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Septic Cardiomyopathy
- Cardiac dysfunction is common in patients with sepsis.
- Though mulitiple definitions exist, sepsis cardiomyopathy (SCM) is generally defined as an "acute syndrome of cardiac dysfunction that is unrelated to ischemia in patients with sepsis".
- Depending on the study, the incidence of SCM ranges anwywhere from 7% to 70%.
- Risk factors for SCM include:
- Male
- Younger age
- High lactate at admission
- History of heart failure
- The best approach to treating patients with SCM is to maximize your treatment of sepsis.
- Dobutamine is no longer routinely recommended for SCM based solely on measurements of ScvO2.
References
Beesley S, et al. Septic cardiomyopathy. Crit Care Med 2018. [epub ahead of print]