Hemodynamics, fluids & transfusion

Association of Shock Index with Echocardiographic Parameters in Cardiac Intensive Care Unit

J Crit CarePublished Retrospective cohort study

Authors' conclusion

CICU patients with elevated SI have worse biventricular function and systemic hemodynamics, particularly decreased stroke volume and related calculated TTE parameters.

Study context

Population
Mayo Clinic cardiac intensive care unit (CICU) admissions 2007–2018 in sinus rhythm at the time of TTE58% acute coronary syndrome
Participants
6,289 admissions
Exposure
Shock index (SI) <0.7 vs 0.7-0.99 vs ≥ 1.0
  • <0.7n = 4,012reference
  • 0.7-0.99n = 1,764
  • ≥ 1.0n = 513
Outcome
Correlation of SI with TTE parameters
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Mean SI (BPM/mmHg)
0.67
Correlation of SI with left ventricular (LV) stroke work index (r)
−0.59
Correlation of SI with left ventricular outflow tract (LVOT) velocity time integral (VTI) (r)
−0.41
Correlation of SI with systemic vascular resistance index (r)
−0.43
Correlation of SI with left ventricular ejection fraction (LVEF) (r)
−0.23

Observational data: associations, not effects.

Original publication

Association of Shock Index with Echocardiographic Parameters in Cardiac Intensive Care Unit. J Crit Care. Published 25 October 2023. doi:10.1016/j.jcrc.2023.154445

Composed by AI from the published abstract and checked against it. How Briefs are made →

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