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Table 2 Incidence and clinical characteristics of diastolic dysfunction by ASE guidelines on initial echocardiogram

From: Diastolic dysfunction and mortality in early severe sepsis and septic shock: a prospective, observational echocardiography study

Characteristic

Grade 0 (normal)

Grade I (impaired relaxation)

Grade II (pseudonormal)

Grade III (restrictive)

p value (any difference among groups)

p value (grade I vs grades II and III)

Patients (N, %)

47 (64%)

8 (11%)

17 (23%)

2 (3%)

  

Median age (years)

53

64

54

47

0.03

0.01

Female (%)

44.7%

62.5%

58.8%

50.0%

0.72

1.0

APACHE II

21.0

25.0

25.0

23.5

0.16

0.79

Percent on vasopressors

40.1%

25.0%

35.3%

50.0%

0.89

0.68

BMI (kg/m2)

28.3

26.4

33.8

32.9

0.31

0.07

e’ (cm/s)

9.97

5.82

7.16

3.99

<0.01

0.04

E/e’

9.1

12.0

12.5

26.7

0.01

0.67

DT (ms)

151

169

187

123

0.28

0.67

E/A

1.16

0.72

0.93

3.30

<0.01

<0.01

IVC diameter (cm)

1.90

1.91

1.94

2.18

0.85

0.89

IVC collapsibility (%)

32.7%

27.0%

23.6%

11.1%

0.18

0.55

Cardiac output (L/min)

6.4

4.0

6.5

4.2

0.10

0.45

VFD (days)

20.5

17.2

23.6

26.5

0.76

0.34

ICU-free days

17.9

15.8

18.9

25.5

0.98

0.96

Mortality (%)

12.8%

37.5%

5.9%

0%

0.19

0.06

IVF administered prior to TTE #1 (L)

3.5

2.6

5.5

5.4

0.07

0.05

IVF administered in 24 h after TTE #1 (L)

4.0

2.7

3.2

5.5

0.3

0.6

CVP (mm Hg)

11

11

12

11

0.89

0.84

  1. APACHE II; Acute Physiology, Age, Chronic Health Evaluation score; BMI, body mass index; e’, early diastolic peak velocity of septal mitral annulus using tissue Doppler imaging; E, early diastolic mitral inflow velocity using spectral Doppler; A, atrial peak mitral inflow velocity using spectral Doppler; DT, E deceleration time; IVC, inferior vena cava; VFD, ventilator-free days; IVF, intravenous fluids; CVP, central venous pressure; TTE, transthoracic echocardiogram.