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Subclinical Left Ventricular Systolic Dysfunction in Patients with Septic Shock Based on Sepsis-3 Definition: A Speckle-Tracking Echocardiography Study
المؤلفون المشاركون
Hai, Pham Dang
Son, Pham Nguyen
Hoa, Le Thi Viet
Phuong, Le Lan
Dung, Nguyen Manh
Quyen, Do Van
Chinh, Nguyen Xuan
Minh, Vu Duy
المصدر
Critical Care Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-09-21
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Introduction.
Left ventricular dysfunction is quite common in septic shock.
Speckle-tracking echocardiography (STE) is a novel, highly sensitive method for assessing left ventricular function, capable of detecting subclinical myocardial dysfunction, which is not identified with conventional echocardiography.
We sought to evaluate subclinical left ventricular systolic function in patients with septic shock using speckle-tracking echocardiography.
Methods.
From May 2017 to December 2018, patients aged ≥18 years admitted to the intensive care unit with the diagnosis of sepsis and septic shock based on the sepsis-3 definition were included.
Patients with other causes of cardiac dysfunction were excluded.
Transthoracic echocardiography was performed for all the patients within 24 hours of diagnosis.
Left ventricular systolic function was assessed using conventional echocardiography and speckle-tracking echocardiography.
Results.
Patients with septic shock (n = 90) (study group) and 37 matched patients with sepsis but no septic shock (control group) were included.
Left ventricular ejection fraction (LVEF) by conventional echocardiography showed no significant difference between two groups (58.2 ± 9.9 vs.
58.6 ± 8.3, p=0.804).
The global longitudinal strain (GLS) by STE was significantly reduced in patients with septic shock compared with that in the control (−14.6 ± 3.3 vs.
−17.1 ± 3.3, p<0.001).
Based on the cutoff value of GLS ≥ −15% for the definition of subclinical left ventricular systolic dysfunction, this dysfunction was detected in 50 patients with septic shock (55.6%) and in 6 patients in the control group (16.2%) (p<0.05).
Conclusions.
Speckle-tracking echocardiography can detect early subclinical left ventricular systolic dysfunction via the left ventricular global longitudinal strain compared with conventional echocardiographic parameters in patients with septic shock.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hai, Pham Dang& Phuong, Le Lan& Dung, Nguyen Manh& Hoa, Le Thi Viet& Quyen, Do Van& Chinh, Nguyen Xuan…[et al.]. 2020. Subclinical Left Ventricular Systolic Dysfunction in Patients with Septic Shock Based on Sepsis-3 Definition: A Speckle-Tracking Echocardiography Study. Critical Care Research and Practice،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1138532
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hai, Pham Dang…[et al.]. Subclinical Left Ventricular Systolic Dysfunction in Patients with Septic Shock Based on Sepsis-3 Definition: A Speckle-Tracking Echocardiography Study. Critical Care Research and Practice No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1138532
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hai, Pham Dang& Phuong, Le Lan& Dung, Nguyen Manh& Hoa, Le Thi Viet& Quyen, Do Van& Chinh, Nguyen Xuan…[et al.]. Subclinical Left Ventricular Systolic Dysfunction in Patients with Septic Shock Based on Sepsis-3 Definition: A Speckle-Tracking Echocardiography Study. Critical Care Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1138532
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1138532
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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