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ORIGINAL ARTICLE
Year : 2018  |  Volume : 31  |  Issue : 2  |  Page : 677-680

E/A ratio and troponin I level as measures of mortality in patients with shock in pediatric intensive care units


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
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Source of Support: None, Conflict of Interest: None


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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