Monitor the changes of left ventricular systolic function in management of septic shock patients
- Author:
Do Doan Loi
- Publication Type:Journal Article
- Keywords:
Septic shock
- MeSH:
Shock;
Septic;
Ventricular Function;
Left
- From:Journal of Medical Research
2005;33(1):68-72
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Study on 2 subject groups: control group including 48 healthy persons and case group: 34 patients (20 male, 14 female) with septic shock, all of them treated at Bach Mai Hospital from January 2003 to November 2003, aged from 16 to 75 year old. Subjects in control group underwent clinical and Doppler ultrasound examinations, had medical records. In case group, patients underwent clinical and paraclinical examinations for diagnosis and treatment followed by regime of the department. Results: 15/34 septic shock patients have cured and discharged (44.1%), 19 patients died (55.9%). At the first stage of septic shock, cardiac output (CO) and cardiac index (CI) increased (CO=6.461.85L/min; CI=4.351.24L/min/m2) but ejection fraction decreased (EF=50.69.27%), with 13 patients had EF<50% (38.2%). Before treatment, the CO and EF of survival group were lower than the dead group. During treatment, end-diastolic left ventricular volume increased along with EF, and heart rate reduced gradually to normal in survival group. These changes weren’t observed in the dead group.
