Ultrasonographic assessment of organs other than the heart in patients with heart failure

Yamamoto, Kazuhide; Kinugasa, Yoshiharu; Sugihara, Shinobu; Mukai-Yatagai, Natsuko; Kato, Masahiko

doi:10.1007/s10396-019-00953-3

Cited by 3 publications

(7 citation statements)

References 48 publications

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“…Finally, it is useful to evaluate pleural line abnormalities. These include irregular, fragmented, and thickened pleural line 39,53,56,95,112–115,128 …”

Section: Methodsmentioning

confidence: 99%

“…Experience with LUS in assessing COVID‐19 patients shows, however, that the alterations visualized in the posterior areas are the most significant 101 . Assessing each intercostal space along its entire length is time‐consuming, so reasonably simplified protocols have been suggested for COVID‐19 patients as well, such as 18 28–55,57–151 and 14 scan protocols 24,101 . Lately one interesting study on the correlation between LUS and laboratory results also described a protocol of 12 scans (quick COVID‐19 severity index [qCSI]), 6 for each half of the chest (upper and lower areas of the anterior, lateral and posterior surfaces, respectively), for assessing the presence of B‐line and/or consolidation 152 .…”

Section: Methodsmentioning

confidence: 99%

“…Going beyond its established role in the management of pleural effusion, 103 US has been widely applied in the approach to the patient with various pleuro‐pulmonary conditions, such as pneumonia, 104 , 105 , 106 , 107 pneumothorax, 108 , 109 , 110 , 111 cardiogenic and non‐cardiogenic pulmonary edema, 53 , 95 , 112 , 113 acute respiratory distress syndrome. 64 , 114 , 115 , 116 , 117 , 118 Furthermore, US can be used to study diaphragmatic function. 119 , 120 , 121 …”

Section: Methodsmentioning

confidence: 99%

“…26,27,[36][37][38][39]102 Going beyond its established role in the management of pleural effusion, 103 US has been widely applied in the approach to the patient with various pleuropulmonary conditions, such as pneumonia, [104][105][106][107] pneumothorax, [108][109][110][111] cardiogenic and non-cardiogenic pulmonary edema, 53,95,112,113 acute respiratory distress syndrome. 64,[114][115][116][117][118] Furthermore, US can be used to study diaphragmatic function. [119][120][121] Yet, despite a wide use of the technique, there is a need for consensus for the terminology used to describe LUS artifacts and signs.…”

Section: Statement 8 (Clinical Statement)mentioning

confidence: 99%

“…These include irregular, fragmented, and thickened pleural line. 39,53,56,95,[112][113][114][115]128 To standardize the reporting of LUS findings, a common ontology (dictionary) needs to be developed. Furthermore, large clinical studies including the use of US research platforms are needed to understand and characterize the US signals associated with the generation of vertical artifacts.…”

Section: Statement 8 (Clinical Statement)mentioning

confidence: 99%

See 4 more Smart Citations

New International Guidelines and Consensus on the Use of Lung Ultrasound

Demi

Wolfram

Klersy

et al. 2022

J of Ultrasound Medicine

154

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Following the innovations and new discoveries of the last 10 years in the field of lung ultrasound (LUS), a multidisciplinary panel of international LUS experts from six countries and from different fields (clinical and technical) reviewed and updated the original international consensus for point-of-care LUS, dated 2012. As a result, a total of 20 statements have been produced. Each statement is complemented by guidelines and future developments proposals. The statements are furthermore classified based on their nature as technical (5), clinical (11), educational (3), and safety (1) statements.

