Cardiovascular Diseases, Infection, Shock
Conditions
Keywords
Shock, Cardiovascular Diseases, Infection
Brief summary
Circulatory shocks (CS) are life-threatening, acute organ dysfunction. Advances in critical care medicine have decreased early hospital mortality, increasing the number of surviving patients. Regrettably, these survivors are at increased risk of new infections but also of cardiovascular disease. The investigators hypothesize that CS with multi-organ dysfunction is associated with premature senescence of endothelial cells and immune cells and promotes endothelial thrombogenicity and immunosenescence leading to cardiovascular disease and secondary infections. The aim of this work is therefore to evaluate the contribution of endothelial and leucocytes senescence to the occurrence of secondary events (infectious and cardiovascular) in patients with a CS. It will provide a better understanding of the pathogenesis of cardiovascular and immune diseases following a CS, likely to guide new management strategies to prevent their occurrence.
Interventions
Noninvasive, reproducible, and sensitive methods to measure cardiac function, endothelial function, and arterial stiffness will be assess.
Sponsors
Study design
Eligibility
Inclusion criteria
* Circulatory shock * patient with health care insurance
Exclusion criteria
* Patients' refusal to participate in clinical research * Pregnant woman * Breastfeeding woman * A patient with a protective order
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The main criterion will be the acquisition of a senescent phenotype concerning leukocytes and endothelial cells. | 1 year | Biological samples will be done to evaluate the endothelial and leukocyte senescence. |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of cardiovascular events and secondary infection in hospitalized patients in intensive care unit for circulatory shock states | 5 years |
Countries
France