Jugular vein ultrasound and pulmonary oedema in patients with suspected congestive heart failure

Jang, Timothy; Aubin, Chandra; Naunheim, Rosanne; Lewis, Lawrence M.; Kaji, Amy H.

doi:10.1097/mej.0b013e32833b2566

Cited by 13 publications

(5 citation statements)

References 15 publications

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“…Patients were conveniently sampled between 1 June 2004, and 31 December 2004, when one of eight physicians was available to obtain consent and perform US-JVD, which was compared in the primary study to the findings of CXR read by radiology consultants. Our current study differs from the prior study,20 because we obtained the initial BNP levels for further analysis.…”

Section: Methodsmentioning

confidence: 90%

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Sonographic assessment of jugular venous distension and B-type natriuretic peptide levels in patients with dyspnoea

Jang¹,

Aubin

Naunheim

et al. 2011

Emerg Med J

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Section: Methodsmentioning

confidence: 90%

“…This was a secondary analysis of previously collected data from an IRB-approved prospective study, whose methods have been previously described,20 of patients presenting with acute dyspnoea. The study design, setting, participants, protocol, measurements, and data analysis will thus only be briefly described.…”

Section: Methodsmentioning

confidence: 99%

Sonographic assessment of jugular venous distension and B-type natriuretic peptide levels in patients with dyspnoea

Jang¹,

Aubin

Naunheim

et al. 2011

Emerg Med J

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“… 29 have reported that inferior vena cava (IVC) ultrasound associated with PU increases diagnostic sensitivity in acute HF versus primary pulmonary disease. Jang et al 30 have reported that the longitudinal and cross-sectional measures of the internal jugular vein at the end of exhalation is a sensitive test to identify pulmonary edema on chest X-ray in patients with suspected HF. Liteplo et al 31 have reported the superiority of PU as compared to NT-proBNP to differentiate chronic HF from chronic obstructive pulmonary disease with a positive likelihood ratio (LR)(+) of 3.88 (99% CI = 1.55 - 9.73), while NT-proBNP had a LR(+) of 2.3 (95% CI = 1.41 - 3.76).…”

Section: Resultsmentioning

confidence: 99%

Pulmonary Ultrasound in Patients with Heart Failure - Systematic Review

Muniz

Mesquita

Souza³

et al. 2018

Arquivos Brasileiros De Cardiologia

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Pulmonary congestion is an important clinical finding in patients with heart failure (HF). Physical examination and chest X-ray have limited accuracy in detecting congestion. Pulmonary ultrasound (PU) has been incorporated into clinical practice in the evaluation of pulmonary congestion. This paper aimed to perform a systematic review of the use of PU in patients with HF, in different scenarios. A search was performed in the MEDLINE and LILACS databases in February 2017 involving articles published between 2006 and 2016. We found 26 articles in the present review, 11 of which in the emergency setting and 7 in the outpatient setting, with diagnostic and prognosis defined value and poorly studied therapeutic value. PU increased accuracy by 90% as compared to physical examination and chest X-ray for the diagnosis of congestion, being more sensitive and precocious. The skill of the PU performer did not interfere with diagnostic accuracy. The presence of B-lines ≥ 15 correlated with high BNP values (≥ 500) and E/e' ratio ≥ 15, with prognostic impact in IC patients at hospital discharge and those followed up on an outpatient basis. In conclusion, when assessing pulmonary congestion in HF, PU has an incremental value in the diagnostic and prognostic approach in all scenarios studied.

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“…To assess cardiac output, pulmonary artery and ventricular filling pressures, as well as systolic and diastolic left ventricular (LV) performance and twodimensional and Doppler echocardiography may be utilized [20]. To detect valve disease that is clinically significant, echocardiography may also be performed [21,22]. Although, echocardiography is straightforward and noninvasive, it is ineffective in about 10% of instances, and patients with lung illness may have difficulties in comprehending their results.…”

Section: Echocardiographymentioning

confidence: 99%

Overview on Congestive Heart Failure Imaging

El-Kenawy¹,

Altuwayhir

Fatani³

et al. 2022

SMHJ

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Background: Heart failure is a complex clinical syndrome that results from a functional or structural heart disorder. Acute heart failure is one of the main diagnostic and therapeutic challenges in clinical practice due to a non-specific clinical manifestation and the urgent need for timely and tailored management at the same time. During the first hours of admission the point-of-care focused on cardiac and lung ultrasound examination that are invaluable tool for rapid differential diagnosis of acute dyspnoea, which are highly feasible and relatively easy to learn. Objective: The study aimed to investigate the role of several portable and stationary imaging modalities, which are being increasingly used for the evaluation of cardiac structure and function, haemodynamic and volume status, precipitating myocardial ischaemia or valvular abnormalities, and systemic and pulmonary congestion. Methods: For article selection, the PubMed database and EBSCO Information Services were used. All articles relevant with our topic and other articles were used in our review. Other articles that were not related to this field were excluded. The data was extracted in a specific format that was reviewed by the group members. Conclusion: Heart failure is a main cause of mortality and morbidity worldwide. Assessment of the case is essential to determine the etiology and the best treatment strategy. For the assessment of HF patients, a variety of imaging techniques are used, each with advantages and disadvantages. For its accessibility, affordability, and utility, echocardiography remains the preferred method. It offers the majority of the data necessary it has been improved with the addition of 3DE and strain for the management and follow-up of patients with HF. In particular cases like ischemic heart disease, other methods may be helpful. It should be noted that the right imaging choice can assist in the management of the patient with HF.

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Jugular vein ultrasound and pulmonary oedema in patients with suspected congestive heart failure

Abstract: US-JVD is a sensitive test for identifying pulmonary oedema on CXR in dyspnoeic patients with suspected congestive heart failure.

Cited by 13 publications

References 15 publications

Sonographic assessment of jugular venous distension and B-type natriuretic peptide levels in patients with dyspnoea

Sonographic assessment of jugular venous distension and B-type natriuretic peptide levels in patients with dyspnoea

Pulmonary Ultrasound in Patients with Heart Failure - Systematic Review

Overview on Congestive Heart Failure Imaging

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