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Critical Care Echocardiography as a Routine Procedure for the Detection and Early Treatment of Cardiac Pathologies

dc.contributor.authorSchmidt, Stefan
dc.contributor.authorDieks, Jana-Katharina
dc.contributor.authorQuintel, Michael
dc.contributor.authorMoerer, Onnen
dc.date.accessioned2020-09-17T10:19:16Z
dc.date.available2020-09-17T10:19:16Z
dc.date.issued2020de
dc.identifier.urihttp://resolver.sub.uni-goettingen.de/purl?gs-1/17557
dc.description.abstractTransthoracic and transesophageal echocardiography are important investigations in the intensive care unit (ICU) to diagnose acute cardiac pathologies and assess the haemodynamic status. Recommendations for critical care echocardiography (CCE) have been published recently, but these still lack an evidence-based foundation. It is not known if performing transthoracic echocardiography (TTE) on a routine basis instead of only when required in acute cases is feasible or clinically useful. In this single-centre prospective observational study, we routinely performed TTE on 111 consecutive non-cardiological, non-cardiothoracic surgical ICU patients in two surgical ICUs in a tertiary care facility. Significant cardiac pathologies were detected in 82 (76.6%) and critical cardiac pathologies in 33 (30.8%) of the 107 patients. The most common critical cardiac pathologies were sPAP > 50 mmHg (19.63%), tricuspid annular plane systolic excursion ≤ 13 mm (9.4%), grade III diastolic dysfunction (8.4%), severe tricuspid valve insufficiency (5.6%) and left ventricular ejection fraction (LV-EF) ˂ 30% (4.7%). Some of the most commonly found cardiac pathologies are not well emphasised in current recommendations and training programs. We observed a progression of the cardiac pathologies previously described in 41 of the patients (91.1%). Patients with echocardiographic abnormalities had a significant survival disadvantage in the ICU. By performing CCE routinely, we observed the range and prevalence of cardiac pathologies that can be detected by echocardiography in critically ill patients. We recommend routine transthoracic CCE in ICU patients for early detection of cardiac pathologies and to help inform early intervention regimens, since cardiac conditions carry a significant survival disadvantage for the ICU patient.de
dc.description.sponsorshipOpen-Access-Publikationsfonds 2020
dc.language.isoengde
dc.rightsopenAccess
dc.rightsNamensnennung 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectcritical care echocardiography; intensive care; critical care; transthoracic echocardiography; cardiac disease; transthoracic image qualityde
dc.subject.ddc610
dc.titleCritical Care Echocardiography as a Routine Procedure for the Detection and Early Treatment of Cardiac Pathologiesde
dc.typejournalArticlede
dc.identifier.doi10.3390/diagnostics10090671
dc.type.versionpublishedVersionde
dc.relation.eISSN2075-4418
dc.bibliographicCitation.volume10de
dc.bibliographicCitation.issue9de
dc.bibliographicCitation.firstPage1de
dc.bibliographicCitation.lastPage12de
dc.type.subtypejournalArticle
dc.bibliographicCitation.articlenumber671de
dc.description.statuspeerReviewedde
dc.bibliographicCitation.journalDiagnosticsde


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