Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography.

JACC. Cardiovascular Imaging
Maria Chiara ScaliStress Echo 2020 Study Group of the Italian Society of Echocardiography and Cardiovascular Imaging

Abstract

The purpose of this study was to assess the functional and prognostic correlates of B-lines during stress echocardiography (SE). B-profile detected by lung ultrasound (LUS) is a sign of pulmonary congestion during SE. The authors prospectively performed transthoracic echocardiography (TTE) and LUS in 2,145 patients referred for exercise (n = 1,012), vasodilator (n = 1,054), or dobutamine (n = 79) SE in 11 certified centers. B-lines were evaluated in a 4-site simplified scan (each site scored from 0: A-lines to 10: white lung for coalescing B-lines). During stress the following were also analyzed: stress-induced new regional wall motion abnormalities in 2 contiguous segments; reduced left ventricular contractile reserve (peak/rest based on force, ≤2.0 for exercise and dobutamine, ≤1.1 for vasodilators); and abnormal coronary flow velocity reserve ≤2.0, assessed by pulsed-wave Doppler sampling in left anterior descending coronary artery and abnormal heart rate reserve (peak/rest heart rate) ≤1.80 for exercise and dobutamine (≤1.22 for vasodilators). All patients completed follow-up. According to B-lines at peak stress patients were divided into 4 different groups: group I, absence of stress B-lines (score: 0 to 1; n = 1,389; 64.7...Continue Reading

Associated Clinical Trials

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Citations

Oct 4, 2020·Journal of Clinical Medicine·Eugenio PicanoQuirino Ciampi
Jan 13, 2021·Expert Review of Cardiovascular Therapy·Øyvind JohannessenTorbjørn Omland
Oct 16, 2020·The International Journal of Cardiovascular Imaging·Doralisa MorroneUNKNOWN Stress Echo 2020 study group of the Italian Society of Echocardiography and Cardiovascular Imaging - Subproject all you need
Apr 1, 2021·Environmental Science and Pollution Research International·Antonello D'AndreaUNKNOWN Stress Echo 2020 study group of the Italian Society of Echocardiography and Cardiovascular Imaging
Jul 25, 2021·Journal of Clinical Medicine·Ylenia Bartolacelli On Behalf Of The Stress Echo Study Group Of The Italian Society Of Echocardiography And Cardiovascular Imaging
Aug 3, 2021·European Journal of Preventive Cardiology·Petar M SeferovićIvana Veljić
Aug 28, 2021·Journal of Clinical Medicine·Eugenio Picano The Stress Echo Study Group Of The Italian Society Of Echocardiography And Cardiovascular Imaging Siecvi
Aug 28, 2021·European Heart Journal·Quirino CiampiEugenio Picano
Aug 11, 2020·JACC. Cardiovascular Imaging·Sharon L Mulvagh, Omid Kiamanesh

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