Left ventricular diastolic function in sepsis

S. M. Jafri, S. Lavine, B. E. Field, M. T. Bahorozian, R. W. Carlson

Research output: Contribution to journalArticlepeer-review

92 Scopus citations

Abstract

Although systolic dysfunction of the left ventricle has been characterized in septic shock (SS) and sepsis without shock (SWS), diastolic abnormalities are less well characterized. Diastolic filling was determined using pulsed Doppler transmitral spectral tracings in 13 patients with SS, ten patients with SWS, and 33 normal controls. Diastolic filling variables and heart rate were similar in patients with SS and SWS. The SS and SWS patients had an abnormal pattern of diastolic filling compared with controls and were characterized by an increase in peak atrial velocity (70 ± 20 cm/sec SS, 84 ± 18 cm/sec SWS vs. 56 ± 11 cm/sec controls, p < .05), decreased peak rapid filling velocity/peak atrial filling velocity (1.1 ± 0.3, SS, 1.1 ± 0.2 SWS vs. 1.5 ± 0.4 controls, p < .05), increased atrial filling fraction (39 ± 11 SS, 42 ± 6 SWS vs. 30 ± 10 controls, p < .05) and prolongation of atrial filling period as a function of the diastolic filling period (0.48 ± 0.10 SS, 0.43 ± 0.10 SWS vs. 0.30 ± 0.07 controls, p < .05). Heart rate was higher in SS and SWS compared with controls (116 ± 15 beat/min SS, 110 ± 26 beat/min SWS vs. 73 ± 12 beat/min controls, p < .05). In patients with SS and SWS, there is increased reliance on atrial systolic contribution to diastolic filling. We conclude that diastolic dysfunction occurs with systemic infections.

Original languageEnglish
Pages (from-to)709-714
Number of pages6
JournalCritical care medicine
Volume18
Issue number7
DOIs
StatePublished - Jan 1 1990

Fingerprint

Dive into the research topics of 'Left ventricular diastolic function in sepsis'. Together they form a unique fingerprint.

Cite this