1. Prevalence and Outcome of Sepsis-induced Myocardial Dysfunction in Children with 'Sepsis' 'With' and 'Without Shock'-A Prospective Observational Study.
- Author
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Jain, Aditi, Sankar, Jhuma, anubhuti, Anubhuti, Yadav, Dinesh Kumar, and Sankar, M Jeeva
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SEPSIS , *MYOCARDIAL infarction , *TROPONIN , *ECHOCARDIOGRAPHY , *SEPTIC shock , *HEART ventricle diseases , *HEART , *LEFT heart ventricle , *RIGHT heart ventricle , *INTENSIVE care units , *LONGITUDINAL method , *DISEASE prevalence , *HOSPITAL mortality , *STROKE volume (Cardiac output) , *DISEASE complications ,HEART disease epidemiology - Abstract
Objective: To estimate the prevalence and effects of sepsis-induced myocardial dysfunction (SIMD) in children with septic shock.Methodology: Enrolled children with septic shock (n = 31) and sepsis (n = 30) underwent echocardiography and cardiac troponin-I (cTnI) estimation within first 3 h. SIMD was defined as presence of systolic/diastolic dysfunction by echocardiography.Results: The prevalence of SIMD was 71% in 'septic shock' and 23% in 'sepsis'. Diastolic dysfunction (45.2%) was more prevalent than systolic dysfunction (32.3%). Children with SIMD had higher requirement of inotropes [81 vs. 44%; adjusted odds ratio: 1.41 (1.04-1.92)] in first 48 h. cTnI had low sensitivity (62.5%) and specificity (55.1%) for detecting SIMD. On follow-up at 3 months, there was no residual dysfunction in the majority (71.3%).Conclusion: SIMD, especially diastolic dysfunction, is common in septic shock and may increase inotrope requirement. It is reversible in majority. Sepsis patients may have asymptomatic underlying SIMD. cTnI does not correlate with the degree of SIMD. [ABSTRACT FROM AUTHOR]- Published
- 2018
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