Utility of tissue Doppler imaging of systolic function to diagnose diastolic dysfunction in critically ill patients

Mielnicki, Wojciech; Dyla, Agnieszka; Karczewski, Maciej; Fidler, Krzysztof; Zawada, Tomasz; Zybura, Joanna

doi:10.5114/ait.2019.87473

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…In our review there was substantial heterogeneity across studies in the evaluation of diastolic dysfunction and the markers of mortality. Most of the studies looked at mitral valve Doppler velocities 7 , 8 , 9 , 10 , 11 , while a few looked at left atrial volumes 12 , 13 , 14 . Four of the articles looked at the ratio of E/e’ and found an associated increase in mortality with those patients who had an increase in the E/e’ value 10 , 11 .…”

Section: Discussionmentioning

confidence: 99%

POCUS for Diastolic Dysfunction: A Review of the Literature

King

Salerno

Downing

et al. 2023

pocus

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Emergency and critical care physicians frequently encounter patients presenting with dyspnea and normal left ventricular systolic function who may benefit from early diastolic evaluation to determine acute patient management. The current American Society of Echocardiography Guidelines approach to diastolic evaluation is often impractical for point of care ultrasound (POCUS) evaluation, and few studies have evaluated the potential use of a simplified approach. This article reviews the literature on the use of a simplified diastolic evaluation to assist in determining acute patient management.

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Section: Discussionmentioning

confidence: 99%

POCUS for Diastolic Dysfunction: A Review of the Literature

King

Salerno

Downing

et al. 2023

pocus

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“…Hence the term viral sepsis is justified, and its underlying immunological mechanisms may be responsible for symptoms like hypovolaemia, vasoplegia, and cardiodepression [35]. Moreover, approximately 25 to 50% of septic patents develop sepsis-induced myocardial dysfunction (SIMD), leading to various proportions of left ventricular systolic and diastolic dysfunction and right ventricle (RV) impairment [36][37][38]. The mechanism of this condition is related to the innate immune response by activation of the inflammatory response through toll-like receptors (TLR).…”

Section: Mechanisms Of Circulatory Failure In Covid-19mentioning

confidence: 99%

COVID-19 and haemodynamic failure: a point of view on mechanisms and treatment

Jasiński¹,

Stefaniak²

2020

ait

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The SARS-CoV-2-related disease has an undoubted impact on the healthcare system. In the treatment of severe COVID-19 cases, the main focus is on respiratory failure. However, available data suggest an important contribution of haemodynamic impairment in the course of this disease. SARS-CoV-2 may affect the circulatory system in various ways that are universal for septic conditions. Nonetheless, unique features of this pathogen, e.g. direct insult leading to myocarditis and renin-angiotensin-aldosterone axis dysregulation, must be taken into account. Although current recommendations on COVID-19 resemble previous septic shock guidelines, special attention to haemodynamic monitoring and treatment is necessary. Regarding treatment, one must take into account the potential profound hypovolaemia of severe COVID-19 patients. Pharmacological cardiovascular support should follow existing guidelines and practice. Interesting concepts of decatecholaminisation and the effect of vasopressors on pulmonary circulation are also presented in this review on COVID-19-related haemodynamic failure.

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Utility of tissue Doppler imaging of systolic function to diagnose diastolic dysfunction in critically ill patients

Cited by 2 publications

References 15 publications

POCUS for Diastolic Dysfunction: A Review of the Literature

POCUS for Diastolic Dysfunction: A Review of the Literature

COVID-19 and haemodynamic failure: a point of view on mechanisms and treatment

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