ISSN: 1859 - 2872
Prognostic value of global longitudinal strain in patients with septic shock
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Abstract
Objective: We sought to evaluate prognostic value of global longitudinal strain (GLS) by speckle tracking echocardiography in patients with septic shock. Subject and method: This is a prospective, observational study on 90 septic shock patients according to criteria of SCCM/ESICM (2016). This study was perfomed at 108 Military Central Hospital from June 2017 to December 2018. Transthoracic echocardiography and speckle tracking echocardiography were performed on all patients within 24 hours of diagnostic onset. Result: Global longitudinal strain in nonsurvivors was significant greater than survivors (-13.1 ± 3.2% vs -15.8 ± 2.9%, p<0.01). GLS had a very fair diagnostic value for septic shock with AUC 0.76 (p<0.001), at cut-off value -14.2%, sensitivity 66.7% and specificity 84.3%. Conclusion: GLS might be a reliable prognostic predictor of the outcomes of patients with septic shock.
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References
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