Myocardial dysfunction during H1N1 influenza infection.
Identifieur interne : 000044 ( Main/Exploration ); précédent : 000043; suivant : 000045Myocardial dysfunction during H1N1 influenza infection.
Auteurs : David Fagnoul [Belgique] ; Pierre Pasquier ; Laurent Bodson ; Julian Arias Ortiz ; Jean-Louis Vincent ; Daniel De BackerSource :
- Journal of critical care [ 1557-8615 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Belgique (épidémiologie), Dysfonction ventriculaire droite (), Dysfonction ventriculaire droite (imagerie diagnostique), Dysfonction ventriculaire droite (virologie), Dysfonction ventriculaire droite (épidémiologie), Dysfonction ventriculaire gauche (), Dysfonction ventriculaire gauche (imagerie diagnostique), Dysfonction ventriculaire gauche (virologie), Dysfonction ventriculaire gauche (épidémiologie), Débit cardiaque, Femelle, Grippe humaine (), Grippe humaine (virologie), Grippe humaine (épidémiologie), Humains, Hémodynamique, Incidence, Loi du khi-deux, Maladie grave, Marqueurs biologiques (sang), Mâle, Oxygénation extracorporelle sur oxygénateur à membrane, Sous-type H1N1 du virus de la grippe A, Statistique non paramétrique, Échocardiographie.
- MESH :
- imagerie diagnostique : Dysfonction ventriculaire droite, Dysfonction ventriculaire gauche.
- sang : Marqueurs biologiques.
- virologie : Dysfonction ventriculaire droite, Dysfonction ventriculaire gauche, Grippe humaine.
- épidémiologie : Belgique, Dysfonction ventriculaire droite, Dysfonction ventriculaire gauche, Grippe humaine.
- Adulte d'âge moyen, Dysfonction ventriculaire droite, Dysfonction ventriculaire gauche, Débit cardiaque, Femelle, Grippe humaine, Humains, Hémodynamique, Incidence, Loi du khi-deux, Maladie grave, Mâle, Oxygénation extracorporelle sur oxygénateur à membrane, Sous-type H1N1 du virus de la grippe A, Statistique non paramétrique, Échocardiographie.
English descriptors
- KwdEn :
- Belgium (epidemiology), Biomarkers (blood), Cardiac Output, Chi-Square Distribution, Critical Illness, Echocardiography, Extracorporeal Membrane Oxygenation, Female, Hemodynamics, Humans, Incidence, Influenza A Virus, H1N1 Subtype, Influenza, Human (complications), Influenza, Human (epidemiology), Influenza, Human (therapy), Influenza, Human (virology), Male, Middle Aged, Statistics, Nonparametric, Ventricular Dysfunction, Left (diagnostic imaging), Ventricular Dysfunction, Left (epidemiology), Ventricular Dysfunction, Left (therapy), Ventricular Dysfunction, Left (virology), Ventricular Dysfunction, Right (diagnostic imaging), Ventricular Dysfunction, Right (epidemiology), Ventricular Dysfunction, Right (therapy), Ventricular Dysfunction, Right (virology).
- MESH :
- chemical , blood : Biomarkers.
- complications : Influenza, Human.
- diagnostic imaging : Ventricular Dysfunction, Left, Ventricular Dysfunction, Right.
- epidemiology : Belgium, Influenza, Human, Ventricular Dysfunction, Left, Ventricular Dysfunction, Right.
- therapy : Influenza, Human, Ventricular Dysfunction, Left, Ventricular Dysfunction, Right.
- virology : Influenza, Human, Ventricular Dysfunction, Left, Ventricular Dysfunction, Right.
- Cardiac Output, Chi-Square Distribution, Critical Illness, Echocardiography, Extracorporeal Membrane Oxygenation, Female, Hemodynamics, Humans, Incidence, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Statistics, Nonparametric.
Abstract
PURPOSE
The purpose of the study is to evaluate the incidence and hemodynamic consequences of right ventricular (RV) and left ventricular (LV) dysfunction in critically ill patients with H1N1 infection.
PATIENTS AND METHODS
This is a retrospective analysis of all patients admitted to the intensive care unit of an academic hospital between October 2009 and March 2011 with severe H1N1 infection. Hemodynamic measurements and respiratory conditions were noted daily during the intensive care unit stay.
RESULTS
Forty-six patients were admitted with severe H1N1 infection. Echocardiography was obtained in 39 patients on admission: 28 (72%) had abnormal ventricular function, of whom 13 (46%) had isolated LV abnormalities, 11 (39%) had isolated RV dysfunction, and 4 (14%) had biventricular dysfunction. Echocardiography was repeated in 19 of the 39 patients during their hospitalization: RV function tended to worsen with time, but LV function tended to normalize. The ventricular abnormalities were not associated with history, severity of the respiratory failure, or hemodynamic status. However, patients with ventricular dysfunction needed more aggressive therapy, including more frequent use of vasopressor and inotropic agents and of rescue ventilatory strategies, such as inhaled nitric oxide, prone positioning, and extracorporeal membrane oxygenation.
