Title: Septic Cardiomyopathy<br/>Author: Mike Winters<br/><a href='http://umem.org/profiles/faculty/141/'>[Click to email author]</a><hr/><p>
<strong><u>Septic Cardiomyopathy</u></strong></p>
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Cardiac dysfunction is common in patients with sepsis.</li>
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Though mulitiple definitions exist, sepsis cardiomyopathy (SCM) is generally defined as an "acute syndrome of cardiac dysfunction that is unrelated to ischemia in patients with sepsis".</li>
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Depending on the study, the incidence of SCM ranges anwywhere from 7% to 70%.</li>
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Risk factors for SCM include:
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Male</li>
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Younger age</li>
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High lactate at admission</li>
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History of heart failure</li>
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The best approach to treating patients with SCM is to maximize your treatment of sepsis.</li>
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Dobutamine is no longer routinely recommended for SCM based solely on measurements of ScvO2.</li>
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<fieldset><legend>References</legend>
<p>
Beesley S, et al. Septic cardiomyopathy. <em>Crit Care Med</em> 2018. [epub ahead of print]</p>
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