Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis

Autores
Ricarte Bratti, Juan Pablo; Brizuela, Nilda Yolanda; Urinovsky, Marcelo; Moreyra, Eduardo; Paredes, Sergio Guillermo; Vogliotti, Ignacio; Colque, Roberto; Tibaldi, Miguel Ángel
Año de publicación
2017
Idioma
español castellano
Tipo de recurso
artículo
Estado
versión aceptada
Descripción
Background. The prognostic value of left ventricular dysfunction in patients with sepsis is unknown. Speckle tracking echocardiography (STE) is a novel, sensitive method for assessing ventricular function, capable of unmasking myocardial dysfunction not detected with conventional echocardiography. We assessed STE in patients with sepsis to determine whether it is associated with mortality. Material and methods. Between April 2015 and March 2016, patients aged ≥18 years admitted to the intensive care unit with the diagnosis of sepsis and without previous cardiomyopathy were prospectively imaged using transthoracic echocardiography. Left ventricular function was assessed using conventional methods and STE. Mortality was assessed over 30 days. Results. Eighteen patients were included and the 30-day mortality rate was 27.7%. The ejection fraction (EF) estimated using the Simpson method was similar between patients who died and those who survived; however, the ventricular function determined using STE in the 4-chamber view was significantly lower in patients who died (-14% ± 5 vs -17% ± 2, p=0.028). No significant differences were observed in the 2-chamber view (alive: -16 ± 3, dead: -14 ± 5, p=0.182), long apical axes view (alive: -17 ± 2, dead: -15 ± 4, p=0.434) or global strain (alive: -17 ± 2, dead: -14 ± 4, p=0.118). Conclusion. In patients with sepsis, ventricular function assessed with STE in the 4-chamber view was more sensitive than EF in detecting dysfunction and better predicted 30-day mortality. Larger trials will be necessary to corroborate these findings. Insuf Card 2017; 12(1): 2-8.
Fil: Ricarte Bratti, Juan Pablo. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
Fil: Brizuela, Nilda Yolanda. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
Fil: Urinovsky, Marcelo. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
Fil: Moreyra, Eduardo. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
Fil: Paredes, Sergio Guillermo. Sanatorio Allende; Argentina
Fil: Vogliotti, Ignacio. Sanatorio Allende; Argentina
Fil: Colque, Roberto. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
Fil: Tibaldi, Miguel Ángel. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
Fuente
Ricarte Bratti, Juan Pablo ORCID: https://orcid.org/0000-0001-6323-8305 , Brizuela, Nilda Yolanda ORCID: https://orcid.org/0000-0001-9917-6425 , Urinovsky, Marcelo, Moreyra, Eduardo ORCID: https://orcid.org/0000-0002-0271-1987 , Paredes, Sergio Guillermo, Vogliotti, Ignacio, Colque, Roberto ORCID: https://orcid.org/0000-0002-8615-5999 and Tibaldi, Miguel Ángel ORCID: https://orcid.org/0000-0002-7380-6940 (2017) Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis. Insuficiencia Cardiaca, 12 (1). pp. 2-8. ISSN 1850-1044
Materia
R Medicina (General)
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
Repositorio
Producción Académica (UCC)
Institución
Universidad Católica de Córdoba
OAI Identificador
oai:pa.bibdigital.uccor.edu.ar:3517
Acceder
id PAUCC_115fad0a5036cfbdd24278eedeafe2a0
oai_identifier_str oai:pa.bibdigital.uccor.edu.ar:3517
network_acronym_str PAUCC
repository_id_str 2718
network_name_str Producción Académica (UCC)
spelling Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsisRicarte Bratti, Juan PabloBrizuela, Nilda YolandaUrinovsky, MarceloMoreyra, EduardoParedes, Sergio GuillermoVogliotti, IgnacioColque, RobertoTibaldi, Miguel ÁngelR Medicina (General)Background. The prognostic value of left ventricular dysfunction in patients with sepsis is unknown. Speckle tracking echocardiography (STE) is a novel, sensitive method for assessing ventricular function, capable of unmasking myocardial dysfunction not detected with conventional echocardiography. We assessed STE in patients with sepsis to determine whether it is associated with mortality. Material and methods. Between April 2015 and March 2016, patients aged ≥18 years admitted to the intensive care unit with the diagnosis of sepsis and without previous cardiomyopathy were prospectively imaged using transthoracic echocardiography. Left ventricular function was assessed using conventional methods and STE. Mortality was assessed over 30 days. Results. Eighteen patients were included and the 30-day mortality rate was 27.7%. The ejection fraction (EF) estimated using the Simpson method was similar between patients who died and those who survived; however, the ventricular function determined using STE in the 4-chamber view was significantly lower in patients who died (-14% ± 5 vs -17% ± 2, p=0.028). No significant differences were observed in the 2-chamber view (alive: -16 ± 3, dead: -14 ± 5, p=0.182), long apical axes view (alive: -17 ± 2, dead: -15 ± 4, p=0.434) or global strain (alive: -17 ± 2, dead: -14 ± 4, p=0.118). Conclusion. In patients with sepsis, ventricular function assessed with STE in the 4-chamber view was more sensitive than EF in detecting dysfunction and better predicted 30-day mortality. Larger trials will be necessary to corroborate these findings. Insuf Card 2017; 12(1): 2-8.Fil: Ricarte Bratti, Juan Pablo. