Role of Lung Ultrasound and Inferior Vena Cava Diameter in Assessment of Patients with Heart Failure | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 108, Volume 85, Issue 2, October 2021, Page 4102-4107 PDF (344.97 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2021.207097 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Hussein Abd El-Fattah Mohammed; Mohamed Salah El-Feshawy; Fareed Shawky Basiony; Mustafa Maged Abu shady
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| Chest diseases , faculty of medicine, 6th of october university | ||||
| Abstract | ||||
| Background: Congestive heart failure (CHF) is a multifaceted clinical condition marked by recurrent episodes of acute decompensation, needing repetitive hospital stays, and re-admissions. The CHF management is still a clinical challenge; choices are built on clinical evaluations of volume status, which are utilized for cardiac filling pressureestimation. Aims: This study aimed to investigate the role of lung US and Inferior Vena Cava Diameter (IVCD) in assessment of HF-cases. Patients and Methods: The current work has been performed on 50 HF (heart failure) cases diagnosed in the Chest Department of Al- Azhar University Hospitals from April 2019 to June 2021. Chest radiograph, as a reference for the presence of pulmonary congestion, echocardiography for both systolic and diastolic function assessment and lung U/S. US examinations of the anterolateral chest were done. Results: A highly significant association was found among inferior Vena Cava-Collapsibility Index (IVC-CI) and Dyspnea Class.A highly significant association was found among IVC-CI and echocardiography.A highly significant association was found among IVC-CI and B lines. Conclusion: Ultrasound can be utilized as an alternative technique for estimating the intra-vascular volume such as measuring the IVCD and so the caval index. The utilization of pulmonary ultrasound (PU) to evaluate dyspneic cases and those with HF in dissimilar clinical settings raises the sensitivity, specificity, and accuracy of pulmonary congestion diagnosing and prognosis in HF cases. | ||||
| Keywords | ||||
| Lung ultrasound; Inferior vena cava; B lines; Heart failure | ||||
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