Persistent pulmonary congestion before discharge predicts rehospitalization in heart failure: a lung ultrasound study

Cardiovascular Ultrasound
Luna GarganiEugenio Picano

Abstract

B-lines evaluated by lung ultrasound (LUS) are the sonographic sign of pulmonary congestion, a major predictor of morbidity and mortality in patients with heart failure (HF). Our aim was to assess the prognostic value of B-lines at discharge to predict rehospitalization at 6 months in patients with acute HF (AHF). A prospective cohort of 100 patients admitted to a Cardiology Department for dyspnea and/or clinical suspicion of AHF were enrolled (mean age 70 ± 11 years). B-lines were evaluated at admission and before discharge. Subjects were followed-up for 6-months after discharge. Mean B-lines at admission was 48 ± 48 with a statistically significant reduction before discharge (20 ± 23, p < .0001). During follow-up, 14 patients were rehospitalized for decompensated HF. The 6-month event-free survival was highest in patients with less B-lines (≤ 15) and lowest in patients with more B-lines (> 15) (log rank χ(2) 20.5, p < .0001). On multivariable analysis, B-lines > 15 before discharge (hazard ratio [HR] 11.74; 95 % confidence interval [CI] 1.30-106.16) was an independent predictor of events at 6 months. Persistent pulmonary congestion before discharge evaluated by ultrasound strongly predicts rehospitalization for HF at 6-months...Continue Reading

References

May 12, 2004·The American Journal of Cardiology·Zoltan JambrikEugenio Picano
Oct 6, 2005·JAMA : the Journal of the American Medical Association·Cynthia BinanayUNKNOWN ESCAPE Investigators and ESCAPE Study Coordinators
Oct 13, 2005·European Heart Journal·Stuart J PocockChristopher B Granger
Jan 3, 2006·Annals of Emergency Medicine·Sean P CollinsUNKNOWN ADHERE Scientific Advisory Committee, Investigators and Study Group
Feb 28, 2006·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Eugenio PicanoGaetano Mottola
Apr 4, 2006·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Eustachio AgricolaAlberto Margonato
Sep 2, 2006·Cardiovascular Ultrasound·G BedettiG Mottola
Nov 9, 2006·JAMA : the Journal of the American Medical Association·Mihai GheorghiadeUNKNOWN OPTIMIZE-HF Investigators and Coordinators
Nov 23, 2006·The American Journal of Medicine·Mihai GheorghiadeJohn Burnett
Nov 23, 2006·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Francesca FrassiEugenio Picano
Aug 19, 2007·Heart·Arend Mosterd, Arno W Hoes
Jun 15, 2010·JACC. Cardiovascular Imaging·Francesca MallamaciCarmine Zoccali
Oct 30, 2010·Ultrasound in Medicine & Biology·Zoltán JambrikEugenio Picano
Mar 1, 2011·Cardiovascular Ultrasound·Luna Gargani
Mar 7, 2012·Intensive Care Medicine·Giovanni VolpicelliUNKNOWN International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-
Jun 30, 2012·La Radiologia medica·G VolpicelliM F Frascisco
Jul 25, 2012·Circulation·Akshay S Desai, Lynne W Stevenson
Oct 12, 2012·Intensive Care Medicine·Giacomo BaldiFrancesco Forfori
Oct 23, 2012·European Journal of Heart Failure·Eugenio Picano, Luna Gargani
Dec 12, 2012·Journal of the American College of Cardiology·Mihai GheorghiadeRobert O Bonow
Dec 15, 2012·European Heart Journal Cardiovascular Imaging·Aleksandar N NeskovicUNKNOWN European Association of Cardiovascular Imaging
Mar 2, 2013·Journal of the American Society of Nephrology : JASN·Carmine ZoccaliUNKNOWN Lung US in CKD Working Group
Jun 7, 2013·Circulation·UNKNOWN WRITING COMMITTEE MEMBERSUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Jul 6, 2013·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Dimitrie SiriopolAdrian Covic
Nov 2, 2013·American Heart Journal·Scott L HummelTodd M Koelling
Oct 1, 2014·European Heart Journal. Acute Cardiovascular Care·Fabrizio RicciSabina Gallina
Feb 6, 2015·Chest·Emanuele PivettaUNKNOWN SIMEU Group for Lung Ultrasound in the Emergency Department in Piedmont
Feb 11, 2015·Nature Reviews. Cardiology·Stephen J GreeneMihai Gheorghiade

