Research Article

Hemodynamics in Shock Patients Assessed by Critical Care Ultrasound and Its Relationship to Outcome: A Prospective Study

Table 4

Cardiorespiratory ultrasonic variables of shock patients.

Cardiac structure/case (%)MeasureRange

Ventricular chamber size abnormal
 RV : LV area ratio(0.18, 3.0)
 RV dilatation/case (%)31.0 (17.1)
 LVEDD (cm)(2.84, 6.05)
 LV dilatation/case (%)17.0 (13.0)
Ventricular wall hypertrophic/case (%)75.0 (54.7)
 IVS (cm)(0.5, 1.92)
 LV posterior wall (cm)(0.57, 2.86)
Pericardial effusion/case (%)26.0 (14.4)
 Volume of pericardial effusion (cm)(0.6, 2.2)
 Diameter of pericardial effusion/case (%)
  <1 cm21.0 (11.6)
  1-2 cm4.0 (2.2)
  >2 cm1.0 (0.6)
Diameter of IVC (cm)(0.55, 2.73)
 dIVC (%)10.77 (4.23, 33.89)(0, 480.91)
 Intermediate status volume/case (%)39.0 (24.5)
 IVC abnormal/case (%)85.0 (53.5)
  Hypovolemia38.0 (23.9)
  Hypervolemia47.0 (29.6)
 Unknown/case (%)35.0 (22.0)
RV dysfunction/case (%)68.0 (47.2)
 TAPSE (cm)(0.77, 3.48)
 S-TV (cm/s)(3.04, 32.3)
LV systolic dysfunction/case (%)65.0 (40.6)
 EF (%)(16.9, 88)
 MAPSE (cm)(0.27, 2.36)
 S-MV (cm/s)(2.71, 24.0)
LV diastolic dysfunction/case (%)113.0 (74.3)
 MV-E(37.20, 253.0)
 MV-A(32.4, 188.0)
 MV-E/A(0.52, 2.70)
 MV-e(1.55, 62.80)
 MV-a(2.09, 26.90)
 E/e(3.22, 29.62)
LUSS(0, 22.0)
LUS abnormal/case (%)161.0 (92.0)
 Pneumothorax/case (%)4.0 (2.3)
 Pleural effusion/case (%)101.0 (57.7)
 Consolidation/atelectasis/case (%)110.0 (62.9)
 B lines/case (%)147.0 (84.0)

Values were expressed as deviation or median (interquartile range), according to the type of data and data distribution. Abbreviations: RV: right ventricle; LV: left ventricle; IVS: interventricular septum; LVEDD: left ventricular end-diastolic dimension; IVC: inferior vena cava; dIVC: distensibility index of the inferior vena cava; TAPSE: tricuspid annular plane systolic excursion; EF: ejection fraction; MAPSE: mitral annular plane systolic excursion; MV: mitral valve; MV-E: early diastolic transmitral velocity; MV-A: late diastolic transmitral velocity; e: early mitral annulus diastolic velocity; a: later mitral annulus diastolic velocity; S-TV: tricuspid annular peak systolic velocity; S-MV: mitral annular peak systolic velocity; E/e: early diastolic transmitral velocity to early mitral annulus diastolic velocity ratio; LUS: lung ultrasound; LUSS: lung ultrasound score.