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Ultrasound imaging of congestion in heart failure – Examinations beyond the heart

Abstract : Congestion, related to pressures and/or fluid overload, plays a central role in the pathophysiology, presentation and prognosis of heart failure and is an important therapeutic target. While symptoms and physical signs of fluid overload are required to make a clinical diagnosis of heart failure, they lack both sensitivity and specificity, which might lead to diagnostic delay and uncertainty. Over the last decades, new ultrasound methods for the detection of elevated intracardiac pressures and/or fluid overload have been developed that are more sensitive and specific, thereby enabling earlier and more accurate diagnosis and facilitating treatment strategies. Accordingly, we considered that a state-of-the-art review of ultrasound methods for the detection and quantification of congestion was timely, including imaging of the heart, lungs (B-lines), kidneys (intrarenal venous flow), and venous system (inferior vena cava and internal jugular vein diameter). This article is protected by copyright. All rights reserved.
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https://hal.univ-lorraine.fr/hal-03007737
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Submitted on : Monday, November 16, 2020 - 2:54:46 PM
Last modification on : Thursday, March 18, 2021 - 5:19:45 PM
Long-term archiving on: : Wednesday, February 17, 2021 - 7:18:43 PM

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Pierpaolo Pellicori, Elke Platz, Jeroen Dauw, Jozine ter Maaten, Pieter Martens, et al.. Ultrasound imaging of congestion in heart failure – Examinations beyond the heart. European Journal of Heart Failure, Oxford University Press (OUP), 2020, ⟨10.1002/ejhf.2032⟩. ⟨hal-03007737⟩

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