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Lung ultrasonography derived B-line scores as predictors of left ventricular end-diastolic pressure and pulmonary artery wedge pressure.
Garcia, Marcos V F; Wiesen, Jonathan; Dugar, Siddharth; Adams, Jacob R; Bott-Silverman, Corinne; Moghekar, Ajit; Tonelli, Adriano R.
Afiliación
  • Garcia MVF; Fairview Hospital, Cleveland Clinic, Cleveland, OH, USA.
  • Wiesen J; University of Be'er Sheva, Soroka Hospital, Be'er-Sheva, Israel.
  • Dugar S; Fairview Hospital, Cleveland Clinic, Cleveland, OH, USA; Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
  • Adams JR; Adventist Health St. Helena, St. Helena, California, USA.
  • Bott-Silverman C; Heart & Vascular Institute, Cleveland Clinic Florida, Weston, FL, USA.
  • Moghekar A; Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
  • Tonelli AR; Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: tonella@ccf.org.
Respir Med ; 219: 107415, 2023.
Article en En | MEDLINE | ID: mdl-37741582
BACKGROUND: Non-invasive assessment of elevated left ventricular end-diastolic pressure (LVEDP) and pulmonary artery wedge pressure (PAWP) in patients with heart diseases is challenging. Lung ultrasonography (LUS) is a promising modality for predicting LVEDP and PAWP. METHODS: Fifty-seven stable ambulatory patients who underwent right and left heart catheterization were included. Following the procedures, LUS was performed in twenty-eight ultrasonographic zones, and the correlation between five different LUS derived B-line scores with LVEDP and PAWP was examined. RESULTS: The B-line index correlated with LVEDP and PAWP, with coefficients of 0.45 (p = 0.006) and 0.30 (p = 0.03), respectively. B-line index showed an AUC of 0.76 for identifying LVEDP > 15 mmHg (p = 0.01) and an AUC of 0.73 for identifying PAWP > 15 mmHg (p = 0.008). Overall, scores performances were similar in predicting LVEDP or PAWP > 15 mmHg. A B-line index ≥ 28 was significantly associated with LVEDP > 15 mmHg (OR: 9.97) and PAWP > 15 mmHg (OR: 6.61), adjusted for age and indication for heart catheterization. CONCLUSIONS: LUS derived B-line scores are moderately correlated with PAWP and LVEDP in patients with heart diseases. A B-line index ≥ 28 can be used to predict elevated LVEDP and PAWP with high specificity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Cardíaco / Cardiopatías Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Respir Med Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Cardíaco / Cardiopatías Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Respir Med Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido