Prognostic stratification in septic patients with overt and cryptic shock by speckle tracking echocardiography

We evaluated the prevalence and prognostic value of left (LV) and right (RV) ventricular systolic dysfunction in the presence of overt and cryptic shock. In this prospective study, between October 2012 and June 2019, we enrolled 354 patients with sepsis, 41% with shock, among those admitted to the E...

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Bibliographic Details
Published in:Internal and emergency medicine 2021-04, Vol.16 (3), p.757-764
Main Authors: Innocenti, Francesca, Palmieri, Vittorio, Stefanone, Valerio Teodoro, D’Argenzio, Federico, Cigana, Marco, Montuori, Michele, Capretti, Elisa, De Paris, Anna, Calcagno, Stefano, Tassinari, Irene, Pini, Riccardo
Format: Article
Language:English
Subjects:
Echocardiography
EM - Original
Emergency medical care
Heart
Internal Medicine
Lactic acid
Medical prognosis
Medicine
Medicine & Public Health
Mortality
Sepsis
Shock
Ventricle
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Summary:We evaluated the prevalence and prognostic value of left (LV) and right (RV) ventricular systolic dysfunction in the presence of overt and cryptic shock. In this prospective study, between October 2012 and June 2019, we enrolled 354 patients with sepsis, 41% with shock, among those admitted to the Emergency Department High-Dependency Unit. Patients were grouped based on the presence of shock, or by the presence of lactate levels ≥ (LAC +) or  -14%; RV systolic dysfunction as Tricuspid Annular Plane Systolic Excursion (TAPSE) 
ISSN:1828-0447
1970-9366
DOI:10.1007/s11739-020-02545-3