Management of arrhythmia in sepsis and septic shock
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F17%3A10367245" target="_blank" >RIV/00216208:11110/17:10367245 - isvavai.cz</a>
Alternative codes found
RIV/00064165:_____/17:10367245
Result on the web
<a href="http://dx.doi.org/10.5603/AIT.a2017.0061" target="_blank" >http://dx.doi.org/10.5603/AIT.a2017.0061</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.5603/AIT.a2017.0061" target="_blank" >10.5603/AIT.a2017.0061</a>
Alternative languages
Result language
angličtina
Original language name
Management of arrhythmia in sepsis and septic shock
Original language description
The occurrence of supraventricular arrhythmias is associated with an unfavourable prognosis in septic shock. Available trials are difficult to apply in sepsis and septic shock patients due to included cohorts, control groups and because "one size does not fit all". The priorities in the critically ill are maintenance of the sinus rhythm and diastolic ventricular filling. The rate control modality should be reserved for chronic AF and in situations when the sinus rhythm is difficult to maintain due to extreme stress conditions resulting from a high dosage of vasoactive agents. Electric cardioversion is indicated in unstable patients with an absence of contraindications and is more feasible in combination with an antiarrhythmic agent. Besides amiodarone being preferred for its lower cardiodepressant side effect compared to other agents, drugs with a different degree of betablocking activity are very useful in supraventricular arrhythmias and septic shock, providing echocardiography is routinely used to support their indications within the current summary of product characteristics. A typical patient benefiting from propafenone is without significant structural heart disease, i.e. typically with normal to moderately reduced left ventricular systolic function. Future research should be channelled towards echocardiography-guided prospective controlled trials on antiarrhythmic therapy which may clarify the issue of rhythm versus rate control, the effects of various antiarrhythmic drugs, and a place for electric cardioversion in critically ill patients in septic shock.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30223 - Anaesthesiology
Result continuities
Project
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Continuities
O - Projekt operacniho programu
Others
Publication year
2017
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Anaesthesiology Intensive Therapy
ISSN
1642-5758
e-ISSN
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Volume of the periodical
49
Issue of the periodical within the volume
5
Country of publishing house
PL - POLAND
Number of pages
11
Pages from-to
419-429
UT code for WoS article
000419133400012
EID of the result in the Scopus database
2-s2.0-85039776984