Application of lung ultrasound surface wave elastography for assessment of extravascular lung water in patients hospitalized with congestive heart failure

2019 ◽  
Vol 145 (3) ◽  
pp. 1673-1674
Author(s):  
Brandon M. Wiley ◽  
Boran Zhou ◽  
Govind Pandompatam ◽  
Jinling Zhou ◽  
Hilal Olgun Kucuk ◽  
...  



1985 ◽  
Vol 10 (1-2) ◽  
Author(s):  
OtmarH. Schober ◽  
Geerd-J. Meyer ◽  
Claus Bossaller ◽  
Hans Creutzig ◽  
PaulR. Lichtlen ◽  
...  


Kidney360 ◽  
2021 ◽  
pp. 10.34067/KID.0003972021
Author(s):  
Nathaniel Reisinger ◽  
Abhilash Koratala

Volume overload and its attendant increase in acute care utilization and cardiovascular morbidity and mortality represents a critical challenge for the practicing nephrologist. This is particularly true among patients with ESKD on HD where pre-dialysis volume overload and intradialytic and postdialytic hypovolemia account for almost a third of all cost for the Medicare dialysis benefit. Quantitative lung ultrasound is a tool for assessing the extent of extravascular lung water which outperforms physical exam and plain chest radiography. B-lines are vertical hyperechoic artifacts present in patients with increased extravascular lung water. B-lines have been shown to decrease dynamically during the hemodialysis treatment in proportion to ultrafiltration volume. Among patients with chronic heart failure, titration of diuretics based on the extent of pulmonary congestion noted on lung ultrasonography has been shown to decrease recurrent acute care utilization. Early data from randomized-controlled trials of lung ultrasound-guided ultrafiltration therapy among patients with ESKD on HD have shown promise for potential reduction in recurrent episodes of decompensated heart failure and cardiovascular events. Ultimately lung ultrasound may predict those who are ultrafiltration tolerant and could be used to decreased acute care utilization and thus cost in this population.



2021 ◽  
Vol 26 (3) ◽  
pp. 5-5
Author(s):  
Alex Gough

Summary In this month's Small Animal Review, we summarise three recently published papers from other veterinary journals. The papers for this issue explore the impact of open registries on inbreeding, in the working Australian Kelpie population particularly, and the impact of vehicle trauma on the canine shock index, as well as the potential role for lung ultrasound in monitoring for cardiogenic pulmonary oedema in dogs being treated for left-sided congestive heart failure.





Angiology ◽  
2017 ◽  
Vol 68 (10) ◽  
pp. 907-913 ◽  
Author(s):  
Geng Qian ◽  
Yong-qiang Yang ◽  
Wei Dong ◽  
Feng Cao ◽  
Yun-dai Chen

We investigated the impact of contrast media (CM) with different osmolality on cardiac preload in patients with chronic kidney disease (CKD) and congestive heart failure (CHF). Patients with CKD and CHF were equally randomized to receive either iso-osmolar contrast media (IOCM) iodixanol or low-osmolar contrast media iopromide. We measured cardiac preload indexes by invasive hemodynamic monitoring before and after CM injection. Major adverse cardiac events postprocedures were recorded. Increase in extravascular lung water index was only seen in the iopromide group ( P < .001), while global end diastolic index and central venous pressure were all significantly increased from baseline in the both groups ( P < .001, respectively), and the increase in cardiac preload indexes was significantly greater in the iopromide group than in the iodixanol group ( P < 0.001). The overall incidence of acute heart failure was more frequently observed in the iopromide group ( P = 0.027). Low-osmolar contrast media iopromide significantly increased cardiac preload in patients with CKD and CHF undergoing cardiac catheterization procedures compared with IOCM iodixanol.





2019 ◽  
Vol 9 (18) ◽  
pp. 3923 ◽  
Author(s):  
Xiaoming Zhang ◽  
Boran Zhou ◽  
Alex X. Zhang

Extravascular lung water (EVLW) is a basic symptom of congestive heart failure and other conditions. Computed tomography (CT) is standard method used to assess EVLW, but it requires ionizing radiation and radiology facilities. Lung ultrasound reverberation artifacts called B-lines have been used to assess EVLW. However, analysis of B-line artifacts depends on expert interpretation and is subjective. Lung ultrasound surface wave elastography (LUSWE) was developed to measure lung surface wave speed. This pilot study aimed at measureing lung surface wave speed due to lung water in an ex vivo swine lung model. The surface wave speeds of a fresh ex vivo swine lung were measured at 100 Hz, 200 Hz, 300 Hz, and 400 Hz. An amount of water was then filled into the lung through its trachea. Ultrasound imaging was used to guide the water filling until significant changes were visible on the imaging. The lung surface wave speeds were measured again. It was found that the lung surface wave speed increases with frequency and decreases with water volume. These findings are confirmed by experimental results on an additional ex vivo swine lung sample.



2019 ◽  
Vol 38 (7) ◽  
pp. 757-766 ◽  
Author(s):  
Kamal S. Ayyat ◽  
Toshihiro Okamoto ◽  
Hiromichi Niikawa ◽  
Yoshifumi Itoda ◽  
Siddharth Dugar ◽  
...  


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