Sepsis-induced cardiogenic shock: controversies and evidence gaps in diagnosis and management
Author Information
Author(s): Sato Ryota, Hasegawa Daisuke, Guo Stephanie, Nuqali Abdulelah E., Moreno Jesus E. Pino
Primary Institution: The Queen’s Medical Center, Honolulu, HI USA
Hypothesis
How to better characterize left ventricular (LV) systolic function and whether we need to treat LV systolic dysfunction?
Conclusion
Addressing the evidence gaps in SICS diagnosis and management is crucial, with echocardiography for screening and advanced monitoring being important for optimal patient care.
Supporting Evidence
- SICS is known to be associated with significantly higher mortality.
- A history of cardiac dysfunction is a strong predictor of SICS.
- Echocardiography could be a useful screening tool for high-risk individuals.
- Mechanical circulatory support (MCS) might be considered for severe cases.
Takeaway
Sepsis can cause heart problems, and it's important to check how well the heart is working in patients with sepsis to help them better.
Methodology
This review explored the prevalence, diagnosis, and management of sepsis-induced cardiogenic shock (SICS).
Potential Biases
Limited studies regarding SICS and the potential for misdiagnosis due to overlapping clinical presentations.
Limitations
The definitions of cardiac dysfunction and hypoperfusion in guidelines are ambiguous, leading to varied interpretations among clinicians.
Participant Demographics
The aging population with pre-existing heart conditions is a significant demographic factor.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website