左心室全球纵向应变的预测价值在常压性严重病的败血症患者中
Timor Omar1, Kamil İnci2, Yusuf Oflu2
1Department of Cardiology, Faculty of Medicine, Kafkas University - Kars, Turkey.
Critical care science
|September 15, 2023
概括
左心室全球纵向应变,心脏功能的敏感指标,预测了败血症ICU患者的死亡率. 损坏的菌株表明结果更差,突出其临床意义.
科学领域:
- 心脏病学 心脏病学
- 密集护理医学 密集护理医学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 败血症可以导致微妙的左心室功能障碍.
- 斑点跟踪回声心脏学提供了对心脏功能的敏感评估.
- 在败血症患者中,预测死亡率的标志物至关重要.
研究的目的:
- 调查左心室全球纵向应变 (LV-GLS) 在常压性败血症重症监护病房 (ICU) 患者的预测意义.
- 评估LV-GLS作为该人口死亡率的预测指标.
主要方法:
- 这是一项观察性前性队列研究,对152名感染性,血压正常的ICU成年人进行了观察.
- 在入院后24小时内通过斑点追踪回声心脏成像评估左心室缩功能.
- 分析了LV-GLS与ICU死亡率的相关性.
主要成果:
- 在ICU的死亡率为27%.
- 非幸存者与幸存者相比 (p < 0.001) 显著减弱了LV-GLS (较少负面).
- LV-GLS> -17%独立预测了更高的ICU死亡率 (AUC 0.728,或1.326,p=0.024).
结论:
- 损伤的左心室全球纵向应变与败血症ICU患者的死亡率有显著的相关性.
- 在这个群体中,LV-GLS作为死亡率的独立预测指标.
- 斑点跟踪心声学衍生LV-GLS是有价值的风险分层.
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