PROGNOSTIC VALUE OF LEFT VENTRICULAR EJECTION TIME IN SEPTIC SHOCK PATIENTS

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Critical Care Medicine, Faculty of Medicine, Alexandria University

2 Department of critical care, Faculty of Medicine, Alexandria University

Abstract

Sepsis is defined as life-threatening organ dysfunction due to dysregulated host response to infection, and organ dysfunction is defined as an acute change in total Sequential Organ Failure Assessment (SOFA) score of 2 points or greater secondary to the infection cause.
Septic shock occurs in a subset of patients with sepsis and comprises of an underlying circulatory and cellular/metabolic abnormality that is associated with increased mortality.
Assessment of LVET could provide valuable insights into the cardiovascular state of septic shock patients, helping to identify those at higher risk of poor outcomes. Understanding the prognostic significance of LVET in septic shock may offer a novel approach for predicting patient survival and tailoring individualized management plans.

AIM OF THE WORK:
The aim of this prospective study was to evaluate the prognostic value of left ventricular ejection time in septic shock patients.

PATIENTS:
The study was conducted on 40 adults septic shock patients who were admitted to the intensive care unit (ICU) in Alexandria Students Hospital.Myocardial performance index (MPI) is a numeric value, which could be obtained by using cardiac time intervals. This numeric value is defined as the sum of isovolumetric contraction time (ICT) and isovolumetric relaxation time (IRT) divided by ejection time (ET) and could be calculated for each ventricle individually.

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