Right heart in septic shock: Prospective observational study

被引：16

作者：

Singh R.K. ^{[1
]}

Kumar S. ^{[2
]}

Nadig S. ^{[2
]}

Baronia A.K. ^{[1
]}

Poddar B. ^{[1
]}

Azim A. ^{[1
]}

Gurjar M. ^{[1
]}

机构：

[1] Department of Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh

[2] Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh

来源：

Journal of Intensive Care | / 4卷 / 1期

关键词：

Right heart; Septic shock; Transthoracic echocardiography;

D O I：

10.1186/s40560-016-0159-y

中图分类号：

学科分类号：

摘要：

Background: The right heart often receives less attention during echocardiography. The situation is no different in septic shock. We prospectively investigated the echocardiographic indices of the right heart in septic shock adult patients. Methods: Septic shock ICU patients within 24 h of admission were subjected to transthoracic echocardiography (TTE) as per the 2005 guidelines from the American Society of Echocardiography. Results: Eighty-eight septic shock patients (M:F = 52:36) underwent TTE. Thirty-six patients survived. Significant differences in demographic and biochemical (laboratory and metabolic) parameters, severity scores, life-support therapies (vasopressors, ventilation), and length of ICU stay were observed between survivors and non-survivors. Right heart abnormalities of chamber dimension and systolic and diastolic function existed in 79, 25, and 86 % of patients, respectively. Right ventricle subcostal wall thickness (91 %), pulse Doppler myocardial performance index (73 %), and E/E' (63 %) were the predominant abnormalities in chamber dimension, systolic function, and diastolic function of the right heart, respectively. However, the presence of these abnormalities did not signify poor survival in our study. Conclusions: Right heart dimensional and functional abnormalities exist in high proportions in septic shock. However, their predictability of poor outcomes remains questionable. © 2016 Singh et al.

引用

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