Cardiomyopathies, Sepsis, Septic Shock
Conditions
Keywords
septic cardiomyopathy, cytokine, iPSC, Inducible pluripotent stem cell
Brief summary
This translational study will assess the association between septic cardiomyopathy (measured via left ventricular global longitudinal strain) and (a) inflammatory cytokine profiles, and (b) the behavior of cardiomyocytes derived from inducible pluripotent stem cells.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
At least 18 years of age Admitted to the ICU SEPSIS PATIENTS: Sepsis patients must have: 1. Suspected or confirmed infection AND 2. Organ dysfunction as defined by a SOFA \>= 2 above baseline (if no baseline data available, SOFA assumed to be 0) OR SEPTIC SHOCK PATIENTS: AFTER INFUSION OF 20ML/KG CRYSTALLOID OR EQUIVALENT, septic shock patients must have: 1. Suspected or confirmed infection AND 2. Lactate \> 2 mmol/L AND 3. Receiving vasopressors
Exclusion criteria
Known pregnancy Primary diagnosis of acute coronary syndrome Known preexisting heart disease Known severe valvular disease (regurgitation or stenosis) Major cardiac dysrhythmia such as: * Ventricular tachycardia (V-tach) * Ventricular Fibrillation (V-fib) * Third degree heart block (complete hear block or complete AV block)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation of cytokine profile with left ventricular global longitudinal strain | Day 1 | This outcome assesses the correlation between inflammatory cytokines (summarized via PCA) and septic cardiomyopathy, as assessed by left ventricular global longitudinal strain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adrenergic susceptibility of pluripotent stem cell-derived cardiomyocytes | Day 1 | This is a laboratory-based outcome, using pluripotent stem cell-derived cardiomyocytes, with exposure to adrenergic agonists and antagonists in vitro |
Countries
United States