Pathophysiological implications of ventriculoarterial coupling in septic shock
Michael R. Pinsky, Fabio Guarracino
Abstract
Take-home messageProper ventriculo-arterial coupling results in optimal cardiac output, adequate peripheral organ perfusion, and efficient circulation.The relation between stroke volume and the developed arterial pressure defined by the relative elastances of the left ventricle and arterial circuit reflect ventriculo-arterial coupling.Decoupling of either or both commonly occur in sepsis and are associated with inefficient LV ejection that can lead to LV failure.Ventriculo-arterial decoupling in sepsis can lead to decreased effectiveness of cardiovascular treatments.
Topics & Concepts
MedicineSeptic shockIntensive care medicineShock (circulatory)PathophysiologyCardiologySepsisInternal medicineTraumatic Brain Injury and Neurovascular DisturbancesHemodynamic Monitoring and TherapyHeart Rate Variability and Autonomic Control