Ultrasound imaging of congestion in heart failure: examinations beyond the heart

Pierpaolo Pellicori*, Elke Platz, Jeroen Dauw, Jozine M. ter Maaten, Pieter Martens, Emanuele Pivetta, John G. F. Cleland, John J. McMurray, Wilfried Mullens, Scott D. Solomon, Faiez Zannad, Luna Gargani, Nicolas Girerd

*Corresponding author for this work

    Research output: Contribution to journalReview articleAcademicpeer-review

    41 Citations (Scopus)
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    Abstract

    Congestion, related to pressure 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).

    Original languageEnglish
    Pages (from-to)703-712
    Number of pages10
    JournalEuropean Journal of Heart Failure
    Volume23
    Issue number5
    Early online date23-Nov-2020
    DOIs
    Publication statusPublished - May-2021

    Keywords

    • Ultrasound
    • Heart failure
    • B&#8208
    • lines
    • Inferior vena cava
    • Intrarenal venous flow
    • Jugular vein
    • RIGHT ATRIAL PRESSURE
    • INFERIOR VENA-CAVA
    • LUNG ULTRASOUND
    • PULMONARY CONGESTION
    • PROGNOSTIC VALUE
    • VENOUS-PRESSURE
    • GUIDED THERAPY
    • DOPPLER ULTRASONOGRAPHY
    • EUROPEAN ASSOCIATION
    • NATRIURETIC PEPTIDE

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