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Diastology in the intensive care unit: challenges for the assessment and future directions

Bibliographic Details
Main Author: Gonzalez, Filipe
Publication Date: 2024
Other Authors: Santonocito, Cristina, Maybauer, Marc O., Lopes, Luís Rocha, Almeida, Ana G., Sanfilippo, Filippo
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10451/62879
Summary: © 2024 The Authors. Echocardiography published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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spelling Diastology in the intensive care unit: challenges for the assessment and future directionsCritically illDiastolic dysfunctionEchocardiographyIntensive careLeft atrial strainMyocardial dysfunction© 2024 The Authors. Echocardiography published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.Myocardial dysfunction is common in patients admitted to the intensive care unit (ICU). Septic disease frequently results in cardiac dysfunction, and sepsis represents the most common cause of admission and death in the ICU. The association between left ventricular (LV) systolic dysfunction and mortality is not clear for critically ill patients. Conversely, LV diastolic dysfunction (DD) seems increasingly recognized as a factor associated with poor outcomes, not only in sepsis but also more generally in critically ill patients. Despite recent attempts to simplify the diagnosis and grading of DD, this remains relatively complex, with the need to use several echocardiographic parameters. Furthermore, the current guidelines have several intrinsic limitations when applied to the ICU setting. In this manuscript, we discuss the challenges in DD classification when applied to critically ill patients, the importance of left atrial pressure estimates for the management of patients in ICU, and whether the study of cardiac dysfunction spectrum during critical illness may benefit from the integration of left ventricular and left atrial strain data to improve diagnostic accuracy and implications for the treatment and prognosis.WileyRepositório da Universidade de LisboaGonzalez, FilipeSantonocito, CristinaMaybauer, Marc O.Lopes, Luís RochaAlmeida, Ana G.Sanfilippo, Filippo2024-02-23T16:03:02Z20242024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/62879engEchocardiography. 2024 Feb;41(2):e157730742-282210.1111/echo.157731540-8175info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T15:11:59Zoai:repositorio.ulisboa.pt:10451/62879Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T03:36:28.021397Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Diastology in the intensive care unit: challenges for the assessment and future directions
title Diastology in the intensive care unit: challenges for the assessment and future directions
spellingShingle Diastology in the intensive care unit: challenges for the assessment and future directions
Gonzalez, Filipe
Critically ill
Diastolic dysfunction
Echocardiography
Intensive care
Left atrial strain
Myocardial dysfunction
title_short Diastology in the intensive care unit: challenges for the assessment and future directions
title_full Diastology in the intensive care unit: challenges for the assessment and future directions
title_fullStr Diastology in the intensive care unit: challenges for the assessment and future directions
title_full_unstemmed Diastology in the intensive care unit: challenges for the assessment and future directions
title_sort Diastology in the intensive care unit: challenges for the assessment and future directions
author Gonzalez, Filipe
author_facet Gonzalez, Filipe
Santonocito, Cristina
Maybauer, Marc O.
Lopes, Luís Rocha
Almeida, Ana G.
Sanfilippo, Filippo
author_role author
author2 Santonocito, Cristina
Maybauer, Marc O.
Lopes, Luís Rocha
Almeida, Ana G.
Sanfilippo, Filippo
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Gonzalez, Filipe
Santonocito, Cristina
Maybauer, Marc O.
Lopes, Luís Rocha
Almeida, Ana G.
Sanfilippo, Filippo
dc.subject.por.fl_str_mv Critically ill
Diastolic dysfunction
Echocardiography
Intensive care
Left atrial strain
Myocardial dysfunction
topic Critically ill
Diastolic dysfunction
Echocardiography
Intensive care
Left atrial strain
Myocardial dysfunction
description © 2024 The Authors. Echocardiography published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
publishDate 2024
dc.date.none.fl_str_mv 2024-02-23T16:03:02Z
2024
2024-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/62879
url http://hdl.handle.net/10451/62879
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Echocardiography. 2024 Feb;41(2):e15773
0742-2822
10.1111/echo.15773
1540-8175
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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