Right Ventricle Dysfunction in Critically Ill Patients

Brief Summary

Detailed Description

1. Inclusion criteria: - Adult patients who admitted to critical care of Internal medicine department after obtaining consent during the period between august 2023 and august 2024. 2. Exclusion criteria: 1. Children below 18 yr. 2. Patients who could not be scanned within 48h after ICU admission. 3. Sample Size Calculation: 200 patients 2.4.4 Study tools (in detail, e.g., lab methods, instruments, steps, chemicals, ): Beside history and clinical examination , The following data will be obtained: Demographic and historical data: the patient age, sex, history of hypertension, chronic obstructive pulmonary disease, IHD, cause of critical care unit admission and indication of mechanical ventilation( PEEP). Clinical examination data: pulse, blood pressure, respiratory rate, temperature , BMI, and thorough chest, cardiac examination data will be obtained. Volume state of the patient: CVP measurement, input and output fluid chart. APACHE IV score, Use of vasopressors, Use of sedatives. Investigation : Arterial blood gas analysis, pulse oxygen saturation, CBC, and renal function test and electrolytes, serum lactate and troponin. 12 lead ECG for RV strain patterns.

Primary Outcomes

Secondary Outcomes

• Impact of right ventricle dysfunction in Critically ill patients on short term and long term outcome(Baseline)