Right Ventricle Dysfunction in Critically Ill Patients

Study Overview
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Brief Summary
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To assess prevalence of right ventricle dysfunction in critically ill patient. To assess impact of RV dysfunction on short term (ICU stay, hospital stay, or mortality ≤30 days) and long term outcome (>30 days). To assess the accuracy of different parameters of RV dysfunction.

Detailed Description
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Inclusion criteria: - Adult patients who admitted to critical care of Internal medicine department after obtaining consent during the period between august 2023 and august 2024. Exclusion criteria: Children below 18 yr. Patients who could not be scanned within 48h after ICU admission. Sample Size Calculation: 200 patients 2.4.4 Study tools (in detail, e.g., lab methods, instruments, steps, chemicals, ): Beside history and clinical examination , The following data will be obtained: Demographic and historical data: the patient age, sex, history of hypertension, chronic obstructive pulmonary disease, IHD, cause of critical care unit admission and indication of mechanical ventilation( PEEP). Clinical examination data: pulse, blood pressure, respiratory rate, temperature , BMI, and thorough chest, cardiac examination data will be obtained. Volume state of the patient: CVP measurement, input and output fluid chart. APACHE IV score, Use of vasopressors, Use of sedatives. Investigation : Arterial blood gas analysis, pulse oxygen saturation, CBC, and renal function test and electrolytes, serum lactate and troponin. 12 lead ECG for RV strain patterns.

Official Title
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Right Ventricle Dysfunction in Critically Ill Patients

Conditions
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Right Ventricular Dysfunction

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patients who admitted to critical care of Internal medicine department after obtaining consent during the period between august 2023 and august 2024. Exclusion Criteria: Children below 18 yr. Patients who could not be scanned within 48h after ICU admission.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impact of right ventricle dysfunction in Critically ill patients on short term and long term outcome | To assess prevalence of right ventricle dysfunction in critically ill patient. To assess impact of RV dysfunction on short term (ICU stay, hospital stay, or mortality ≤30 days) and long term outcome (>30 days). | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impact of right ventricle dysfunction in Critically ill patients on short term and long term outcome | To assess prevalence of right ventricle dysfunction in critically ill patient. To assess impact of RV dysfunction on short term (ICU stay, hospital stay, or mortality ≤30 days) and long term outcome (>30 days). | Baseline |