• I Narváez, A Canabal, C Martín, M Sánchez, A Moron, J Alcalá, S Giacoman, and M Magro.
• Servicio de Cardiología, Hospital Virgen de la Salud, Toledo, España. Electronic address: pycky12@hotmail.com.
• Med Intensiva. 2018 Jun 1; 42 (5): 283-291.

ObjetiveThe aim of this study was to establish the incidence of septic cardiomyopathy (SM) in patients with sepsis and septic shock, to describe its characteristics and testing its evolution.DesignProspective cohort study.ParticipantsWe included 57 consecutive patients admitted to Intensive Care Unit, who met criteria of sepsis and septic shock.Principal Variables Of InterestClinical and biochemical variables were analyzed. An echocardiogram was performed in the first 24hours of admission, determining myocardial function parameters, and if the patients had left ventricular ejection fraction (LVEF)<50%) a second echocardiogram was performed.AmbitIntensive medical and surgical Care Service for Adults in University Hospital.ResultsThe mean age of the patients was 62,1±16,3 years. 58% were males. 22.8% had left ventricular dysfunction. The mean LVEF in patients with MS was lower than those without SM (34.1±10.6 vs 60.7±6.94%, P<.001), with complete recovery, in survivors, after the acute event (LVEF at discharge 56.1±6.3%, P=.04). Patients with SM had higher levels of procalcitonin (47.1±35.4 vs 18.9±24.5; P=.02) and higher score on the Sequential Organ Failure Assessment (SOFA score) (9.91±3.82 vs 7.47±3.41; P=.037). Mortality was not significantly different between both groups [4 (30.8%) vs 4 (9.1%); P=.07].ConclusionsSM is not uncommon and is related to a higher scores on the severity scales. In the survivors, LVEF normalized after the recovery of the acute event.Copyright © 2017 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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