Valor pronóstico de la valoración multimodal de la congestión en la insuficiencia cardiaca aguda

Rubio-Gracia, Jorge; Giménez-López, Ignacio; Josa-Laorden, Claudia; Sánchez‐Marteles, Marta; Garcés-Horna, V.; Laiglesia, Fernando José Ruiz; Legarre, P. Sampériz; Juana, E. Bueno; Amores-Arriaga, Beatriz; Pérez-Calvo, Juan Ignacio

doi:10.1016/j.rce.2019.10.014

Cited by 6 publications

(8 citation statements)

References 44 publications

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“…One article found ≥45 B-lines at admission at the emergency department to be a predictor of readmission or mortality, 14 while another did not find B lines to be predictive. 15 However, that study establishes a lower cut-off with the number of B-lines in comparison to the other studies found. 15 Lung ultrasound is a tool implemented in emergency departments for diagnosis and follow-up of patients with HF.…”

Section: Discussioncontrasting

confidence: 59%

“…15 However, that study establishes a lower cut-off with the number of B-lines in comparison to the other studies found. 15 Lung ultrasound is a tool implemented in emergency departments for diagnosis and follow-up of patients with HF. B-lines are useful for distinguishing the etiologic diagnosis of dyspnea in the emergency department with a sensitivity of 92% and specificity of 94% for differentiating HF from other causes of noncardiogenic etiology as found in the meta-analysis of seven studies with 1075 patients.…”

Section: Discussioncontrasting

confidence: 59%

“…Very few studies have been found addressing the prognostic value of the study from the point of view of urgency. One article found ≥45 B‐lines at admission at the emergency department to be a predictor of readmission or mortality, 14 while another did not find B lines to be predictive 15 . However, that study establishes a lower cut‐off with the number of B‐lines in comparison to the other studies found 15 …”

Section: Discussionmentioning

confidence: 77%

“…Only NT-proBNP levels above 3804 pg/ml were independent predictors of mortality (HR 2.78 [1.27-6.08]; p = 0.010) and relative plasma volume 4.54% (HR 2.74 (1.18-6.38; p = 0.019). 15 In the study by Moritz et al on the quantification of pleural effusion by lung ultrasound of patients with acute HF, higher values on the pleural effusion scale were associated with larger volumes when compared to CT (p < 0.001), higher NT-proBNP, and a higher number of B-lines (p = 0.004). Patients with high pleural effusion scores were older, with low BMI, white, with previously diagnosed chronic HF or obstructive sleep apnea and a low likelihood of receiving aldosterone inhibitors or diuretics.…”

Section: T a B L E 2 Differential Characteristics Between The Ultraso...mentioning

confidence: 95%

“…They did find differences associated with Blines in the survival analysis. 15 During follow-up, 42 (22%) had died.…”

Section: T a B L E 2 Differential Characteristics Between The Ultraso...mentioning

confidence: 99%

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Prognostic value of B lines detected with lung ultrasound in acute heart failure. A systematic review

Dubón-Peralta

Lorenzo-Villalba

García-Klepzig

et al. 2021

J of Clinical Ultrasound

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Pulmonary ultrasound is a simple diagnostic tool with immediate results for the assessment of pulmonary congestion in patients with heart failure (HF), allowing optimization of treatment by monitoring the dynamic changes identified. We aimed to evaluate the prognostic significance of the presence of B lines detected by lung ultrasound during hospitalization for heart failure. A search was conducted for scientific articles in PubMed, Embase, Google Scholar, and Cochrane databases including clinical trials, reviews, systematic reviews, and original articles that were related to the prognostic value of lung ultrasound in patients with HF in the last 5 years from 2016 to 2021. Studies including individuals aged ≥18 years evaluating the prognostic value of lung ultrasound in HF were included. Fourteen articles met inclusion criteria for analysis (three reviews, three systematic reviews with meta-analysis, six prospective studies, and two retrospective studies). The presence of more than 30-40 B lines at admission were considered a risk factor for readmission or mortality as was persistent pulmonary congestion with the presence of ≥15 B-lines. The presence of pulmonary congestion detected by lung ultrasound in acute heart failure has prognostic significance in terms of mortality and hospital readmission. Clinical trials are needed to evaluate whether diuretic therapy guided by lung ultrasound and the presence of B lines can reduce readmission and mortality in these patients.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 77%

Section: T a B L E 2 Differential Characteristics Between The Ultraso...mentioning

confidence: 95%

“…They did find differences associated with Blines in the survival analysis. 15 During follow-up, 42 (22%) had died.…”

Section: T a B L E 2 Differential Characteristics Between The Ultraso...mentioning

confidence: 99%

See 3 more Smart Citations

Prognostic value of B lines detected with lung ultrasound in acute heart failure. A systematic review

Dubón-Peralta

Lorenzo-Villalba

García-Klepzig

et al. 2021

J of Clinical Ultrasound

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Valor pronóstico de un nuevo modelo de evaluación clínica de pacientes ambulatorios con insuficiencia cardiaca

et al. 2022

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Dimensionando la congestión

Casado

Górriz

2021

Revista Clínica Española

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Valor pronóstico de la valoración multimodal de la congestión en la insuficiencia cardiaca aguda

Cited by 6 publications

References 44 publications

Prognostic value of B lines detected with lung ultrasound in acute heart failure. A systematic review

Prognostic value of B lines detected with lung ultrasound in acute heart failure. A systematic review

Valor pronóstico de un nuevo modelo de evaluación clínica de pacientes ambulatorios con insuficiencia cardiaca

Dimensionando la congestión

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