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

*Bijbehorende auteur voor dit werk

    Onderzoeksoutputpeer review

    84 Citaten (Scopus)
    407 Downloads (Pure)


    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).

    Originele taal-2English
    Pagina's (van-tot)703-712
    Aantal pagina's10
    TijdschriftEuropean Journal of Heart Failure
    Nummer van het tijdschrift5
    Vroegere onlinedatum23-nov.-2020
    StatusPublished - mei-2021

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