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Critical Care
Published in: Critical Care 4/2005

01-08-2005 | Commentary

Lactate concentration gradient from right atrium to pulmonary artery: a commentary

Author: Jacques Creteur

Published in: Critical Care | Issue 4/2005

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Abstract

Inadequate myocardial performance is a common complication of severe sepsis. Studies in humans strongly argue against a decrease in coronary blood flow in the pathogenesis of this sepsis-induced cardiac injury. Moreover, regional myocardial ischemia may well be present in sepsis patients with coexistent coronary artery disease. Nevertheless, the diagnosis of myocardial ischemia remains difficult in patients with sepsis, since elevation of troponin in these patients can be the result of a variety of conditions other than acute myocardial ischemia. The use of the right atrium to pulmonary artery lactate gradient could perhaps help the clinician in detecting myocardial ischemia in patients with sepsis.
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Metadata
Title
Lactate concentration gradient from right atrium to pulmonary artery: a commentary
Author
Jacques Creteur
Publication date
01-08-2005
Publisher
BioMed Central
Published in
Critical Care / Issue 4/2005
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc3769

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