الفهرس 
Adult Respiratory Distress SyndromeOnly 14 pages are availabe for public view
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Abstract
Background: ARDS is a life threatening respiratory condition. Bedside echocardiography can be performed simply assessing the left and right ventricular structure and function. Objectives: To detect the prevalence and prognostic values of right ventricular and pulmonary artery echo findings in ventilated patients with ARDS.
Subject and methods: A prospective study randomly recruited 40 ARDS patients underwent trans-thoracic echocardiography commenting on left ventricular ejection fraction (LVEF), right ventricular systolic pressure (RVSP), Right ventricular end diastolic area to left ventricular end diastolic area ratio (RV/LV), tricuspid annular plane systolic excursion (TAPSE) and paradoxical septal motion (PSM) to correlate prognosis. Results: day 1 TAPSE in died patients was19.0±4.5 and survivors 22.2±2.3 with p value 0.019. TAPSE of day 3 in died patients was 18.7±3.4 and survivors 21.5±2.2 with p value 0.020. RV/LV increased in 7 deaths (53.8%) at day three and no one of survivors with significant p value (0.005). PSM was positive in 6 deaths (50%), and a survivor with significant p value (0.026). Acute cor-pulmonale (ACP) was present in 6 died patients (54.5%), and none of survivors with significant p value (0.003). RVSP mean in non-ACP patients was 30.7±7.3 while 43.2±9.4 in ACP patients (p value 0. 005). Conclusion: RV dilatation and/or PSM has bad prognosis. RVSP is higher in patients with ACP