Conclusion
Heart failure is a co-morbidity for critical illness at both the beginning and end of the critically ill process. At the beginning it limits the ability of the host to sustain an adequate DO2 necessary to prevent the initial ischemia-induced organ injury, while at the end, it limits the host’s ability to wean successfully from mechanical ventilatory support. When treating critically ill patients, one must remember that failure to achieve an adequate DO2 may reflect occult heart failure. Since the treatment for heart failure is often the opposite to the treatment of hypovolemia, which itself is the other major cause of cardiovascular insufficiency, this consideration is of profound practical importance in the management of the critically ill.
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Pinsky, M.R. (2006). Heart Failure as a Co-Morbidity in the ICU. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 2006. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-33396-7_11
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