Cardiac Dysfunction in Patients with Sepsis, Severe Sepsis and Septic Shock
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 5, Issue 4
Abstract
Aims: Patients with severe sepsis and septic shock often exhibit significant cardiovascular dysfunction. We designed the study with an aim to determine the severity of cardiac dysfunction in the different group of sepsis patients. Study Design: Single-center, cross-sectional study Place and Duration of Study: The study was carried out at Department of Cardiology, Kasturba Medical College and Hospital, Manipal from June 2011 to December 2012. Methodology: A total of 74 patients who were diagnosed with sepsis were enrolled in the study. All patients were subjected to routine analysis, laboratory test and echocardiogrphic assessment. Results: The patients were divided into 3 groups: sepsis group (n = 11), severe sepsis group (n = 37) and septic shock group (n = 26). The mitral E/A value is significantly higher in patients with septic shock than that of the patients with sepsis (P = 0.04). The indices of right ventricular dysfunction did not show any significant difference in the patients with septic shock and that of sepsis. Conclusion: Left ventricular dysfunction may be considered prevalent in sepsis as per the significant E/A values. However, the other echocardiographic parameter should also be considered. This may even infer that cardiac dysfunction may not correlate with the severity of sepsis.
Authors and Affiliations
Tom Devasia, Hashir Kareem, Y. G. Ashok Kumar, R. Padma Kumar, Saumya Jose, Sharmila Sadanand Prabhu, Umesh Pai, Krishnanand Nayak, Tulsee Sitapara, Ashok Thakkar
Keywords
Related Articles
- EP ID EP344999
- DOI 10.9734/BJMMR/2015/12334
- Views 67
- Downloads 0
Invest to Progress? A Survey of the Cost of Postgraduate Training Prior to Specialty Applications in the United Kingdom
Aim: Clinical training is expensive. This survey of foundation doctors across four UK foundation deaneries (Severn, Wales, South Thames and Scotland) identifies that highly variable sums of money were spent by foundation...
Contraception Usage: Knowledge, Attitude and Associated Factors among Women of Reproductive Age Attending a Health Facility in Benin City, Nigeria
Background: Contraceptive usage remains a challenge in developing countries. Despite high contraceptive awareness and knowledge, studies have shown disappointingly very low contraceptive usage. The 2013 Nigeria Demograph...
Office-Based Olfaction Assessment
A simple assessment of olfactory acuity is essential and can play a vital role in patient care and quality-of-life parameters. Any process that interferes with the physiologic environment of the nasal mucosa can be assoc...
Reinforcement Material on the Intestinal Stump Staple Line-The Effect and Mechanism of Reinforcement
Background: In gastrointestinal surgery, the quality of anastomosis is one of the most important factors influencing the postoperative course. The purpose of this study was to verify the effectiveness and the mechanism o...
Factors Associated with a Low CD4 Count among HIV-1 Infected Patients at Enrolment into HAART in Jos, Nigeria
Aim: To determine the factors associated with a low CD4 count among HIV-1 positive patients. Study Design: Cross-sectional study. Place and Duration of Study: Adult HIV clinic at the Jos University Teaching Hospital, Jos...