❮ Previous
Next ❯

Citations

Jan 5, 2016·European Journal of Heart Failure·Stefano CoiroNicolas Girerd
Feb 4, 2016·Echocardiography·Pablo A Blanco, Tomás F Cianciulli
Oct 17, 2015·European Journal of Heart Failure·Luna Gargani
Jan 18, 2016·The American Journal of Emergency Medicine·Tahar ChouihedNicolas Girerd
Apr 12, 2016·The American Journal of Emergency Medicine·Jennifer L Martindale
Apr 16, 2016·European Heart Journal·Mandar A Aras, John R Teerlink
May 14, 2016·European Heart Journal·Eugenio Picano, Patricia A Pellikka
May 28, 2016·International Journal of Cardiology·Chiara CogliatiNicola Montano
Apr 28, 2017·Nature Reviews. Cardiology·Susanna PriceUNKNOWN Acute Heart Failure Study Group of the European Society of Cardiology Acute Cardiovascular Care Association
Mar 18, 2017·Journal of Cardiovascular Medicine·Francesco BiancoSabina Gallina
Feb 27, 2018·Current Hypertension Reports·Sean Collins, Jennifer Martindale
Oct 11, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Sean P CollinsJaved Butler
Dec 22, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Vartan N GaribyanBruce J Kimura
Sep 20, 2017·Circulation·Sean van DiepenUNKNOWN American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Quality
Jun 21, 2019·European Journal of Heart Failure·Elke PlatzUNKNOWN Study Group on Acute Heart Failure of the Acute Cardiovascular Care Association and the Heart Failure Association of the Eur
Jul 11, 2019·JBI Database of Systematic Reviews and Implementation Reports·Michael Dan ArvigAnnmarie Touborg Lassen
Jan 1, 2020·European Journal of Heart Failure·Luna GarganiPeter S Pang
Feb 14, 2020·Biomarkers in Medicine·Pietro Scicchitano, Francesco Massari
Aug 3, 2019·Journal of the Saudi Heart Association·Waleed AlHabeebWalid Hassan
Sep 1, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Fakiye HacıalioğullarıMetin Özdemir
Jul 7, 2018·Southern Medical Journal·Renee K DversdalDaniel J Schnobrich
Jan 29, 2019·European Journal of Heart Failure·Emanuele PivettaUNKNOWN Study Group on Lung Ultrasound from the Molinette and Careggi Hospitals
Nov 19, 2019·The Western Journal of Emergency Medicine·Brit LongMichael Gottlieb
Apr 5, 2020·Kardiologiia·A Z ArystanY N Belenkov
Aug 23, 2020·Diagnostics·Natalia BudaTudor P Toma
Aug 10, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Masatake KobayashiNicolas Girerd
Sep 11, 2020·Der Radiologe·M SchmidD-A Clevert
Mar 9, 2017·Critical Ultrasound Journal·Rachel SpevackJed Lipes
Oct 24, 2019·Heart Failure Reviews·Michael J BoniosStamatis N Adamopoulos
Apr 9, 2020·Internal and Emergency Medicine·E CerianiC Cogliati
Apr 17, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Alberto PalazzuoliPierpaolo Pellicori
May 13, 2017·Journal of General Internal Medicine·Irene W Y MaUNKNOWN Canadian Internal Medicine Ultrasound (CIMUS) Group*
Mar 14, 2018·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Alberto PalazzuoliJohn G Cleland
Aug 30, 2017·Echocardiography·Eugenio Picano, Maria C Scali
Aug 2, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jennifer L MartindaleRichard Sinert

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Software Mentioned

GraphPad Prism
GraphPad
Statistical Package for the Social Sciences ( SPSS

Related Concepts

Related Feeds

Argentine Hemorrhagic Fever

Argentine hemorrhagic fever (AHF) is an endemo-epidemic disease caused by junín virus (JUNV), a member of the arenaviridae family. Discover the latest research on AHF here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.