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“…Finally, it is useful to evaluate pleural line abnormalities. These include irregular, fragmented, and thickened pleural line 39,53,56,95,112–115,128 …”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Statement 8 (Clinical Statement)mentioning

confidence: 99%

Section: Statement 8 (Clinical Statement)mentioning

confidence: 99%

See 3 more Smart Citations

New International Guidelines and Consensus on the Use of Lung Ultrasound

Demi

Wolfram

Klersy

et al. 2022

J of Ultrasound Medicine

154

View full text Add to dashboard Cite

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Clinical Implications of Hepatic Hemodynamic Evaluation by Abdominal Ultrasonographic Imaging in Patients With Heart Failure

Yoshihisa

Ishibashi

Matsuda

et al. 2020

JAHA

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Background It has been reported that liver stiffness assessed by transient elastography are correlated with right atrial pressure, which is associated with worse outcome in patients with heart failure (HF). We aimed to clarify clinical implications of hepatic hemodynamic evaluation (liver congestion and hypoperfusion) by abdominal ultrasonography in patients with HF. Methods and Results We performed abdominal ultrasonography, right‐heart catheterization, and echocardiography, then followed up for cardiac events such as cardiac death or worsening HF in patients with HF. Regarding liver congestion, liver stiffness assessed by shear wave elastography (SWE) of the liver was significantly correlated with right atrial pressure determined by right‐heart catheterization ( R =0.343; P <0.01), right atrial end‐systolic area, and inferior vena cava diameter determined by echocardiography. Regarding liver hypoperfusion, peak systolic velocity (PSV) of the celiac artery was correlated with cardiac index determined by right‐heart catheterization ( R =0.291; P <0.001) and tricuspid annular plane systolic excursion determined by echocardiography. According to the Kaplan–Meier analysis, HF patients with high SWE and low PSV had the highest cardiac event rate (log‐rank P =0.033). In the Cox proportional hazard analysis, high SWE and low PSV were associated with high cardiac event rate (high SWE: hazard ratio [HR], 2.039; 95% CI, 1.131–4.290; low PSV: HR, 2.211; 95% CI, 1.199–4.449), and the combination of high SWE and low PSV was a predictor of cardiac events (HR, 4.811; 95% CI, 1.562–14.818). Conclusions Intrahepatic congestion and hypoperfusion determined by abdominal ultrasonography (liver SWE and celiac PSV) are associated with adverse prognosis in patients with HF.

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Diaphragm Ultrasound in Different Clinical Scenarios: A Review with a Focus on Older Patients

Siniscalchi,

Nouvenne,

Cerundolo

et al. 2024

Geriatrics

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Diaphragm muscle dysfunction is increasingly recognized as a fundamental marker of several age-related diseases and conditions including chronic obstructive pulmonary disease, heart failure and critical illness with respiratory failure. In older individuals with physical frailty and sarcopenia, the loss of muscle mass and function may also involve the diaphragm, contributing to respiratory dysfunction. Ultrasound has recently emerged as a feasible and reliable strategy to visualize diaphragm structure and function. In particular, it can help to predict the timing of extubation in patients undergoing mechanical ventilation in intensive care units (ICUs). Ultrasonographic evaluation of diaphragmatic function is relatively cheap, safe and quick and can provide useful information for real-time monitoring of respiratory function. In this review, we aim to present the current state of scientific evidence on the usefulness of ultrasound in the assessment of diaphragm dysfunction in different clinical settings, with a particular focus on older patients. We highlight the importance of the qualitative information gathered by ultrasound to assess the integrity, excursion, thickness and thickening of the diaphragm. The implementation of bedside diaphragm ultrasound could be useful for improving the quality and appropriateness of care, especially in older subjects with sarcopenia who experience acute respiratory failure, not only in the ICU setting.

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Ultrasonographic assessment of organs other than the heart in patients with heart failure

Cited by 3 publications

References 48 publications

New International Guidelines and Consensus on the Use of Lung Ultrasound

New International Guidelines and Consensus on the Use of Lung Ultrasound

Clinical Implications of Hepatic Hemodynamic Evaluation by Abdominal Ultrasonographic Imaging in Patients With Heart Failure

Diaphragm Ultrasound in Different Clinical Scenarios: A Review with a Focus on Older Patients

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