الفهرس 
Evaluating the effect of sepsis and septic shock on myocardial functions by echocardiography and serum biomarkers level in peripheral veins and coronary sinus
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Abstract
Over a period of two years from December 2011 to July 2013 thirty patients (15 males & 15 females) were selected from admitted patients to the Critical Care department, Cairo University to be included in our study. Pts were subdivided into 2 groups septic group (I) and non - septic group (II). Septic group (I) meeting the criteria for sepsis and /or refractory circulatory failure and /or MODS while group (II) will be pts subjected to Cardiac devices implantation in the Cath - lab. 20 patients (group I) with sepsis or septic shock were included and another 10 patients (group II) were served as Non - septic group. For group I, Morbidity and mortality at the day 28 in ICU were targeted as end point. Full history, examination and laboratory investigations were done, APACHE IV, SAPS II, SOFA scores were calculated. Biomarkers IL -1Ü, IL -1Ý, IL -6, IL -10, TNF Ü, CRP, NT - pro BNP and troponin level were estimated on admission and day 7 in peripheral vein (PV) and coronary sinus (CS). Trans - thoracic echocardiography (TTE) and Tissue Doppler Imaging (TDI) was done on admission and on day 7