A patient suffering from chronic coronary artery disease (no RWMA detected in the past) and chronic renal insufficiency was admitted to the ICU for urosepsis and gastrointestinal bleeding by an overdose of anticoagulation therapy.
Lab tests during admission: lactate 6.6 mmol/l, Hb 77g/l, coagulopathy (Quick 19% + takes Eliquis due to atrial fibrillation), procalcitonin 1.05 ng/ml, CRP 350mg/l, leu 30000/ml.
Echocardiography was performed to assess haemodynamic parameters: