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
Hello, The chronic BP fluctuation narrate problems at conduction pathway or bar 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 HY Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best.