Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Left ventricular systolic and diastolic function in septic shock

J Poelaert1, C Declerck, D Vogelaers

  • 1Department of Intensive Care Unit, University Hospital, Gent, Belgium.

Intensive Care Medicine
|May 1, 1997
PubMed
Summary

Myocardial dysfunction in septic shock progresses from diastolic dysfunction to combined systolic and diastolic failure. Pulmonary venous Doppler parameters are crucial for assessing left ventricular diastolic function in these patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

An unusual case of a gallbladder polyp.

Acta gastro-enterologica Belgica·2021
Same author

Diagnostic approach for detection and identification of emerging enteric pathogens revisited: the <i>(Ali)arcobacter lanthieri</i> case.

New microbes and new infections·2021
Same author

A hospital wide predictive model for unplanned readmission using hierarchical ICD data.

Computer methods and programs in biomedicine·2019
Same author

[A practical program for outpatient parenteral antimicrobial therapy].

Journal de pharmacie de Belgique·2018
Same author

Communication satisfaction and job satisfaction among critical care nurses and their impact on burnout and intention to leave: A questionnaire study.

Intensive & critical care nursing·2018
Same author

Elderly versus nonelderly patients with invasive aspergillosis in the ICU: a comparison and risk factor analysis for mortality from the AspICU cohort.

Medical mycology·2017

Area of Science:

  • Cardiology
  • Intensive Care Medicine
  • Echocardiography

Background:

  • Septic shock frequently causes myocardial dysfunction, but its precise nature remains unclear.
  • Understanding this dysfunction is critical for improving patient outcomes.

Purpose of the Study:

  • To investigate myocardial dysfunction in vasopressor-dependent septic shock using invasive hemodynamics and transesophageal echocardiography (TEE).
  • To characterize different patterns of cardiac dysfunction in septic shock patients.

Main Methods:

  • Prospective study in a general ICU.
  • Invasive hemodynamic monitoring with arterial and pulmonary artery catheters.
  • Transesophageal echocardiography (TEE) to assess left ventricular (LV) dimensions, mitral inflow (E/A), and pulmonary venous flow (S/D).

Related Experiment Videos

Main Results:

  • Three patient subsets were identified based on TEE Doppler patterns.
  • Group 1: Normal LV function with normal diastolic parameters (E/A > 1, S/D > 1).
  • Group 2: Apparent normal systolic function but altered diastolic parameters (E/A > 1, S/D < 1).
  • Group 3: Compromised global LV systolic function with diastolic dysfunction (E/A < 1, S/D < 1).

Conclusions:

  • Cardiac dysfunction in septic shock exists on a continuum, ranging from isolated diastolic dysfunction to biventricular failure.
  • Pulmonary venous Doppler parameters provide essential supplementary information for interpreting LV diastolic function in septic shock.
  • TEE is valuable for characterizing myocardial dysfunction in septic shock, despite potential limitations.