TY  - JOUR
TI  - Retrospective Evaluation of the Cases Presenting to the
Pediatric Intensive Care Unit with Cardiogenic Shock in
Terms of Etiology, Treatment and Long-Term Prognosis
AB  - ABS TRACT Objective: Cardiogenic shock is acute circulation failure emerging
with a linkage to disrupted myocardial contraction. The aim of this study is
to identify the underlying etiology, assess the treatment methods, and the longterm
prognoses of survivors among the patients admitted to intensive care with
cardiogenic shock for the first time and without a previous heart disease history.
Material and Methods: This study included patients admitted to the intensive
care unit in our hospital for the first time with cardiogenic shock from March
2016 to March 2020. The age interval was 1 month to 18 years. The demographic,
clinical, laboratory, and radiological findings for patients were recorded. All patients
were evaluated with echocardiography at admission and 12 months after
discharge. Results: Of the 24 patients included in this study, 50% were girls
(n=12). Nineteen (79.1%) of the 24 patients had acute myocarditis as the underlying
cause. Three (12.5%) patients had hypocalcaemia linked to vitamin D deficiency,
1 (4.2%) patient had anomalous left coronary artery from the pulmonary
artery syndrome, and 1 (4.2%) patient had cardiac tamponade linked to purulent
pericarditis. In echocardiographic examinations performed at a 12-month interval,
left ventricle ejection fraction increased from 32.45±9.26% to 49.18±15.53%,
and left ventricle end-diastolic diameter Z score decreased from 5.65 (4.4) to 2.02
(4.76). Conclusion: With appropriate fluids, diuretic treatment, inotrope management,
and extracorporeal support, the prognosis for these patients has clearly
improved in recent years.
AU  - Kesici, Selman
AU  - tasar, mehmet
AU  - Örün, Utku Arman
AU  - Ozturk, Zeynelabidin
AU  - uysal yazıcı, mutlu
AU  - azapağası, ebru
AU  - YOLDAŞ, TAMER
AU  - Akkaya, Bilge
DO  - 10.5336/medsci.2022-89203
PY  - 2022
JO  - Türkiye Klinikleri Tıp Bilimleri Dergisi
VL  - 42
IS  - 2
SN  - 1300-0292
SP  - 69
EP  - 78
DB  - TRDizin
UR  - http://search/yayin/detay/532975
ER  -