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http://dx.doi.org/10.1097/CCM.0000000000005724 | DOI Listing |
Chest
September 2025
Department of Critical Care Medicine, Respiratory Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, USA; Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA.
Topic Importance: Sepsis-induced cardiomyopathy (SICM) is a heterogeneous cardiovascular dysfunction associated with sepsis and septic shock. While traditionally defined by reversible left ventricular (LV) systolic dysfunction, recent evidence has revealed a broader spectrum, including LV diastolic dysfunction, hyperdynamic LV systolic states, and right ventricular (RV) injury, occurring independently or in combination. Despite their prognostic significance, these phenotypes remain underrecognized and understudied.
View Article and Find Full Text PDFBMC Anesthesiol
July 2025
Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Background: To investigate the various types of left ventricular (LV) and right ventricular (RV) dysfunction and their association with clinical outcomes in septic patients.
Methods: We retrospectively reviewed a cohort of sepsis and septic shock patients admitted to a tertiary hospital intensive care unit (ICU). Left ventricular dysfunction was determined by left ventricular ejection fraction (LVEF).
BMJ Case Rep
June 2025
Anaesthetics, Ramsay Health Care Limited, Joondalup, Western Australia, Australia.
Reverse Takotsubo cardiomyopathy is a rare variant of cardiomyopathy, characterised by left ventricular basal and midventricular akinesis with sparing of the apex. A previously well woman in her 30s with current social stressors was noted to be bradycardic following a high spinal block at elective caesarean section. After administration of glycopyrrolate, she became acutely dyspnoeic, tachycardic and hypertensive.
View Article and Find Full Text PDFEur Heart J Case Rep
May 2025
Division of Cardiovascular Medicine, Department of Internal Medicine, Hyogo Prefectural Tamba Medical Center, 2002-7, Isou, Hikami-cho, Tamba-shi, Hyogo, Tamba 669-3495, Japan.
Background: The principal roles of the pericardium include protection from microorganisms, prevention of cardiac friction, and restriction of unlimited dilation of the heart. In the case of a congenital pericardial defect in which structural, electrophysiological, and haemodynamic abnormalities manifested during postural changes, we propose another indispensable pericardial function of cardiac central anchorage.
Case Summary: A 29-year-old man with atypical chest pain was referred to our hospital.