JAMES V. SNYDER, M.D.
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To the editor: Parker and colleagues (1) noted a paradox in their study of 20 patients with documented septic shock. Ten of thirteen survivors but none of seven nonsurvivors had an initial ejection fraction less than 0.4. Survivors' ventricular end systolic and end diastolic volumes were substantially increased (160 and 120 mL) with a normal stroke volume index (40 mL) but ejection fraction of only 0.32 at the end of the first day of sepsis. The end systolic and end diastolic volumes in the nonsurvivors were about 80 and 32
SNYDER JV. Cardiac Function in Septic Shock. Ann Intern Med. ;101:879. doi: 10.7326/0003-4819-101-6-879_1
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Published: Ann Intern Med. 1984;101(6):879.
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