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Atlas of Critical Care Echocardiography pp 47–51Cite as

Left Ventricular Ejection Fraction and E-point Septal Separation

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Abstract

One of the most important questions in complex shock is, “What is the function of the left heart?” This can be answered by assessment of the left ventricular ejection fraction (LVEF) and E-point septal separation (EPSS), which correlates with LVEF (Massie et al., Am J Cardiol 39(7):1008–1016, 1977; Lew et al., Am J Cardiol 41(2):436, 1978). One-third of ICU patients will have reduced LVEF during their ICU stay, and, therefore, assessment of LVEF is recommended by the Society of Critical Care Medicine in all ICU patients with pre-existing or hospital-acquired cardiac disease. We have also found LVEF assessment essential in any patient with complex shock to manage fluid and inotropic support during ongoing resuscitation.

Keywords

  • Left ventricular ejection fraction
  • EPSS

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References

  1. Massie BM, Schiller NB, Ratshin RA, Parmley WW. Mitral-septal separation: new echocardiographic index of left ventricular function. Am J Cardiol. 1977;39(7):1008–16.

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  2. Lew W, Henning H, Schelbert H, Karliner JS. Assessment of mitral valve e point-septal separation as an index of left ventricular function in acute and chronic ischemic heart disease. Am J Cardiol. 1978;41(2):436.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA

    Brandon Masi Parker

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  1. Brandon Masi Parker
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Correspondence to Brandon Masi Parker .

Editor information

Editors and Affiliations

  1. Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA

    Alexis Salerno

  2. Department of Surgery, Program in Trauma and Critical Care, University of Maryland School of Medicine, Baltimore, MD, USA

    MD Daniel J. Haase

  3. Department of Surgery, Program in Trauma and Critical Care, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA

    MD Sarah B. Murthi

1 Electronic Supplementary Material

This video shows progressive decreasing in LVEF (MP4 4990 kb)

This video shows the cursor placement for EPSS (MP4 6668 kb)

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Parker, B.M. (2021). Left Ventricular Ejection Fraction and E-point Septal Separation. In: Salerno, A., Haase, D.J., Murthi, S.B. (eds) Atlas of Critical Care Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-030-74687-2_9

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  • DOI: https://doi.org/10.1007/978-3-030-74687-2_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-74685-8

  • Online ISBN: 978-3-030-74687-2

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