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Incidence, prevalence and prognostic implications of right-sided heart failure in acute respiratory distress syndrome: A prospective observational study

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Original Article

Author Details : Sonika Agarwal*, Pankaj Rana, Sushant Khanduri, Mukta Singh, Reshma Kaushik

Volume : 9, Issue : 1, Year : 2022

Article Page : 37-41

https://doi.org/10.18231/j.ijca.2022.009

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Abstract

Objective:  Acute respiratory distress syndrome is a heterogeneous disease which involves both the alveoli and pulmonary vessels. Acute cor pulmonale was initially considered as a marker of severity but its impact on outcome is still controversial.
Materials and Methods: This was a prospective observational study conducted over a period of nine months in ICU of a tertiary care center in India. Out of 2028 patient admitted in ICU 64 patients with ARDS (Berlins definition) underwent transthoracic echocardiography within 3 days of admission after diagnosis.
Result: Acute cor pulmonale(ACP) was detected in 23 (36%) patients. Patients with ACP have greater the severity of disease and higher APACHE score as compared to those without ACP.Ph, PCO and P/F ratio appears to be the independent risk factor in patients for ACP in ARDS. Patients with ACP in ARDS had a higher incidence of shock and mortality(43.5%).
Conclusion: ACP is quite common in ARDS. Due to its effect on the outcome, it appears to be a major factor in deciding ventilatory strategy in patients with ARDS. Right ventricle protective approach of ventilation keeps lung and heart connected.
 

Keywords: Acute respiratory distress syndrome, Acute cor pulmonale, Echocardiography, Mechanical ventilation.

How to cite : Agarwal S, Rana P, Khanduri S, Singh M, Kaushik R, Incidence, prevalence and prognostic implications of right-sided heart failure in acute respiratory distress syndrome: A prospective observational study. Indian J Clin Anaesth 2022;9(1):37-41

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