Right-to-left ventricular end diastolic diameter ratio in severe sepsis and septic shock.
J Crit Care
; 48: 307-310, 2018 12.
Article
em En
| MEDLINE
| ID: mdl-30273910
ABSTRACT
PURPOSE:
The ratio of right ventricular end-diastolic diameter (EDD) to left ventricular EDD (RV/LV) is a measure predictive of right ventricular failure. We hypothesized that an increase in RV/LV would be associated with poor prognosis in severe sepsis and septic shock. MATERIALS ANDMETHODS:
This is a retrospective chart review of patients with severe sepsis and septic shock admitted to a medical intensive care unit (ICU) at a single tertiary care hospital. Patients were identified by ICD-9 codes 995.92 for severe sepsis and 785.52 for septic shock; and had to have an echocardiogram within 48â¯h of ICU admission. Increased RV/LV was defined as RV/LVâ¯≥â¯0.9. Left and right-sided chamber dimensions were measured according to American Society of Echocardiography guidelines.RESULTS:
We included 146 consecutive ICU patients admitted with septic shock (72) or severe sepsis (74). There was no significant difference in ICU mortality in patients with RV/LVâ¯≥â¯0.9 versus RV/LVâ¯<â¯0.9 (pâ¯=â¯.49).CONCLUSIONS:
An increased RV/LV does not predict mortality in severe sepsis or septic shock.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Choque Séptico
/
Disfunção Ventricular
/
Sepse
/
Cuidados Críticos
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article