Association between lung ultrasound findings and invasive exercise haemodynamics in patients with undifferentiated dyspnoea

Introduction: Congestive heart failure is heart muscle failure that causes pulmonary congestion and eventually pulmonary edema, which despite recent medical advances, is still a progressive syndrome with high mortality, the prevalence of which has increased in recent decades. Therefore, in this study we compared lung ultrasound findings in acute heart failure patients with the BNP. Methods: This study was performed in the emergency room of Imam Reza hospital in Tabriz. For patients entering the emergency room after taking a history, both standard gold (BNP) tests and beside ultrasound of the lung were performed. Ultrasound was performed at the same time as obtaining blood sample to ensure that the ultrasound specialist did not know the result of diagnosis. During the ultrasound, if there were multiple B-Lines that were at least 3 mm apart, patient was diagnosed with pulmonary edema due to heart failure. Results: Number of participants in this study was 108 people, 54.6% of whom were men and the rest were women. The correlation coefficient between width and number of kerley lines was 0.79, between NT-pro BNP and width of kerley lines was 0.65 and between NT-pro BNP and number of kerley lines was 0.77, which indicates a significant positive correlation (P value <0.001). Conclusion: The results of present study showed that in patients with acute heart failure, the number and width of kerley lines in pulmonary ultrasound evaluation increase rapidly. There is also a high correlation between number and length of kerley lines with NT-pro BNP serum values.

Download Full-text

2019 Novel Coronavirus (COVID-19) pneumonia: an unusual lung ultrasound presentation.

10.21203/rs.3.rs-25490/v1 ◽

2020 ◽

Author(s):

Letizia Consoli ◽

Vittorio Bendotti ◽

Sara Cicchinelli ◽

Federico Gaioni ◽

Paola Prandolini ◽

...

Keyword(s):

Case Fatality Rate ◽

Lung Ultrasound ◽

Case Fatality ◽

Ground Glass Opacity ◽

Public Health Emergency ◽

Fatality Rate ◽

Chest Computed Tomography ◽

Ultrasound Findings ◽

The World ◽

Novel Coronavirus

Abstract In December 2019, a novel coronavirus (SARS-Cov-2) was first reported in Wuhan, China, and rapidly spread around the world, leading to an international emerging public health emergency. As reported from Chinese experiences, approximately 20% of patients had a severe course, requiring intensive care, with an overall case fatality rate of 2.3%. In diagnosis, chest computed tomography most commonly showed ground-glass opacity with or without consolidative patterns.Herein we report a case of a patient affected by COVID-19 pneumonia referred in the emergency department of our institution on 4 April 2020 with peculiar lung ultrasound findings.

Download Full-text

The Role of Lung Ultrasound Before and During the COVID-19 Pandemic: A review article

Current Medical Imaging Formerly Current Medical Imaging Reviews ◽

10.2174/1573405617666211006122842 ◽

2021 ◽

Vol 17 ◽

Author(s):

Mustafa J. Musa ◽

Mohamed Yousef ◽

Mohammed Adam ◽

Awadalla Wagealla ◽

Lubna Boshara ◽

...

Keyword(s):

Lung Ultrasound ◽

Point Of Care ◽

Power Doppler ◽

Doppler Imaging ◽

Point Of Care Ultrasound ◽

Institute Of Medicine ◽

Pubmed Central ◽

Contrast Enhanced ◽

Ultrasound Findings

: Lung ultrasound [LUS] has evolved considerably over the last years. The aim of the current review is to conduct a systematic review reported from a number of studies to show the usefulness of [LUS] and point of care ultrasound for diagnosing COVID-19. A systematic search of electronic data was conducted including the national library of medicine, and the national institute of medicine, PubMed Central [PMC] to identify the articles depended on [LUS] to monitor COVID-19. This review highlights the ultrasound findings reported in articles before the pandemic [11], clinical articles before COVID-19 [14], review studies during the pandemic [27], clinical cases during the pandemic [5] and other varying aims articles. The reviewed studies revealed that ultrasound findings can be used to help in the detection and staging of the disease. The common patterns observed included irregular and thickened A-lines, multiple B-lines ranging from focal to diffuse interstitial consolidation, and pleural effusion. Sub-plural consolidation is found to be associated with the progression of the disease and its complications. Pneumothorax was not recorded for COVID-19 patients. Further improvement in the diagnostic performance of [LUS] for COVID-19 patients can be achieved by using elastography, contrast-enhanced ultrasound, and power Doppler imaging.

Download Full-text

Lung Ultrasound Findings Associated With COVID-19 ARDS, ICU Admission, and All-Cause Mortality

Respiratory Care ◽

10.4187/respcare.09108 ◽

2021 ◽

pp. respcare.09108

Author(s):

Caroline Espersen ◽

Elke Platz ◽

Kristoffer Grundtvig Skaarup ◽

Mats Christian Højbjerg Lassen ◽

Jannie Nørgaard Lind ◽

...

Keyword(s):

Lung Ultrasound ◽

Icu Admission ◽

Ultrasound Findings ◽

All Cause Mortality

Download Full-text

Use of lung ultrasound for diagnosis and monitoring of coronavirus disease 2019 pneumonia: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x20958915 ◽

2020 ◽

Vol 8 ◽

pp. 2050313X2095891

Author(s):

Debo Yun ◽

Yan Cui ◽

Yuan Geng ◽

Yujiao Yang

Keyword(s):

Case Report ◽

Severe Acute Respiratory Syndrome ◽

Early Diagnosis ◽

Lung Ultrasound ◽

Nasopharyngeal Swab ◽

Ultrasound Images ◽

Healthcare Settings ◽

Pleural Line ◽

Ultrasound Findings ◽

Spread Of Infection

Knowledge of lung ultrasound characteristics of coronavirus disease 2019 pneumonia might be useful for early diagnosis and clinical monitoring of patients, and lung ultrasound can help to control the spread of infection in healthcare settings. In this case report, a 36-year-old man with severe acute respiratory syndrome coronavirus 2 infection was diagnosed by reverse transcription-polymerase chain reaction testing of a nasopharyngeal swab. The lung ultrasound findings for this patient were the interstitial-alveolar damage showing bilateral, diffuse pleural line abnormalities, subpleural consolidations, white lung areas and thick, irregular vertical artifacts. When the patient recovered from the severe acute respiratory syndrome coronavirus 2 infection, lung ultrasound images showed a normal pleural line with A-lines regularly reverberating. Performing lung ultrasound at the bedside minimizes the need to move the patient, thus reducing the risk of spreading infection among healthcare staff. Lung ultrasound is useful for early diagnosis and evaluation of the severity of coronavirus disease 2019 pneumonia and for monitoring its progress over the course of the disease.

Download Full-text