Monitoring the response to treatment of acute heart failure patients by ultrasonographic inferior vena cava collapsibility index

Yavaşı, Özcan; Ünlüer, Erden Erol; Kayayurt, Kamil; Ekinci, Selim; Sağlam, Caner; Surum, Nebi; Köseoğlu, Mehmet; Yeşìl, Murat

doi:10.1016/j.ajem.2013.12.046

Cited by 34 publications

(29 citation statements)

References 34 publications

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“…Others have shown that IVC size change correlates with BNP reduction during ADHF treatment [26]. A potential advantage over BNP is that the IVC has been shown to respond more quickly to IV diuresis than BNP [27]. …”

Section: Discussionmentioning

confidence: 99%

Results of ACCORDIAN in ACCORD with lower blood pressure begetting lower mortality in patients with diabetes

Laffin

Bakris

2018

Diabetes Obesity Metabolism

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Acute decompensated heart failure (ADHF) is a common reason for admission to the hospital, and readmission is frequent. Multiple factors contribute to rehospitalizations, but inadequate assessment of volume status leading to persistent congestion is an important factor. We sought to determine if focused cardiac ultrasound (FCU) of the inferior vena cava (IVC), as a surrogate of volume status, would predict readmission of ADHF patients after index hospitalization. Patients admitted with a primary diagnosis of ADHF were prospectively enrolled. All patients underwent FCU of the IVC on admission and then daily. 82 patients were enrolled. Patients demonstrated improvement in heart failure physical examination findings and symptoms during the hospitalization. There was a reduction in the size of the IVC and a significant increase in patients with small collapsible vena cava. Logistic regression analysis of physical examination, patient symptoms, and IVC parameters at discharge demonstrated IVC collapsibility and patient reported dyspnea improvement as the only significant variables to predict readmission or emergency department visit. FCU assessment of IVC size and collapsibility may be useful in patients with ADHF to predict risk of being readmitted within 30 days of hospital discharge.

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Section: Discussionmentioning

confidence: 99%

Results of ACCORDIAN in ACCORD with lower blood pressure begetting lower mortality in patients with diabetes

Laffin

Bakris

2018

Diabetes Obesity Metabolism

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“…Besides, in ADHF patients, IVC diameter at admission has shown prognosis utility for readmission, renal impairment, and mortality . IVC diameter has been correlated with the clinical evolution of ADHF, showing improvement in diameter and collapsibility after diuretic treatment . Finally, other studies have demonstrated the prognosis power of IVC ultrasonography, prior to discharge after hospitalization for ADHF, to predict readmission …”

Section: Introductionmentioning

confidence: 97%

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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“…Cyclic changes in thoracic pressure in a healthy person may result in the collapse of approximately 50% of the IVC diameter [9]. Collapsibility of the inferior vena cava has been found to be useful in monitoring an acute heart failure patient’s response to therapy as well as assisting in ongoing resuscitation by providing means to measure CVP non-invasively [10-11]. …”

Section: Introductionmentioning

confidence: 99%

Correlation of IVC Diameter and Collapsibility Index With Central Venous Pressure in the Assessment of Intravascular Volume in Critically Ill Patients

Ilyas¹,

Ishtiaq

Assad

et al. 2017

Cureus

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ObjectiveThe objective of our study is to assess the correlation between inferior vena cava (IVC) diameters, central venous pressure (CVP) and the IVC collapsibility index for estimating the volume status in critically ill patients.MethodsThis cross-sectional study used the convenient sampling of 100 adult medical intensive care unit (ICU) patients for a period of three months. Patients ≥ 18 years of age with an intrathoracic central venous catheter terminating in the distal superior vena cava connected to the transducer to produce a CVP waveform were included in the study. A Mindray diagnostic ultrasound system model Z6 ultrasound machine (Mindray, NJ, USA) was used for all examinations. An Ultrasonic Transducer model 3C5P (Mindray, NJ, USA) for IVC imaging was utilized. A paired sampled t-test was used to compute the p-values.ResultsA total of 32/100 (32%) females and 68/100 (68%) males were included in the study with a mean age of 50.4 ± 19.3 years. The mean central venous pressure maintained was 10.38 ± 4.14 cmH2O with an inferior vena cava collapsibility index of 30.68 ± 10.93. There was a statistically significant relation among the mean CVP pressure, the IVC collapsibility index, the mean maximum and minimum IVC between groups as determined by one-way analysis of variance (ANOVA) (p < 0.001). There was a strong negative correlation between CVP and IVC collapsibility index (%), which was statistically significant (r = -0.827, n = 100, p < 0.0005). A strong positive correlation between CVP and maximum IVC diameter (r = 0.371, n = 100, p < 0.0005) and minimum IVC diameter (r = 0.572, n = 100, p < 0.0005) was found.ConclusionThere is a positive relationship of CVP with minimum and maximum IVC diameters but an inverse relationship with the IVC collapsibility index.

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Monitoring the response to treatment of acute heart failure patients by ultrasonographic inferior vena cava collapsibility index

Cited by 34 publications

References 34 publications

Results of ACCORDIAN in ACCORD with lower blood pressure begetting lower mortality in patients with diabetes

Results of ACCORDIAN in ACCORD with lower blood pressure begetting lower mortality in patients with diabetes

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

Correlation of IVC Diameter and Collapsibility Index With Central Venous Pressure in the Assessment of Intravascular Volume in Critically Ill Patients

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