Abstract
Sepsis-induced myocardial dysfunction (SIMD) is a common and reversible complication in severe sepsis and septic shock patients. Its pathogenesis is complex and probably mediated by cytokines. Echocardiography is the gold standard to make the diagnosis of SIMD. Cardiac biomarkers have a high negative predictive value for SIMD. Norepinephrine is the first line vasopressor. Inotropic drugs should be used in the case of left ventricular systolic dysfunction associated with persisting tissular hypoperfusion.
Keywords: Diastolic dysfunction, Echocardiography, Heart failure, Hemodynamic, Monitoring, Mortality, Natriuretic peptides, Sepsis, Septic cardiomyopathy, Septic shock, Severe sepsis, Troponins.
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Cite this chapter as:
Sabri Soussi, Matthieu Legrand ;The Clinical Aspects of Septic Myocardiopathy, Frontiers in Myocardia Septic Cardiomyopathy From Bench-to-Bedside (2015) 1: 132. https://doi.org/10.2174/9781681080604115010011
DOI https://doi.org/10.2174/9781681080604115010011 |
Print ISSN 2451-8344 |
Publisher Name Bentham Science Publisher |
Online ISSN 2451-8352 |