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Assessing acute and late developing heart function in patients with sepsis and septic shock with cardiac ultrasound

Not Applicable
Conditions
eft ventricular function in septic shock
Circulatory System
Left ventricular function in septic shock
Registration Number
ISRCTN13837507
Lead Sponsor
Portsmouth Hospitals NHS Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
118
Inclusion Criteria

1. Aged 18-85 years inclusive
2. Sepsis or septic shock (defined by Third International Consensus Definitions for Sepsis and Septic Shock)
3. Admission to the Intensive Care Unit (ICU)
4. Consent to inclusion or favourable opinion for inclusion from consultee

Exclusion Criteria

1. Pregnancy or complications thereof
2. End-Stage Renal Failure (ESRF) requiring dialysis, or Chronic Kidney Disease (CKD) with eGFR <30 ml/min
3. Cardiac transplant recipient
4. Uncorrected valvular dysfunction (graded as moderate or severe)
5. Known structural heart disease
6. Pre-existing cardiomyopathy with bundle block on electrocardiogram (ECG)
7. Previous cardiac valve replacement
8. Post-operative within last 7 days
9. Atrial fibrillation/flutter or frequent ventricular ectopic beats during image acquisition
10. Death likely within 24 h in the opinion of the assessing clinician

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Left ventricular function measured using:<br>1.1. Echocardiography: two-dimensional ejection fraction calculation (2D EF), three-dimensional ejection fraction (3D EF), and global longitudinal strain (GLS), at 24 h, 72 h, 30 days, and 90 days<br>1.2. Peripheral venous blood tests to identify troponin (high sensitivity assay- HS TROP), and B-type natriuretic peptides (BNP) at 24 h, 30 days, and 90 days
Secondary Outcome Measures
NameTimeMethod
There are no secondary outcome measures
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