Document Detail


Cardiac function in pediatric septic shock survivors.
MedLine Citation:
PMID:  19047544     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the long-term effects of septic shock on cardiac function in children treated with inotropic and/or vasoconstrictive agents for 24 hours or longer.
DESIGN: Cohort study.
SETTING: Tertiary pediatric intensive care unit and outpatient follow-up clinic.
PARTICIPANTS: One hundred eight of 144 eligible children who were admitted to our tertiary pediatric intensive care unit with septic shock from 1995 through 2005 and were alive in 2006 were invited to participate and visit our outpatient follow-up clinic. Fifty-two healthy controls were included.
MAIN EXPOSURE: Septic shock survival.
OUTCOME MEASURES: History, physical examination, electrocardiogram during rest and exercise, 24-hour electrocardiography registration, and left and right ventricular function.
RESULTS: No children had abnormalities when histories were taken or during physical examination that were attributable to cardiac dysfunction. Six children (6%) had cardiac abnormalities: polymorphic premature ventricular contractions during exercise and 24-hour electrocardiography registration (2 patients), decreased left ventricular function (2 patients), decreased left ventricular function and polymorphic premature ventricular contractions (1 patient), and decreased right ventricular function (1 patient).
CONCLUSIONS: In this small and diverse group of pediatric septic shock survivors, we found an excellent recovery of cardiac performance in most patients. In a limited number of patients, we found rhythm disturbances and decreased ventricular function. We believe that, against the background of aging, long-term cardiac follow-up of these patients is important.
Authors:
Hendrika Knoester; Jeanine J Sol; Pascal Ramsodit; Irene M Kuipers; Sally-Ann B Clur; Albert P Bos
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  162     ISSN:  1538-3628     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-02     Completed Date:  2008-12-18     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1164-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Echocardiography
Electrocardiography, Ambulatory
Exercise Test
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Male
Netherlands / epidemiology
Prognosis
Retrospective Studies
Severity of Illness Index
Shock, Septic / mortality,  physiopathology*
Stroke Volume / physiology
Survival Rate
Time Factors
Ventricular Function, Left / physiology*
Ventricular Function, Right / physiology*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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