Role of chest ultrasonography in differentiating between acute cardiogenic pulmonary edema and acute respiratory distress syndrome

El-Naggar, T.; Sharkawy, Samar; Abdel-Hamid, H. A.; Mohamad, Haitham S. El-Din; Mohamed, Rasha Mustafa A.

doi:10.4103/1687-8426.193648

Cited by 2 publications

(6 citation statements)

References 16 publications

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“…In every instance of ARDS, the typical ultrasonography B profile was discovered. Similar results were discovered in the El-Naggar et al (16) investigation.…”

Section: Table (3): Us Finding In Cpe Andsupporting

confidence: 90%

“…Consolidation is another sonographic finding in the non-cardiogenic group which represents 80% of cases and in 5% only of patients with CPE in our study. These results were similar to those of El-Naggar et al (16) who discovered that lung consolidation was present in 93.3% of cases of ARDS but not in any cases of APE (0%) or Copetti et al (9) who discovered that lung consolidation was present in 83.3% of cases of ARDS but not in cases of APE. Also, our results are comparable with Sanjan et al (17) on 73 respiratory distressed patients who found that consolidation was present in moderate (100%) and severe (92.3%) ARDS.…”

Section: Table (3): Us Finding In Cpe Andsupporting

confidence: 89%

“…Impaired or absence of lung sliding is considered a highly significant US finding which was detected in 75% of the NCPE group and not present in the CPE group of our study. El-Naggar et al (16) found a reduction or absence of pleural sliding in all ARDS patients in their study. Additionally, Copetti et al (9) found that 100% of patients with ALI/ARDS and 0% of patients with APE had the "gliding sign" absent or reduced.…”

Section: Table (3): Us Finding In Cpe Andmentioning

confidence: 60%

“…Pleural effusion is not a specific finding between the two groups in this study, it was higher among the cardiogenic group representing 65% while was 30% among the non-cardiogenic group. In El-Naggar et al (16) study, more frequently, pleural effusions were observed in 76% of the CPE group and 40% of the ARDS group of patients. Copetti et al (9) reported similar outcomes.…”

Section: Table (3): Us Finding In Cpe Andmentioning

confidence: 81%

“…Since pleural line anomalies were seen in all patients with ALI/ARDS and 25% of patients with APE (p <0.0001), these findings were equivalent to those of the Copetti et al (9) research of the same subject population. El-Naggar et al (16) found anomalies in the pleural line in all patients with ALI/ARDS and none of the patients with APE.…”

Section: Table (3): Us Finding In Cpe Andmentioning

confidence: 96%

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The Role of Chest Ultrasound Combined with Plasma Brain Natriuretic Peptide in The Differentiation between Cardiogenic and Noncardiogenic Pulmonary Edema

Omar¹,

Kamel²,

Wahdan³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Pulmonary edema is a medical emergency that threatens life, and requires urgent management and immediate hospitalization. Since there is no definite "gold standard" for diagnosing ALI/ARDS or cardiogenic pulmonary edema (CPE), there is no technique or known biomarker that can be used to distinguish between the two conditions. Combining clinical criteria with other proven diagnostic methods, such as BNP and chest ultrasonography, can increase the predicted accuracy, assist in therapy, and enhance the results. Objective: The purpose of this study is to assess how well plasma brain natriuretic peptide (BNP) and chest ultrasonography can distinguish between cardiogenic and noncardiogenic pulmonary edema. Patients and methods: Lung US was applied to respiratory distressed patients In Benha University Hospital Chest ICU and Emergency Department on 50 subjects through a cross-sectional prospective study. They were divided into CPE group 20 cases) and NCPE group (20 cases) as well as the control group (10 cases). Alveolar-interstitial syndrome (AIS), absence or decreased lung sliding, sparing regions, subpleural consolidation, pleural line abnormalities, and pleural effusion were among the pleuropulmonary symptoms that were targeted for detection by the LUS scan in both groups. Plasma BNP levels were assessed in all groups. Results: Consolidation is another sonographic finding in the Non-CPE group which represents 80% of cases and is present in 5% only in the CPE group in our study. Pleural effusion is not a specific finding between the two groups but it was higher among the cardiogenic group representing 65% while was 25% only among the non-cardiogenic group. BNP was significantly higher in the CPE group (1031 pg/ml) than in the Non-CPE group (346.5 pg/ml) and controls (63.5 pg/ml) (P <0.0001). BNP was valid for differentiation between CPE and non-CPE with a Cutoff point of >740 pg/ml (70% Sensitivity and 100% Specificity). Conclusion: CUS in combination with BNP represents a useful tool for differentiating CPE from non-CPE. In emergency settings, the benefits of their use outweigh the presence of limitations.

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“…In every instance of ARDS, the typical ultrasonography B profile was discovered. Similar results were discovered in the El-Naggar et al (16) investigation.…”

Section: Table (3): Us Finding In Cpe Andsupporting

confidence: 90%

Section: Table (3): Us Finding In Cpe Andsupporting

confidence: 89%