypertrophic cardiomyopathy is a common genetic disorder, usually diagnosed in the second to fifth decades of life. It is an uncommon cause or contributor to shock and also unusually initially diagnosed at advanced ages. We briefly review the diagnosis and management of the hypertrophic cardiomyopathy in older adults, particularly in the setting of shock.