Amino-terminal pro–B-type natriuretic peptide, inferior vena cava ultrasound, and biolectrical impedance analysis for the diagnosis of acute decompensated CHF

Martínez, P.; Martínez, Daniel Mesado; Curbelo, José; Cadiñanos, Julen

doi:10.1016/j.ajem.2016.06.043

Cited by 24 publications

(17 citation statements)

References 28 publications

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“…IVC parameters have shown high diagnostic and prognostic power in the acute HF setting, even at the end of the acute phase, prior to discharge . In light of our study, this power is reduced in chronic HF.…”

Section: Discussionmentioning

confidence: 53%

“…13 Several authors have suggested smaller cutoff points for the diagnosis of ADHF. 14,15 IVC reference values for the follow-up of chronic HF are not established and the tendency is to equate them with those of acute HF. Due to this, and under medical criteria, the patients were initially divided into 3 groups using IVCCI as reference parameter: patients with IVCCI >50% (without hypervolemia), IVCCI between 30% and 50% (mild hypervolemia), and IVCCI <30% (moderate/severe hypervolemia).…”

Section: Discussionmentioning

confidence: 99%

“…32 IVC parameters have shown high diagnostic and prognostic power in the acute HF setting, even at the end of the acute phase, prior to discharge. 14,15,29,30 [36][37][38] It is postulated that this patient profile, controlling the respiratory rate, allows a more reliable analysis of the IVC. This would be an additional adjustment to understand that the diameter and collapsibility of the IVC are influenced by cardiac preload but is biased by the respiratory cycle of the patient.…”

Section: Discussionmentioning

confidence: 99%

“…Classically, the IVC parameters cutoff points for the diagnosis of ADHF are 2 cm for maxIVC and 50% for IVCCI . Several authors have suggested smaller cutoff points for the diagnosis of ADHF . IVC reference values for the follow‐up of chronic HF are not established and the tendency is to equate them with those of acute HF.…”

Section: Methodsmentioning

confidence: 99%

“…12 Consensus documents recommended for the diagnosis of ADHF a degree of collapse <50% or a maximum IVC diameter of >20 mm. 13 Several studies have shown the power of IVC ultrasonography for diagnosis of ADHF in patients with dyspnea in the emergency department, either alone 14,15 or in combination with lung ultrasound. [16][17][18] Other studies suggest the capacity of IVC ultrasonography to differentiate between ADHF and stable chronic HF.…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of inferior vena cava ultrasonography in outpatients with chronic heart failure

Curbelo

Aguilera

Rodríguez-Cortés

et al. 2018

Clinical Cardiology

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Usefulness of inferior vena cava ultrasonography in outpatients with chronic heart failure

Curbelo

Aguilera

Rodríguez-Cortés

et al. 2018

Clinical Cardiology

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Diagnosis of Acute Heart Failure Using Inferior Vena Cava Ultrasound

Darwish

Mahayni

Kataria

et al. 2020

J of Ultrasound Medicine

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ObjectivesThe utility of bedside inferior vena cava (IVC) ultrasound (US) in the diagnosis of heart failure (HF) is unclear. The aim of this study was to determine whether IVC parameters in patients with acute heart failure (AHF) are statistically different from those without HF.MethodsThe MEDLINE database of English‐language publications from 1966 to August 2018 was searched. Retrospective and prospective studies that included either IVC expiratory diameter (IVCexp) or IVC collapsibility index (IVC‐CI) values were collected in patients with and without HF. to determine whether there was a statistical difference in the IVC parameters between these groups.ResultsA total of 27 articles with a total of 1472 patients with AHF were included. The standard mean differences for the IVCexp and IVC‐CI for the control group versus the AHF group were found to be statistically significant (P < .0001). The combined mean IVCexp values were 15.11 mm (95% confidence interval [CI], 14.19–16.02 mm) for the control group and 20.26 mm (95% CI, 14.82–25.71 mm) for the AHF group. The combined mean IVC‐CI values were 61.6% (95% CI, 48.4%–74.7%) for the control group and 30.5% (95% CI, 26.4%–34.6%) for the AHF group.ConclusionsBedside IVC US showed that a statistically significant difference existed in the IVC parameters between patients with and without AHF. Based on mean calculations, an IVCexp of greater than 2.0 cm and an IVC‐CI of less than 30% are reasonable cutoffs to suggest that a patient with acute dyspnea is more likely to have AHF than a non‐AHF condition. Given the high degree of heterogeneity across the studies and the high risk of bias, larger randomized studies are warranted to explore the use of IVC US in patients with HF.

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Focused Cardiac Ultrasound in Dyspnea of Unclear Etiology in the Emergency Department

Balderston

Sternberg

Joyce

et al. 2020

J of Ultrasound Medicine

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Objectives-We evaluated the utility of focused cardiac ultrasound to predict the length of stay in patients presenting to the emergency department with dyspnea of unclear etiology. Methods-Patients with focused cardiac ultrasound examinations performed in the emergency department for dyspnea over a 34-month period were retrospectively identified. Patients were excluded if they had a prior diagnosis of heart failure, dialysis requirement, or an etiology of dyspnea unrelated to the volume status. Left ventricular function was categorized as normal or reduced, and the inferior vena cava was categorized as normal or increased volume. A fast limited ultrasound to investigate dyspnea (FLUID) score was calculated by adding 1 point for reduced left ventricular function and 1 point for increased volume, producing a score of 0, 1, or 2. Results-There were 123 patients included. There was a significant correlation between the FLUID score and length of stay, with longer stays for higher scores (FLUID score 0, 7.4 hours median; FLUID score 1, 2.34 days; FLUID score 2, 5.56 days; analysis of variance P < .001). Of the other variables collected, only age, hypertension, diabetes, heart rate, and brain natriuretic peptide were significantly correlated with the length of stay. A multivariate analysis including those variables and the FLUID score showed that the FLUID score was the strongest independent predictor of the length of stay. Conclusions-Focused cardiac ultrasound and calculation of a FLUID score for patients with undifferentiated dyspnea can be a powerful tool to predict the hospital length of stay.

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Amino-terminal pro–B-type natriuretic peptide, inferior vena cava ultrasound, and biolectrical impedance analysis for the diagnosis of acute decompensated CHF

Cited by 24 publications

References 28 publications

Usefulness of inferior vena cava ultrasonography in outpatients with chronic heart failure

Usefulness of inferior vena cava ultrasonography in outpatients with chronic heart failure

Diagnosis of Acute Heart Failure Using Inferior Vena Cava Ultrasound

Focused Cardiac Ultrasound in Dyspnea of Unclear Etiology in the Emergency Department

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