A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion in Patients with Heart Failure

Ultrasound lung comets (ULCs) are a nonionizing bedside approach to assess extravascular lung water. We evaluated a protocol for grading ULC score to estimate pulmonary congestion in heart failure patients and investigated clinical and echocardiographic correlates of the ULC score. Ninety-three pati...

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Autores principales: Li, Hong, Li, Yi-Dan, Zhu, Wei-Wei, Kong, Ling-Yun, Ye, Xiao-Guang, Cai, Qi-Zhe, Sun, Lan-Lan, Lu, Xiu-Zhang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5816880/
https://www.ncbi.nlm.nih.gov/pubmed/29487872
http://dx.doi.org/10.1155/2018/8474839
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author Li, Hong
Li, Yi-Dan
Zhu, Wei-Wei
Kong, Ling-Yun
Ye, Xiao-Guang
Cai, Qi-Zhe
Sun, Lan-Lan
Lu, Xiu-Zhang
author_facet Li, Hong
Li, Yi-Dan
Zhu, Wei-Wei
Kong, Ling-Yun
Ye, Xiao-Guang
Cai, Qi-Zhe
Sun, Lan-Lan
Lu, Xiu-Zhang
author_sort Li, Hong
collection PubMed
description Ultrasound lung comets (ULCs) are a nonionizing bedside approach to assess extravascular lung water. We evaluated a protocol for grading ULC score to estimate pulmonary congestion in heart failure patients and investigated clinical and echocardiographic correlates of the ULC score. Ninety-three patients with congestive heart failure, admitted to the emergency department, underwent pulmonary ultrasound and echocardiography. A ULC score was obtained by summing the ULC scores of 7 zones of anterolateral chest scans. The results of ULC score were compared with echocardiographic results, the New York Heart Association (NYHA) functional classification, radiologic score, and N-terminal pro-b-type natriuretic peptide (NT-proBNP). Positive linear correlations were found between the 7-zone ULC score and the following: E/e′, systolic pulmonary artery pressure, severity of mitral regurgitation, left ventricular global longitudinal strain, NYHA functional classification, radiologic score, and NT-proBNP. However, there was no significant correlation between ULC score and left ventricular ejection fraction, left ventricle diameter, left ventricular volume, or left atrial volume. A multivariate analysis identified the E/e′, systolic pulmonary artery pressure, and radiologic score as the only independent variables associated with ULC score increase. The simplified 7-zone ULC score is a rapid and noninvasive method to assess lung congestion. Diastolic rather than systolic performance may be the most important determinant of the degree of lung congestion in patients with heart failure.
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spelling pubmed-58168802018-02-27 A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion in Patients with Heart Failure Li, Hong Li, Yi-Dan Zhu, Wei-Wei Kong, Ling-Yun Ye, Xiao-Guang Cai, Qi-Zhe Sun, Lan-Lan Lu, Xiu-Zhang Biomed Res Int Research Article Ultrasound lung comets (ULCs) are a nonionizing bedside approach to assess extravascular lung water. We evaluated a protocol for grading ULC score to estimate pulmonary congestion in heart failure patients and investigated clinical and echocardiographic correlates of the ULC score. Ninety-three patients with congestive heart failure, admitted to the emergency department, underwent pulmonary ultrasound and echocardiography. A ULC score was obtained by summing the ULC scores of 7 zones of anterolateral chest scans. The results of ULC score were compared with echocardiographic results, the New York Heart Association (NYHA) functional classification, radiologic score, and N-terminal pro-b-type natriuretic peptide (NT-proBNP). Positive linear correlations were found between the 7-zone ULC score and the following: E/e′, systolic pulmonary artery pressure, severity of mitral regurgitation, left ventricular global longitudinal strain, NYHA functional classification, radiologic score, and NT-proBNP. However, there was no significant correlation between ULC score and left ventricular ejection fraction, left ventricle diameter, left ventricular volume, or left atrial volume. A multivariate analysis identified the E/e′, systolic pulmonary artery pressure, and radiologic score as the only independent variables associated with ULC score increase. The simplified 7-zone ULC score is a rapid and noninvasive method to assess lung congestion. Diastolic rather than systolic performance may be the most important determinant of the degree of lung congestion in patients with heart failure. Hindawi 2018-01-02 /pmc/articles/PMC5816880/ /pubmed/29487872 http://dx.doi.org/10.1155/2018/8474839 Text en Copyright © 2018 Hong Li et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Li, Hong
Li, Yi-Dan
Zhu, Wei-Wei
Kong, Ling-Yun
Ye, Xiao-Guang
Cai, Qi-Zhe
Sun, Lan-Lan
Lu, Xiu-Zhang
A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion in Patients with Heart Failure
title A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion in Patients with Heart Failure
title_full A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion in Patients with Heart Failure
title_fullStr A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion in Patients with Heart Failure
title_full_unstemmed A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion in Patients with Heart Failure
title_short A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion in Patients with Heart Failure
title_sort simplified ultrasound comet tail grading scoring to assess pulmonary congestion in patients with heart failure
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5816880/
https://www.ncbi.nlm.nih.gov/pubmed/29487872
http://dx.doi.org/10.1155/2018/8474839
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