Progress on clinical diagnosis and treatment of sepsis-induced cardiomyopathy / 中国小儿急救医学

ABSTRACT

Although sepsis-induced cardiomyopathy(SICM) has been recognized as a distinct entity since 1984, there is still no commonly agreed upon diagnostic criteria.SICM has become a focus of many studies on the strategies of pathogenesis, diagnosis and management during the last two decades.SICM is likely under diagnosed which can lead to poor prognosis.There continues to be a dearth of large clinical trials evaluating the treatment of SICM and current consensus focusing on supportive measures such as vasopressors and inotropes by hemodynamic monitoring and tissue perfusion.Serial echocardiography allowed early diagnosis SICM and optimal adjustment of therapy, individualized work-up and management of these patients is crucial to improve prognosis.