ORIGINAL ARTICLE |
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Year : 2018 | Volume
: 31
| Issue : 2 | Page : 677-680 |
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E/A ratio and troponin I level as measures of mortality in patients with shock in pediatric intensive care units
Basim A Elgazzar, Fahima M Hassan, Ahmed A Khattab, Rania S Elzayat
Pediatrics Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt
Correspondence Address:
Basim A Elgazzar Pediatrics Department, Faculty of Medicine, Menoufia University, Shebin Elkom 32511 Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/mmj.mmj_675_16
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Objective
The aim of this study was to assess the value of E/A ratio and troponin I level as indexes of mortality in patients with shock in a pediatric intensive care unit (PICU).
Background
The E/A ratio is the ratio between the E wave and the A wave, and is used as an index of the diastolic function of the heart. Troponin I is specific of myocardial injury. Its level reflects the systolic and diastolic functions of the heart.
Patients and methods
A total of 50 children with shock in our PICU were studied. Clinical assessments, complete blood analysis, liver and renal function tests, and detection of troponin I levels were carried out. Echocardiographic assessment was carried out, including the assessment of ejection fraction% and E/A ratio.
Results
The group of dead patients had a significantly lower E/A ratio and a significantly higher troponin I level.
Conclusion
The E/A ratio and troponin I levels can be used as mortality indexes in patients with shock admitted to the PICU.
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