Preliminary Exploration of Epidemiologic and Hemodynamic Characteristics of Restrictive Filling Diastolic Dysfunction Based on Echocardiography in Critically Ill Patients: A Retrospective Study
Joint Authors
Kang, Yan
Yin, Wanhong
Li, Yi
Zeng, Xueying
Qin, Yao
Wang, Xiaoting
Chao, Yangong
Zhang, Lina
(CCUSG), Chinese Critical Ultrasound Study Group
Zou, Tongjuan
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-02-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
To preliminarily describe the epidemiologic and hemodynamic characteristics of critically ill patients with restrictive filling diastolic dysfunction based on echocardiography.
Setting.
A retrospective study.
Methods.
Epidemiologic characteristics of patients with restrictive filling diastolic dysfunction in ICU were described; clinical and hemodynamic data were preliminarily summarized and compared between patients with and without restrictive filling diastolic dysfunction; most of the data were based on echocardiography.
Results.
More than half of the patients in ICU had diastolic dysfunction and about 16% of them had restrictive filling pattern.
The patients who had restrictive filling diastolic dysfunction were more likely to have wider diameter of IVC ( 2.18 ± 0.50 versus 1.92 ± 0.43 , P = 0.037 ), higher extravascular lung water score ( 15.9 ± 9.2 versus 13.2 ± 9.1 , P = 0.014 ), lower left ventricular ejection fraction (EF-S: 53.0 ± 16.3 versus 59.3 ± 12.5 , P = 0.014 ), and lower percentage of normal LAP that was estimated by E/e′ (8.9% versus 90.0%, P = 0.001 ) when compared with those of patients without restrictive filling diastolic dysfunction.
Conclusion.
Our results suggest that critically ill patients with restrictive filling diastolic dysfunction may experience rising volume status, increasing extravascular lung water ultrasonic score, reducing long-axis systolic dysfunction, and less possibility of normal left atrial pressure.
Intensivists are advised to pay more attention to patients with diastolic dysfunction, especially the exquisite fluid management of patients with restrictive filling pattern due to the close relationship of restrictive filling diastolic dysfunction with volume status and extravascular lung water in our study.
American Psychological Association (APA)
Li, Yi& Yin, Wanhong& Qin, Yao& Zeng, Xueying& Zou, Tongjuan& Wang, Xiaoting…[et al.]. 2018. Preliminary Exploration of Epidemiologic and Hemodynamic Characteristics of Restrictive Filling Diastolic Dysfunction Based on Echocardiography in Critically Ill Patients: A Retrospective Study. BioMed Research International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1127297
Modern Language Association (MLA)
Li, Yi…[et al.]. Preliminary Exploration of Epidemiologic and Hemodynamic Characteristics of Restrictive Filling Diastolic Dysfunction Based on Echocardiography in Critically Ill Patients: A Retrospective Study. BioMed Research International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1127297
American Medical Association (AMA)
Li, Yi& Yin, Wanhong& Qin, Yao& Zeng, Xueying& Zou, Tongjuan& Wang, Xiaoting…[et al.]. Preliminary Exploration of Epidemiologic and Hemodynamic Characteristics of Restrictive Filling Diastolic Dysfunction Based on Echocardiography in Critically Ill Patients: A Retrospective Study. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1127297
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1127297