title: Diastolic dysfunction in the critically ill patient.
abstract: Left ventricular diastolic dysfunction is a common finding in critically ill patients. It is characterized by a progressive deterioration of the relaxation and the compliance of the left ventricle. Two-dimensional and Doppler echocardiography is a cornerstone in its diagnosis. Acute pulmonary edema associated with hypertensive crisis is the most frequent presentation of diastolic dysfunction critically ill patients. Myocardial ischemia, sepsis and weaning failure from mechanical ventilation also may be associated with diastolic dysfunction. The treatment is based on the reduction of pulmonary congestion and left ventricular filling pressures. Some studies have found a prognostic role of diastolic dysfunction in some diseases such as sepsis. The present review aims to analyze thoroughly the echocardiographic diagnosis and the most frequent scenarios in critically ill patients in whom diastolic dysfunction plays a key role.
authors: Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Calle de Sant Quintí, 89, 08026 Barcelona, Spain.
authors: J C
authors: JC
authors: Suárez
authors: Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Calle de Sant Quintí, 89, 08026 Barcelona, Spain.
authors: P
authors: P
authors: López
authors: Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Calle de Sant Quintí, 89, 08026 Barcelona, Spain.
authors: J
authors: J
authors: Mancebo
authors: Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Calle de Sant Quintí, 89, 08026 Barcelona, Spain. Electronic address: LZapata@santpau.cat.
authors: L
authors: L
authors: Zapata
mesh_terms: D009202:Cardiomyopathies; D016638:Critical Illness; D004452:Echocardiography; D015150:Echocardiography, Doppler; D006333:Heart Failure; D006801:Humans; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging*
keywords: Critically ill; Diastolic heart failure; Echocardiography; Ecocardiograma; Enfermo crítico; Fracción de eyección ventricular; Insuficiencia cardíaca diastólica; Mechanical ventilation; Septic shock; Shock séptico; Ventilación mecánica; Ventricular ejection fraction