Sepsis: Mr. Machado's criteria - Critical Care Science (CCS)

Letter to the Editor

Sepsis: Mr. Machado’s criteria

Rev Bras Ter Intensiva. 2017;29(2):261-263

DOI: 10.5935/0103-507X.20170037

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I quite like Mr. João Machado.

I’ve known him for 2 or 3 years. An elderly man of various occupations, he had learned to survive through a curriculum made up of them all. Although I am usually unflappable, I believe that I would blush a little if he told me some of these chapters. Each of his hospitalizations has been due to acute decompensated heart failure that, I believe, is caused by hypertensive, ischemic, and perhaps (at least a little bit) alcoholic cardiopathy. He doesn’t believe this; from atop his 1.8-m frame, which supports 83kg of good humor, he says he doesn’t smoke much, doesn’t drink too much, and doesn’t neglect his high blood pressure all that much. He thinks that his heart is just worn out from suffering with many things he has seen during his 73 years. It’s not impossible that he’s right.

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