Assessing myocardial stunning during continuous renal replacement therapy in critically ill patients.

Q3 Medicine

International Journal of Critical Illness and Injury Science Pub Date : 2025-04-01 Epub Date: 2025-06-23 DOI:10.4103/ijciis.ijciis_95_24

Hajar Berrichi, Safaa Bekkaoui, Younes Oujidi, Ilyass Laaribi, Houssam Bkiyar, Brahim Housni

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Abstract

Introduction: Myocardial stunning, a temporary reduction in cardiac contractility, is well-recognized in chronic hemodialysis patients but less studied in critically ill patients undergoing continuous renal replacement therapy (CRRT).

Methods: A prospective observational 11-month study included 38 intensive care unit (ICU) patients with acute kidney injury at Mohammed V University Hospital. Myocardial stunning was evaluated using echocardiographic parameters such as global longitudinal strain and left ventricular ejection fraction.

Results: Myocardial stunning was observed in 60.5% of patients. It was strongly associated with increased vasopressor requirements, longer ICU stays, and higher mortality (47.8% vs. 6.7%).

Conclusion: The high incidence of myocardial stunning in critically ill patients undergoing CRRT highlights the need for vigilant cardiac monitoring and targeted interventions to improve patient outcomes.

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危重病人持续肾替代治疗期间心肌休克的评估。

心肌休克是一种心脏收缩力的暂时性降低，在慢性血液透析患者中得到了广泛认可，但在接受持续肾替代治疗（CRRT）的危重患者中研究较少。方法：一项为期11个月的前瞻性观察研究纳入了穆罕默德五世大学医院重症监护病房（ICU）的38例急性肾损伤患者。用超声心动图参数如总纵应变和左心室射血分数评价心肌昏迷。结果：60.5%的患者出现心肌昏迷。它与血管加压药物需求增加、ICU住院时间延长和死亡率升高密切相关（47.8% vs. 6.7%）。结论：危重患者行CRRT时心肌休克发生率高，需要加强心电监测和有针对性的干预，以改善患者预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Critical Illness and Injury Science Medicine-Emergency Medicine

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： IJCIIS encourages research, education and dissemination of knowledge in the field of Critical Illness and Injury Science across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in the emergency intensive care and promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.