Progress in the Clinical Assessment and Treatment of Myocardial Depression in Critically Ill Patient with Sepsis

Abstract

Xu-Dong Shen,1 Hua-Sheng Zhang,1 Rui Zhang,1 Jun Li,1 Zhi-Gang Zhou,1 Zhi-Xian Jin,2 Yin-Jia Wang1 1Department of Critical Care Medicine, Calmette Hospital Affiliated to Kunming Medical University, Kunming, 650011, People’s Republic of China; 2Department of Respiratory Medicine, Calmette Hospital Affiliated to Kunming Medical University, Kunming, 650011, People’s Republic of ChinaCorrespondence: Yin-Jia Wang, Department of Critical Care Medicine, Calmette Hospital Affiliated to Kunming Medical University, No. 1228 of Beijing Road, Panlong District, Kunming, 650011, People’s Republic of China, Tel [phone], Fax [phone], Email [email protected]: Myocardial inhibition is the main cause of death in patients with sepsis.In recent years, methodological differences in the diagnosis, assessment, and treatment of septic myocardial depression have been observed, and how to objectively and accurately evaluate the degree of myocardial depression and the timing of treatment strategies have generally been the focus of this area of research. Based on the relevant research at home and abroad, the current review summarizes the clinical characteristics, methodological diagnosis, and symptomatic treatment of septic myocardial depression. The aim of doing so is to provide a reference for the early identification and treatment of patients with sepsis and myocardial depression.Keywords: sepsis, myocardial depression, left ventricular systolic function, fluid resuscitation

Keywords

• sepsis
• myocardial depression
• left ventricular systolic function
• fluid resuscitation