Assessment of right ventricular functions in patients with sepsis, severe sepsis and septic shock and its prognostic importance: A tissue Doppler study

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dc.contributor.authorHarmankaya, Atif
dc.contributor.authorAkilli, Hakan
dc.contributor.authorGul, Mehmet
dc.contributor.authorAkilli, Nazire Belgin
dc.contributor.authorErgin, Mehmet
dc.contributor.authorAribas, Alpay
dc.contributor.authorCander, Basar
dc.date.accessioned2024-02-23T14:12:39Z
dc.date.available2024-02-23T14:12:39Z
dc.date.issued2013
dc.departmentNEÜen_US
dc.description.abstractPurpose: This study aims to investigate the potential contributions of the right ventricle (RV) performance evaluated using tissue Doppler imaging (TDI) on the assessment of the severity and prognosis of sepsis. Methods: The study was completed with 55 patients (male/female 26/29, age 66.9 +/- 20.3 years) and 28 healthy controls (male/female 14/14, age 59.4 +/- 18.3 years). The RV-TDI parameters, mainly the RV myocardial peak systolic velocities (Sm, cm/s) and myocardial performance index (MPI) were recorded, in addition to the standard echocardiographic evaluation. Results: The patients were classified into 3 groups based on the severity of sepsis. The RV-Sm value was significantly lower in the severe sepsis-septic shock (n=31) than that of the sepsis (n=24) and the control groups (n=28) (P=.001). The RV-MPI was high both in the severe sepsis-septic shock and the sepsis compared with the control group (P=.02). The patients were classified into 3 groups based on in-hospital mortality. The RV-Sm was lower in non-surviving (n=27) than in the surviving (n=28) and the control groups (n=28) (P=.002). The RV-MPI was found to be higher in the non-surviving patients than the surviving and the control groups (P<.001). Conclusion: Our study shows that the RV dysfunction evaluated using TDI, particularly the RV-Sm and MPI values, were related with the severity of sepsis and mortality. (C) 2013 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jcrc.2013.07.059
dc.identifier.issn0883-9441
dc.identifier.issn1557-8615
dc.identifier.issue6en_US
dc.identifier.pmid24011976en_US
dc.identifier.scopus2-s2.0-84887403755en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1016/j.jcrc.2013.07.059
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12144
dc.identifier.volume28en_US
dc.identifier.wosWOS:000326945100052en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofJournal Of Critical Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSepsisen_US
dc.subjectSevere Sepsisen_US
dc.subjectSeptic Shocken_US
dc.subjectRight Ventricular Functionen_US
dc.subjectTissue Doppler Imagingen_US
dc.titleAssessment of right ventricular functions in patients with sepsis, severe sepsis and septic shock and its prognostic importance: A tissue Doppler studyen_US
dc.typeArticleen_US

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