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Anaesth Intensive Care · Jan 2018
ReviewBasic and advanced echocardiographic evaluation of myocardial dysfunction in sepsis and septic shock.
- S Vallabhajosyula, S Pruthi, S Shah, B M Wiley, S V Mankad, and J C Jentzer.
- Anaesth Intensive Care. 2018 Jan 1; 46 (1): 13-24.
AbstractSepsis continues to be a leading cause of mortality and morbidity in the intensive care unit. Cardiovascular dysfunction in sepsis is associated with worse short- and long-term outcomes. Sepsis-related myocardial dysfunction is noted in 20%-65% of these patients and manifests as isolated or combined left or right ventricular systolic or diastolic dysfunction. Echocardiography is the most commonly used modality for the diagnosis of sepsis-related myocardial dysfunction. With the increasing use of ultrasonography in the intensive care unit, there is a renewed interest in sepsis-related myocardial dysfunction. This review summarises the current scope of literature focused on sepsis-related myocardial dysfunction and highlights the use of basic and advanced echocardiographic techniques for the diagnosis of sepsis-related myocardial dysfunction and the management of sepsis and septic shock.
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