الفهرس | Only 14 pages are availabe for public view |
Abstract Sepsis is frequently associated with new-onset supraventricular arrhythmias (NOSVA), which has been reported in 6 % of patients with severe sepsis and in 46 % of those with septic shock. The identified predictors of AF in sepsis include advanced age, renal failure, preexisting cardiomyopathy, history of hypertension, high SOFA score, and previous calcium channel blocker treatment. Data evaluating risk factors for NOSVA during septic shock are scarce. Objective: The main aim of this study was to prospectively assess the prevalence of NOSVA during septic shock, to identify the associated factors, and to evaluate its impact on hemodynamics and outcome of patients. Methodology: This is a prospective observational study that enrolled 60 critically ill and mechanical ventilated patients admitted to the critical care medicine department at Alexandria University Hospitals. Patients were categorized into 2 groups based on the development of NOSVA. Results: The first group (SVA Group) included 24 patients who developed NOSVA. The second group (SR Group) consisted of 36 patients who didn’t develop NOSVA. • Regarding Vital & Clinical Data: Nearly all parameters of vital and clinical data weren’t significantly different between study groups except for deterioration in mean arterial pressure, increasing the prevalence of inotrope indication, and the vasopressor (norepinephrine) infusion doses were significantly higher in SVA group. |