ArticleScientific reports2026
Impact of heart rate on Doppler echocardiography predictors of rhythm control in patients with septic shock.
Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Doppler parameters used to predict the maintenance of sinus rhythm after cardioversion of supraventricular arrhythmia (SVA) may be influenced by heart rate. We included patients with septic shock who developed SVA, had normal to moderately reduced left ventricular systolic function (ejection fraction > 35%), and received continuous noradrenaline at doses < 1.0 µg/kg/min. Cardioversion was successful in 96% of the 209 patients with the echocardiographic data available for 187 patients post cardioversion. The mitral E wave velocity decreased from 87 (76;100) cm/s during SVA to 82 (70;98) cm/s at 4 h (p = 0.001), while the newly restored mitral A wave increased from 65 (52;79) cm/s at 1 h to 69 (56;83) cm/s at 4 h (p = 0.002). Similarly, the A wave velocity-time integral (Avti) increased from 7.00 (5.63;8.28) cm to 7.65 (6.10;9.40) cm, p < 0.001. A weak positive relationship between the heart rate (85 (77;95) bpm) and A wave (R
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