Point-of-care ultrasound diagnoses acute decompensated heart failure in the ED regardless of examination findings

Anderson, Kenton L.; Jenq, Katherine Y.; Fields, J. Matthew; Panebianco, Nova L.; Dean, Anthony J.

doi:10.1016/j.ajem.2013.12.025

Cited by 6 publications

(2 citation statements)

References 25 publications

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“…Miglioranza found a sensitivity for LUS of 85 % in outpatients with a mean age of 53 years [8]. Our cohort was older with a median age of 72 years (IQR 60.5-80.5) and contrary to prior ED studies a history of CHF was present in nearly all patients (vs. 75 % described by Anderson, 2013) [9]. As demonstrated by our data, radiographic signs show a moderate diagnostic accuracy to detect AHF [11], while NT-proBNP levels display a high diagnostic accuracy for identifying AHF as the cause of acute dyspnoea [12].…”

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confidence: 46%

Accuracy of Point-of-Care B-Line Lung Ultrasound in Comparison to NT-ProBNP for Screening Acute Heart Failure

Glöckner

Christ

Geier

et al. 2016

Ultrasound International Open

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Aim: The objective of this pilot study was to determine the accuracy of point-of-care B-line lung ultrasound in comparison to NT Pro-BNP for screening acute heart failure. Materials and Methods: An 8-zone lung ultrasound was performed by experienced sonographers in patients presenting with acute dyspnea in the ED. AHF was determined as the final diagnosis by 2 independent reviewers. Results: Contrary to prior studies, B-line ultrasound in our study was highly specific, but moderately sensitive for identifying patients with AHF. There was a strong association between elevated NT-proBNP levels and an increased number of B-lines. Conclusion: In conclusion, point-of-care lung ultrasound is a helpful tool for ruling in or ruling out important differential diagnoses in ED patients with acute dyspnea.

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confidence: 46%

Accuracy of Point-of-Care B-Line Lung Ultrasound in Comparison to NT-ProBNP for Screening Acute Heart Failure

Glöckner

Christ

Geier

et al. 2016

Ultrasound International Open

View full text Add to dashboard Cite

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“…By showing a B profile in 7% of our patients, lung ultrasound allowed to correct false-negative echocardiography (not increased LVFP) but had no benefit in cases of increased LVFP. It has been shown that, using 3 ultrasound modalities together (LVEF b45%, inferior vena cava collapsability index b 20%, and B-line count in the entire thorax N10), sensitivity and specificity for the presence of ALSHF were 36% and 100%, respectively [12,21]. In the emergency medicine setting, it is important to affirm but also to exclude the diagnosis of ALSHF.…”

Section: Discussionmentioning

confidence: 99%