CONCLUSIONS
These observations emphasize the high incidence of cardiac dysfunction in patients with H1N1 influenza infections.
DOI: 10.1016/j.jcrc.2013.01.010
PubMed: 23566732
Affiliations:
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Pasquier</name></author><author><name sortKey="Bodson, Laurent" sort="Bodson, Laurent" uniqKey="Bodson L" first="Laurent" last="Bodson">Laurent Bodson</name></author><author><name sortKey="Ortiz, Julian Arias" sort="Ortiz, Julian Arias" uniqKey="Ortiz J" first="Julian Arias" last="Ortiz">Julian Arias Ortiz</name></author><author><name sortKey="Vincent, Jean Louis" sort="Vincent, Jean Louis" uniqKey="Vincent J" first="Jean-Louis" last="Vincent">Jean-Louis Vincent</name></author><author><name sortKey="De Backer, Daniel" sort="De Backer, Daniel" uniqKey="De Backer D" first="Daniel" last="De Backer">Daniel De Backer</name></author></analytic><series><title level="j">Journal of critical care</title><idno type="eISSN">1557-8615</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Belgium (epidemiology)</term><term>Biomarkers (blood)</term><term>Cardiac 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(virology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Belgique (épidémiologie)</term><term>Dysfonction ventriculaire droite ()</term><term>Dysfonction ventriculaire droite (imagerie diagnostique)</term><term>Dysfonction ventriculaire droite (virologie)</term><term>Dysfonction ventriculaire droite (épidémiologie)</term><term>Dysfonction ventriculaire gauche ()</term><term>Dysfonction ventriculaire gauche (imagerie diagnostique)</term><term>Dysfonction ventriculaire gauche (virologie)</term><term>Dysfonction ventriculaire gauche (épidémiologie)</term><term>Débit cardiaque</term><term>Femelle</term><term>Grippe humaine ()</term><term>Grippe humaine (virologie)</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Hémodynamique</term><term>Incidence</term><term>Loi du khi-deux</term><term>Maladie grave</term><term>Marqueurs biologiques (sang)</term><term>Mâle</term><term>Oxygénation extracorporelle sur oxygénateur à membrane</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Statistique non paramétrique</term><term>Échocardiographie</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Biomarkers</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Ventricular Dysfunction, Left</term><term>Ventricular Dysfunction, Right</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Belgium</term><term>Influenza, Human</term><term>Ventricular Dysfunction, Left</term><term>Ventricular Dysfunction, Right</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Dysfonction ventriculaire droite</term><term>Dysfonction ventriculaire gauche</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Marqueurs biologiques</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term><term>Ventricular Dysfunction, Left</term><term>Ventricular Dysfunction, Right</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Dysfonction ventriculaire droite</term><term>Dysfonction ventriculaire gauche</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term><term>Ventricular Dysfunction, Left</term><term>Ventricular Dysfunction, Right</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Belgique</term><term>Dysfonction ventriculaire droite</term><term>Dysfonction ventriculaire gauche</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cardiac Output</term><term>Chi-Square Distribution</term><term>Critical Illness</term><term>Echocardiography</term><term>Extracorporeal Membrane Oxygenation</term><term>Female</term><term>Hemodynamics</term><term>Humans</term><term>Incidence</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Dysfonction ventriculaire droite</term><term>Dysfonction ventriculaire gauche</term><term>Débit cardiaque</term><term>Femelle</term><term>Grippe humaine</term><term>Humains</term><term>Hémodynamique</term><term>Incidence</term><term>Loi du khi-deux</term><term>Maladie grave</term><term>Mâle</term><term>Oxygénation extracorporelle sur oxygénateur à membrane</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Statistique non paramétrique</term><term>Échocardiographie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>The purpose of the study is to evaluate the incidence and hemodynamic consequences of right ventricular (RV) and left ventricular (LV) dysfunction in critically ill patients with H1N1 infection.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS AND METHODS</b></p><p>This is a retrospective analysis of all patients admitted to the intensive care unit of an academic hospital between October 2009 and March 2011 with severe H1N1 infection. Hemodynamic measurements and respiratory conditions were noted daily during the intensive care unit stay.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Forty-six patients were admitted with severe H1N1 infection. Echocardiography was obtained in 39 patients on admission: 28 (72%) had abnormal ventricular function, of whom 13 (46%) had isolated LV abnormalities, 11 (39%) had isolated RV dysfunction, and 4 (14%) had biventricular dysfunction. Echocardiography was repeated in 19 of the 39 patients during their hospitalization: RV function tended to worsen with time, but LV function tended to normalize. The ventricular abnormalities were not associated with history, severity of the respiratory failure, or hemodynamic status. However, patients with ventricular dysfunction needed more aggressive therapy, including more frequent use of vasopressor and inotropic agents and of rescue ventilatory strategies, such as inhaled nitric oxide, prone positioning, and extracorporeal membrane oxygenation.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>These observations emphasize the high incidence of cardiac dysfunction in patients with H1N1 influenza infections.