Table 2.
Echocardiographic findings obtained by the expert intensivists (n = 100)
| Septic group | Other acute circulatory failure | P | |
| n = 55 | n = 45 | ||
| Echocardiographic patterns | |||
| Left ventricular characteristics | |||
| Global systolic function | |||
| Normal or increased | 43 (78) | 28 (62) | 0.08 |
| Depressed | 7 (13) | 6 (13) | 0.93 |
| Severely depressed | 3 (5) | 10 (22) | 0.01 |
| Non addressed | 2 (4) | 1 (2) | 1.0 |
| Cavity size | |||
| Enlarged | 5 (9) | 5 (11) | 0.75 |
| Normal | 41 (75) | 32 (71) | 0.70 |
| Reduced | 6 (11) | 7 (16) | 0.49 |
| Non addressed | 3 (5) | 1 (2) | 0.62 |
| Right ventricular characteristics | |||
| Global function | |||
| Normal | 45 (82) | 33 (73) | 0.31 |
| Failure | 7 (13) | 11 (24) | 0.30 |
| Non addressed | 3 (5) | 1 (2) | 0.62 |
| Cavity size | |||
| Normal | 25 (45) | 24 (53) | 0.43 |
| Dilated | 17 (30) | 15 (33) | 0.79 |
| Non addressed | 13 (23) | 6 (13) | 0.19 |
| End-diastolic RV/LV diameter (mean) | 0.72 ± 0.21 | 0.80 ± 0.36 | 0.43 |
| Inferior vena cava characteristics | |||
| Size | |||
| Small (≤15 mm) | 26 (47) | 12 (27) | 0.03 |
| Normal | 18 (33) | 12 (27) | 0.51 |
| Dilated (≥23 mm) | 8 (15) | 14 (31) | 0.046 |
| Non addressed | 3 (5) | 7 (15) | 0.11 |
| Respiratory variations | |||
| Inspiratory collapse | 35 (64) | 15 (33) | <0.01 |
| Non addressed | 3 (5) | 7 (15) | 0.11 |
| Pericardial effusion | 0 (0) | 4 (9) | — |
| Non addressed | 3 (5) | 1 (2) | 0.62 |
| Severe valvular regurgitation | 0 (0) | 1 (2) | — |
| Non addressed | 3 (5) | 3 (7) | 1.0 |
| Hemodynamic profile | |||
| Hypovolemia | 33 (60) | 23 (51) | 0.37 |
| Left ventricular failure | 10 (18) | 16 (36) | 0.04 |
| Hyperdynamic left ventricle associated with vasoplegia* | 17 (31) | 5 (11) | 0.02 |
| Right ventricular failure | 7 (13) | 11 (24) | 0.30 |
| Tamponade | 0 (0) | 2 (4) | — |
| Acute massive left-sided valvular regurgitation | 0 (0) | 1 (2) | — |
| No relevant hemodynamic abnormality | 8† (14) | 2 (4) | 0.18 |
Numbers between parentheses indicate percentages.
*Associated with hypovolemia, explaining that percentages exceed 100%.
†All in patients with sepsis.