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; ArgentinaFil: Brizuela, Nilda Yolanda. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; ArgentinaFil: Urinovsky, Marcelo. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; ArgentinaFil: Moreyra, Eduardo. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; ArgentinaFil: Paredes, Sergio Guillermo. Sanatorio Allende; ArgentinaFil: Vogliotti, Ignacio. Sanatorio Allende; ArgentinaFil: Colque, Roberto. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; ArgentinaFil: Tibaldi, Miguel Ángel. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; ArgentinaFederación Argentina de Cardiología Argentina2017-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfhttp://pa.bibdigital.ucc.edu.ar/3517/1/A_RicarteBratti_Brizuela_Urinovsky_Moreyra_Paredes_Vogliotti_Colque_Tibaldi.pdf Ricarte Bratti, Juan Pablo ORCID: https://orcid.org/0000-0001-6323-8305 <https://orcid.org/0000-0001-6323-8305>, Brizuela, Nilda Yolanda ORCID: https://orcid.org/0000-0001-9917-6425 <https://orcid.org/0000-0001-9917-6425>, Urinovsky, Marcelo, Moreyra, Eduardo ORCID: https://orcid.org/0000-0002-0271-1987 <https://orcid.org/0000-0002-0271-1987>, Paredes, Sergio Guillermo, Vogliotti, Ignacio, Colque, Roberto ORCID: https://orcid.org/0000-0002-8615-5999 <https://orcid.org/0000-0002-8615-5999> and Tibaldi, Miguel Ángel ORCID: https://orcid.org/0000-0002-7380-6940 <https://orcid.org/0000-0002-7380-6940> (2017) Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis. Insuficiencia Cardiaca, 12 (1). pp. 2-8. ISSN 1850-1044 reponame:Producción Académica (UCC)instname:Universidad Católica de Córdobaspahttp://pa.bibdigital.ucc.edu.ar/3517/https://www.redalyc.org/articulo.oa?id=321950879002info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es2025-09-29T14:29:35Zoai:pa.bibdigital.uccor.edu.ar:3517instacron:UCCInstitucionalhttp://pa.bibdigital.uccor.edu.ar/Universidad privadaNo correspondehttp://pa.bibdigital.uccor.edu.ar/cgi/oai2bibdir@uccor.edu.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:27182025-09-29 14:29:35.921Producción Académica (UCC) - Universidad Católica de Córdobafalse
dc.title.none.fl_str_mv Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis
title Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis
spellingShingle Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis
Ricarte Bratti, Juan Pablo
R Medicina (General)
title_short Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis
title_full Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis
title_fullStr Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis
title_full_unstemmed Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis
title_sort Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis
dc.creator.none.fl_str_mv Ricarte Bratti, Juan Pablo
Brizuela, Nilda Yolanda
Urinovsky, Marcelo
Moreyra, Eduardo
Paredes, Sergio Guillermo
Vogliotti, Ignacio
Colque, Roberto
Tibaldi, Miguel Ángel
author Ricarte Bratti, Juan Pablo
author_facet Ricarte Bratti, Juan Pablo
Brizuela, Nilda Yolanda
Urinovsky, Marcelo
Moreyra, Eduardo
Paredes, Sergio Guillermo
Vogliotti, Ignacio
Colque, Roberto
Tibaldi, Miguel Ángel
author_role author
author2 Brizuela, Nilda Yolanda
Urinovsky, Marcelo
Moreyra, Eduardo
Paredes, Sergio Guillermo
Vogliotti, Ignacio
Colque, Roberto
Tibaldi, Miguel Ángel
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv R Medicina (General)
topic R Medicina (General)
dc.description.none.fl_txt_mv Background. The prognostic value of left ventricular dysfunction in patients with sepsis is unknown. Speckle tracking echocardiography (STE) is a novel, sensitive method for assessing ventricular function, capable of unmasking myocardial dysfunction not detected with conventional echocardiography. We assessed STE in patients with sepsis to determine whether it is associated with mortality. Material and methods. Between April 2015 and March 2016, patients aged ≥18 years admitted to the intensive care unit with the diagnosis of sepsis and without previous cardiomyopathy were prospectively imaged using transthoracic echocardiography. Left ventricular function was assessed using conventional methods and STE. Mortality was assessed over 30 days. Results. Eighteen patients were included and the 30-day mortality rate was 27.7%. The ejection fraction (EF) estimated using the Simpson method was similar between patients who died and those who survived; however, the ventricular function determined using STE in the 4-chamber view was significantly lower in patients who died (-14% ± 5 vs -17% ± 2, p=0.028). No significant differences were observed in the 2-chamber view (alive: -16 ± 3, dead: -14 ± 5, p=0.182), long apical axes view (alive: -17 ± 2, dead: -15 ± 4, p=0.434) or global strain (alive: -17 ± 2, dead: -14 ± 4, p=0.118). Conclusion. In patients with sepsis, ventricular function assessed with STE in the 4-chamber view was more sensitive than EF in detecting dysfunction and better predicted 30-day mortality. Larger trials will be necessary to corroborate these findings. Insuf Card 2017; 12(1): 2-8.