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23566732</PMID><DateCompleted><Year>2013</Year><Month>10</Month><Day>31</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8615</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>4</Issue><PubDate><Year>2013</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Journal of critical care</Title><ISOAbbreviation>J Crit Care</ISOAbbreviation></Journal><ArticleTitle>Myocardial dysfunction during H1N1 influenza infection.</ArticleTitle><Pagination><MedlinePgn>321-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcrc.2013.01.010</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0883-9441(13)00042-7</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of the study is to evaluate the incidence and hemodynamic consequences of right ventricular (RV) and left ventricular (LV) dysfunction in critically ill patients with H1N1 infection.</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">This is a retrospective analysis of all patients admitted to the intensive care unit of an academic hospital between October 2009 and March 2011 with severe H1N1 infection. Hemodynamic measurements and respiratory conditions were noted daily during the intensive care unit stay.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Forty-six patients were admitted with severe H1N1 infection. Echocardiography was obtained in 39 patients on admission: 28 (72%) had abnormal ventricular function, of whom 13 (46%) had isolated LV abnormalities, 11 (39%) had isolated RV dysfunction, and 4 (14%) had biventricular dysfunction. Echocardiography was repeated in 19 of the 39 patients during their hospitalization: RV function tended to worsen with time, but LV function tended to normalize. The ventricular abnormalities were not associated with history, severity of the respiratory failure, or hemodynamic status. However, patients with ventricular dysfunction needed more aggressive therapy, including more frequent use of vasopressor and inotropic agents and of rescue ventilatory strategies, such as inhaled nitric oxide, prone positioning, and extracorporeal membrane oxygenation.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These observations emphasize the high incidence of cardiac dysfunction in patients with H1N1 influenza infections.</AbstractText><CopyrightInformation>Copyright © 2013 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fagnoul</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pasquier</LastName><ForeName>Pierre</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Bodson</LastName><ForeName>Laurent</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Ortiz</LastName><ForeName>Julian Arias</ForeName><Initials>JA</Initials></Author><Author ValidYN="Y"><LastName>Vincent</LastName><ForeName>Jean-Louis</ForeName><Initials>JL</Initials></Author><Author ValidYN="Y"><LastName>De Backer</LastName><ForeName>Daniel</ForeName><Initials>D</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>04</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Crit Care</MedlineTA><NlmUniqueID>8610642</NlmUniqueID><ISSNLinking>0883-9441</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015415">Biomarkers</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N">Belgium</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015415" MajorTopicYN="N">Biomarkers</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002302" MajorTopicYN="N">Cardiac Output</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016009" MajorTopicYN="N">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016638" MajorTopicYN="N">Critical Illness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004452" MajorTopicYN="N">Echocardiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015199" MajorTopicYN="N">Extracorporeal Membrane Oxygenation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006439" MajorTopicYN="N">Hemodynamics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018709" MajorTopicYN="N">Statistics, Nonparametric</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018487" MajorTopicYN="N">Ventricular Dysfunction, Left</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName><QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018497" MajorTopicYN="N">Ventricular Dysfunction, Right</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName><QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ARDS</Keyword><Keyword MajorTopicYN="N">Cardiac function</Keyword><Keyword MajorTopicYN="N">Cardiac output</Keyword><Keyword MajorTopicYN="N">Echocardiography</Keyword><Keyword MajorTopicYN="N">Myocardial depression</Keyword><Keyword MajorTopicYN="N">Oxygen delivery</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>10</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>12</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>01</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>11</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23566732</ArticleId><ArticleId IdType="pii">S0883-9441(13)00042-7</ArticleId><ArticleId IdType="doi">10.1016/j.jcrc.2013.01.010</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li></country><region><li>Région de Bruxelles-Capitale</li></region><settlement><li>Bruxelles</li></settlement></list><tree><noCountry><name sortKey="Bodson, Laurent" sort="Bodson, Laurent" uniqKey="Bodson L" first="Laurent" last="Bodson">Laurent Bodson</name><name sortKey="De Backer, Daniel" sort="De Backer, Daniel" uniqKey="De Backer D" first="Daniel" last="De Backer">Daniel De Backer</name><name sortKey="Ortiz, Julian Arias" sort="Ortiz, Julian Arias" uniqKey="Ortiz J" first="Julian Arias" last="Ortiz">Julian Arias Ortiz</name><name sortKey="Pasquier, Pierre" sort="Pasquier, Pierre" uniqKey="Pasquier P" first="Pierre" last="Pasquier">Pierre Pasquier</name><name sortKey="Vincent, Jean Louis" sort="Vincent, Jean Louis" uniqKey="Vincent J" first="Jean-Louis" last="Vincent">Jean-Louis Vincent</name></noCountry><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Fagnoul, David" sort="Fagnoul, David" uniqKey="Fagnoul D" first="David" last="Fagnoul">David Fagnoul</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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