Prognostic Assessment of Diastolic and Systolic Left Ventricular Function in Septic Shock
NCT02918214 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 440
Last updated 2026-03-19
Summary
Sepsis induces a reversible systolic and diastolic cardiac dysfunction. The presence of a left ventricular (LV) diastolic dysfunction during septic shock could favor harmful volume overload. Recently, a meta-analysis suggested a negative prognostic role of LV diastolic dysfunction in septic patients (Od Ratio: 1.82; 95%CI: 1.12 - 2.97; p = 0.02) but its external validity is hampered by the numerous limits and the heterogeneity of the studies. To date, a pathophysiological link between LV diastolic dysfunction associated with septic shock and the water balance (reflecting volume overload) remains to establish. In addition, small size studies reported an excess of mortality in patients with septic shock who were diagnosed with a high cardiac output. However, no large cohort has yet confirmed the negative prognostic role of a hyperkinetic hemodynamic profile at the initial phase of septic shock.
Conditions
- Septic Shock
- Echocardiography
- Diastolic Dysfunction
- Hyperkinesia
Sponsors & Collaborators
-
University Hospital, Tours
collaborator OTHER -
University Hospital, Limoges
lead OTHER
Principal Investigators
-
Marine GOUDELIN, MD · University Hospital, Limoges
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-01-31
- Primary Completion
- 2019-10-31
- Completion
- 2019-10-31
Countries
- France
Study Locations
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