Fil: Ricarte Bratti, Juan Pablo. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
Fil: Brizuela, Nilda Yolanda. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas; Argentina
Fil: Urinovsky, Marcelo. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
Fil: Moreyra, Eduardo. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
Fil: Paredes, Sergio Guillermo. Sanatorio Allende; Argentina
Fil: Vogliotti, Ignacio. Sanatorio Allende; Argentina
Fil: Colque, Roberto. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
Fil: Tibaldi, Miguel Ángel. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina
description Background. The prognostic value of left ventricular dysfunction in patients with sepsis is unknown. Speckle tracking echocardiography (STE) is a novel, sensitive method for assessing ventricular function, capable of unmasking myocardial dysfunction not detected with conventional echocardiography. We assessed STE in patients with sepsis to determine whether it is associated with mortality. Material and methods. Between April 2015 and March 2016, patients aged ≥18 years admitted to the intensive care unit with the diagnosis of sepsis and without previous cardiomyopathy were prospectively imaged using transthoracic echocardiography. Left ventricular function was assessed using conventional methods and STE. Mortality was assessed over 30 days. Results. Eighteen patients were included and the 30-day mortality rate was 27.7%. The ejection fraction (EF) estimated using the Simpson method was similar between patients who died and those who survived; however, the ventricular function determined using STE in the 4-chamber view was significantly lower in patients who died (-14% ± 5 vs -17% ± 2, p=0.028). No significant differences were observed in the 2-chamber view (alive: -16 ± 3, dead: -14 ± 5, p=0.182), long apical axes view (alive: -17 ± 2, dead: -15 ± 4, p=0.434) or global strain (alive: -17 ± 2, dead: -14 ± 4, p=0.118). Conclusion. In patients with sepsis, ventricular function assessed with STE in the 4-chamber view was more sensitive than EF in detecting dysfunction and better predicted 30-day mortality. Larger trials will be necessary to corroborate these findings. Insuf Card 2017; 12(1): 2-8.
publishDate 2017
dc.date.none.fl_str_mv 2017-03-31
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
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info:ar-repo/semantics/articulo
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://pa.bibdigital.ucc.edu.ar/3517/1/A_RicarteBratti_Brizuela_Urinovsky_Moreyra_Paredes_Vogliotti_Colque_Tibaldi.pdf
url http://pa.bibdigital.ucc.edu.ar/3517/1/A_RicarteBratti_Brizuela_Urinovsky_Moreyra_Paredes_Vogliotti_Colque_Tibaldi.pdf
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv http://pa.bibdigital.ucc.edu.ar/3517/
https://www.redalyc.org/articulo.oa?id=321950879002
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Federación Argentina de Cardiología Argentina
publisher.none.fl_str_mv Federación Argentina de Cardiología Argentina
dc.source.none.fl_str_mv Ricarte Bratti, Juan Pablo ORCID: https://orcid.org/0000-0001-6323-8305 <https://orcid.org/0000-0001-6323-8305>, Brizuela, Nilda Yolanda ORCID: https://orcid.org/0000-0001-9917-6425 <https://orcid.org/0000-0001-9917-6425>, Urinovsky, Marcelo, Moreyra, Eduardo ORCID: https://orcid.org/0000-0002-0271-1987 <https://orcid.org/0000-0002-0271-1987>, Paredes, Sergio Guillermo, Vogliotti, Ignacio, Colque, Roberto ORCID: https://orcid.org/0000-0002-8615-5999 <https://orcid.org/0000-0002-8615-5999> and Tibaldi, Miguel Ángel ORCID: https://orcid.org/0000-0002-7380-6940 <https://orcid.org/0000-0002-7380-6940> (2017) Prognostic value of ventricular function assessed by speckle tracking echocardiography in patients with sepsis. Insuficiencia Cardiaca, 12 (1). pp. 2-8. ISSN 1850-1044
reponame:Producción Académica (UCC)
instname:Universidad Católica de Córdoba
reponame_str Producción Académica (UCC)
collection Producción Académica (UCC)
instname_str Universidad Católica de Córdoba
repository.name.fl_str_mv Producción Académica (UCC) - Universidad Católica de Córdoba
repository.mail.fl_str_mv bibdir@uccor.edu.ar
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