Pre-hospital lung ultrasound for cardiac heart failure and COPD: is it worthwhile?

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.

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Comparison of lung bedside ultrasound and BNP in the diagnosis of acute heart failure in the emergency department

Journal of Research in Clinical Medicine ◽

10.34172/jrcm.2020.050 ◽

2020 ◽

Vol 8 (1) ◽

pp. 50-50

Author(s):

Seyed Hossein Ojaghi Haghighi ◽

Neda Hamed ◽

Shiva Ebrahimi ◽

Jafar Ghobadi ◽

Hoorolnesa Ameli

Keyword(s):

Heart Failure ◽

Emergency Room ◽

Pulmonary Edema ◽

Acute Heart Failure ◽

Lung Ultrasound ◽

P Value ◽

Ultrasound Evaluation ◽

Ultrasound Findings ◽

Medical Advances ◽

B Lines

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.

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Use of lung ultrasound as a prognostic tool in outpatients with heart failure

Medicina Clínica (English Edition) ◽

10.1016/j.medcle.2016.08.008 ◽

2016 ◽

Vol 147 (1) ◽

pp. 13-15

Author(s):

María del Carmen Tojo Villanueva ◽

María Fernández López ◽

Jesús Canora Lebrato ◽

José Ángel Satué Bartolomé ◽

Alberto San Martín Prado ◽

...

Keyword(s):

Heart Failure ◽

Lung Ultrasound ◽

Prognostic Tool

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Congestive Cardiac Heart failure patients in the community: successfully managing complexity and polypharmacy

International Journal of Integrated Care ◽

10.5334/ijic.3733 ◽

2017 ◽

Vol 17 (5) ◽

pp. 414

Author(s):

Michelle Kearns ◽

Liz Malone ◽

Breege Clarke

Keyword(s):

Heart Failure ◽

Heart Failure Patients ◽

Cardiac Heart Failure ◽

Managing Complexity

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Lung Ultrasound B-lines as a Surrogate Marker for High Left Ventricular Diastolic Pressures; a bed-side Diagnostic tool

Clinical Cardiology and Cardiovascular Interventions ◽

10.31579/2641-0419/217 ◽

2021 ◽

Vol 4 (18) ◽

pp. 01-11

Author(s):

Abdulaziz Aboshahba ◽

Alsayed Ali Abdou Almarghany ◽

Moaz Atef Elshahat Abdel ati

Keyword(s):

Heart Failure ◽

Cost Efficiency ◽

Lung Ultrasound ◽

Surrogate Marker ◽

Left Ventricular ◽

University Hospital ◽

Emergency Setting ◽

Comet Tail ◽

Chest Ultrasound ◽

B Lines

Background: We studied the diagnostic accuracy of B-lines (comet-tail sign) on bedside lung US, NT-proBNP, E/e` on ECHO in differentiation of the causes of acute dyspnea in the emergency setting. Major advantages include bedside availability, no radiation, high feasibility and reproducibility, and cost efficiency. Methods: Our prospective study was performed at the alazhar university hospital, Cairo, Egypt, between July 2019 and March 2020. All patients underwent lung ultrasound examinations, along with TTE, laboratory testing, including rapid NT-proBNP testing. Results: The median E/e’ levels in patients with B-profile were 18, compared with a median of 7.4 in the subjects with A-profile (P =< 0.0001 CI = -9.649 to -7.044). It was found that the sensitivity and the specificity of detecting B-profile on ultrasound is high when E/e’ > 15.5 (95.0% and 83.0% consecutively), which concluded the high correlation between finding B profile on U/S chest and elevated left ventricle filling pressure in a patient presenting with picture of suggestive of heart failure Conclusion: Chest ultrasound can be used as screening test for the evaluation of patients with suspicion of heart failure with excellent sensitivity and good specificity.

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