Reversibility of Diastolic Disfunction in Septic Shock

Early Reversibility of Diastolic Disfunction as a Prognostic Factor in Septic Shock

Objectives: To study the prognostic value of the evolution of diastolic function according to fluid balance in patients admitted to the ICU with a diagnosis of septic shock, in terms of mortality (ICU and hospital) and mortality at 90 days.

2.4. Secondary objectives: A) Incidence and reversibility of myocardial dysfunction (left ventricular systolic and diastolic) in septic shock.

B) Incidence and reversibility of diastolic dysfunction according to the echocardiographic criterion used.

C) Incidence and reversibility of right ventricular systolic dysfunction.

Inclusion Criteria:

• Patients admitted to the ICU with diagnosis of septic shock, and stay longer than 48h

Exclusion Criteria:

• No echocardiographic window
• Fatal prognosis with do not resuscitate orders at admission
• Previous history of Ischemic cardiomyopathy
• Valvular prosthesis
• Advanced degree of valvular disorder
• Advanced degree of pericardial effusion