Noninvasive assessment of pulmonary congestion in heart failure: Need of the hour

Deora, Surender; Choudhary, Rahul; Kaushik, Atul; Singh, Surender; Singh, Bhupinder; Kumar, Bhushan

doi:10.1016/j.ihj.2023.05.004

Indian Heart Journal

2023

DOI: 10.1016/j.ihj.2023.05.004

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Noninvasive assessment of pulmonary congestion in heart failure: Need of the hour

Surender Deora

Rahul Choudhary

Atul Kaushik

et al.

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2024

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Cited by 2 publications

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Avaliação da Congestão Pulmonar por Ultrassom e Sensoriamento Dielétrico Remoto (ReDS) em Pacientes Hospitalizados com Insuficiência Cardíaca

Kobalava,

Safarova,

Tolkacheva

et al. 2024

Arq. Bras. Cardiol.

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Resumo Fundamento A redução da congestão pulmonar é um alvo clínico essencial no tratamento da insuficiência cardíaca crônica (ICC). O sistema de sensoriamento dielétrico remoto ( Remote Dielectric Sensing ReDS) é uma tecnologia não invasiva recentemente introduzida, usada para estimar facilmente o grau de volume de fluido pulmonar sem nenhuma técnica especializada. Objetivo Realizar uma avaliação comparativa da congestão pulmonar de acordo com a tecnologia de ultrassom e ReDS em pacientes hospitalizados com descompensação de ICC. Métodos O estudo piloto de centro único incluiu pacientes hospitalizados com descompensação de ICC. Na admissão e na alta, a ultrassonografia pulmonar e a tecnologia ReDS foram realizadas simultaneamente. A ultrassonografia dos pulmões foi realizada de acordo com o protocolo com uma avaliação de 8 zonas e cálculo da soma das linhas B. A congestão pulmonar foi confirmada com uma soma de linhas B ≥5, congestão ReDS se >35%. Um p<0,05 foi considerado estatisticamente significativo. Resultados Foram incluídos no estudo 35 pacientes; 40% (n=14) eram homens, a média de idade foi de 71 (65,5; 78,5) anos. A congestão pulmonar, segundo a ultrassonografia, foi de 57,1% (n=20), e segundo o ReDS, 62,9% (n=22). Foi encontrada correlação moderada entre o ReDS (%) e a ultrassonografia pulmonar (soma das linhas B) na admissão (coeficiente de correlação de Spearman = 0,402; p=0,017). Não houve correlação entre os dois métodos na alta (p=0,613). Conclusão Houve correlação moderada entre ReDS e ultrassonografia pulmonar em relação à detecção de congestão pulmonar na admissão.

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Avaliação da Congestão Pulmonar por Ultrassom e Sensoriamento Dielétrico Remoto (ReDS) em Pacientes Hospitalizados com Insuficiência Cardíaca

Kobalava,

Safarova,

Tolkacheva

et al. 2024

Arq. Bras. Cardiol.

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Assessment of Pulmonary Congestion According to Ultrasound and Remote Dielectric Sensing (ReDS) in Patients Hospitalized With Heart Failure

Kobalava,

Safarova,

Tolkacheva

et al. 2024

Arq. Bras. Cardiol.

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Background The reduction of pulmonary congestion is an essential clinical target in the management of chronic heart failure. The remote dielectric sensing (ReDS) system is a recently introduced non-invasive technology used to easily estimate the degree of lung fluid volume without any expert techniques. Objective To conduct a comparative assessment of pulmonary congestion according to ultrasound and ReDS technology in patients hospitalized with decompensation of chronic heart failure (CHF) Methods The pilot single-center study included patients hospitalized with CHF decompensation. On admission and upon discharge, lung ultrasound and ReDS technology were simultaneously performed. Ultrasound of the lungs was performed according to the protocol with an assessment of 8 zones and calculation of the sum of B-lines. Pulmonary congestion was confirmed with a sum of B-lines ≥5, ReDS congestion if >35%. A p<0.05 was considered statistically significant. Results 35 patients were included in the study; 40% (n=14) were men, the average age was 71 (65.5; 78.5) years. Pulmonary congestion, according to ultrasound, was 57.1% (n=20), and according to ReDS, 62,9% (n=22). A moderate correlation was found between ReDS (%) and lung ultrasound (sum of B-lines) upon admission (Spearman correlation coefficient = 0.402; p=0.017). There was no correlation between the two methods at discharge (p=0.613). Conclusion There was a moderate correlation between ReDS and lung ultrasound in relation to the detection of pulmonary congestion at admission.

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Noninvasive assessment of pulmonary congestion in heart failure: Need of the hour

Cited by 2 publications

References 52 publications

Avaliação da Congestão Pulmonar por Ultrassom e Sensoriamento Dielétrico Remoto (ReDS) em Pacientes Hospitalizados com Insuficiência Cardíaca

Avaliação da Congestão Pulmonar por Ultrassom e Sensoriamento Dielétrico Remoto (ReDS) em Pacientes Hospitalizados com Insuficiência Cardíaca

Assessment of Pulmonary Congestion According to Ultrasound and Remote Dielectric Sensing (ReDS) in Patients Hospitalized With Heart Failure

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