The Use of Point‐of‐Care Ultrasound to Evaluate Pulsus Paradoxus in Children With Asthma
Pulsus paradoxus (PP) is defined as a fall of systolic blood pressure of greater than 10 mm Hg during the inspiratory phase of respiration. Measurement of PP is recommended by national and international asthma guidelines as an objective measure of asthma severity but is rarely used in clinical pract...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2020-03, Vol.39 (3), p.625-632 |
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| container_title | Journal of ultrasound in medicine |
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| creator | Kharasch, Sigmund J. Jansson, Paul Liteplo, Andrew S. Gouker, Stacey Longacre, McKenna Shokoohi, Hamid Schleifer, Jessica |
| description | Pulsus paradoxus (PP) is defined as a fall of systolic blood pressure of greater than 10 mm Hg during the inspiratory phase of respiration. Measurement of PP is recommended by national and international asthma guidelines as an objective measure of asthma severity but is rarely used in clinical practice. Cardiac point‐of‐care ultrasound with pulsed wave Doppler imaging measuring respiratory‐phasic changes of mitral valve inflow velocities is well described in cardiac tamponade as “sonographic” PP. We present 10 cases of acute asthma presenting to an emergency department showing the finding of sonographic determined PP in the apical 4‐chamber view of the heart on pulsed wave Doppler imaging. |
| doi_str_mv | 10.1002/jum.15226 |
| format | Article |
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We present 10 cases of acute asthma presenting to an emergency department showing the finding of sonographic determined PP in the apical 4‐chamber view of the heart on pulsed wave Doppler imaging.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.15226</identifier><identifier>PMID: 31971275</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Asthma - physiopathology ; Blood Pressure - physiology ; Child ; Child, Preschool ; Echocardiography, Doppler - instrumentation ; Echocardiography, Doppler - methods ; Female ; Heart - diagnostic imaging ; Heart - physiopathology ; Humans ; Male ; Point-of-Care Systems ; point‐of‐care ultrasound ; pulsed wave Doppler ; pulsus paradoxus ; Severity of Illness Index ; ultrasound</subject><ispartof>Journal of ultrasound in medicine, 2020-03, Vol.39 (3), p.625-632</ispartof><rights>2020 by the American Institute of Ultrasound in Medicine</rights><rights>2020 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2926-84862d02c4bd4fbbdee34eea76a830f7373ae8cb4b3d815c947d5ec566d20b013</citedby><cites>FETCH-LOGICAL-c2926-84862d02c4bd4fbbdee34eea76a830f7373ae8cb4b3d815c947d5ec566d20b013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.15226$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.15226$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31971275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kharasch, Sigmund J.</creatorcontrib><creatorcontrib>Jansson, Paul</creatorcontrib><creatorcontrib>Liteplo, Andrew S.</creatorcontrib><creatorcontrib>Gouker, Stacey</creatorcontrib><creatorcontrib>Longacre, McKenna</creatorcontrib><creatorcontrib>Shokoohi, Hamid</creatorcontrib><creatorcontrib>Schleifer, Jessica</creatorcontrib><title>The Use of Point‐of‐Care Ultrasound to Evaluate Pulsus Paradoxus in Children With Asthma</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Pulsus paradoxus (PP) is defined as a fall of systolic blood pressure of greater than 10 mm Hg during the inspiratory phase of respiration. Measurement of PP is recommended by national and international asthma guidelines as an objective measure of asthma severity but is rarely used in clinical practice. Cardiac point‐of‐care ultrasound with pulsed wave Doppler imaging measuring respiratory‐phasic changes of mitral valve inflow velocities is well described in cardiac tamponade as “sonographic” PP. We present 10 cases of acute asthma presenting to an emergency department showing the finding of sonographic determined PP in the apical 4‐chamber view of the heart on pulsed wave Doppler imaging.</description><subject>Adolescent</subject><subject>Asthma - physiopathology</subject><subject>Blood Pressure - physiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Echocardiography, Doppler - instrumentation</subject><subject>Echocardiography, Doppler - methods</subject><subject>Female</subject><subject>Heart - diagnostic imaging</subject><subject>Heart - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Point-of-Care Systems</subject><subject>point‐of‐care ultrasound</subject><subject>pulsed wave Doppler</subject><subject>pulsus paradoxus</subject><subject>Severity of Illness Index</subject><subject>ultrasound</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOwzAUQC0EoqUw8APIK0Nav2InYxWVl4ro0IoFKbJjR0mVR2UnQDc-gW_kSzAE2FjuvdI9OsMB4ByjKUaIzLZ9PcUhIfwAjHEYoiDmmB6CMSIiChiJxQicOLf1KMKCHYMRxbHARIRj8LQuDNw4A9scrtqy6T7e3tvcj0Ra_6g6K13bNxp2LVw8y6qXnYGrvnK9gytppW5f_VU2MCnKSlvTwMeyK-DcdUUtT8FRLitnzn72BGyuFuvkJlg-XN8m82WQkZjwIGIRJxqRjCnNcqW0MZQZIwWXEUW5oIJKE2WKKaojHGYxEzo0Wci5JkghTCfgcvBmtnXOmjzd2bKWdp9ilH4VSn2h9LuQZy8Gdter2ug_8jeJB2YD8FJWZv-_Kb3b3A_KT3EcclM</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Kharasch, Sigmund J.</creator><creator>Jansson, Paul</creator><creator>Liteplo, Andrew S.</creator><creator>Gouker, Stacey</creator><creator>Longacre, McKenna</creator><creator>Shokoohi, Hamid</creator><creator>Schleifer, Jessica</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>202003</creationdate><title>The Use of Point‐of‐Care Ultrasound to Evaluate Pulsus Paradoxus in Children With Asthma</title><author>Kharasch, Sigmund J. ; Jansson, Paul ; Liteplo, Andrew S. ; Gouker, Stacey ; Longacre, McKenna ; Shokoohi, Hamid ; Schleifer, Jessica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2926-84862d02c4bd4fbbdee34eea76a830f7373ae8cb4b3d815c947d5ec566d20b013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Asthma - physiopathology</topic><topic>Blood Pressure - physiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Echocardiography, Doppler - instrumentation</topic><topic>Echocardiography, Doppler - methods</topic><topic>Female</topic><topic>Heart - diagnostic imaging</topic><topic>Heart - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Point-of-Care Systems</topic><topic>point‐of‐care ultrasound</topic><topic>pulsed wave Doppler</topic><topic>pulsus paradoxus</topic><topic>Severity of Illness Index</topic><topic>ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kharasch, Sigmund J.</creatorcontrib><creatorcontrib>Jansson, Paul</creatorcontrib><creatorcontrib>Liteplo, Andrew S.</creatorcontrib><creatorcontrib>Gouker, Stacey</creatorcontrib><creatorcontrib>Longacre, McKenna</creatorcontrib><creatorcontrib>Shokoohi, Hamid</creatorcontrib><creatorcontrib>Schleifer, Jessica</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kharasch, Sigmund J.</au><au>Jansson, Paul</au><au>Liteplo, Andrew S.</au><au>Gouker, Stacey</au><au>Longacre, McKenna</au><au>Shokoohi, Hamid</au><au>Schleifer, Jessica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Use of Point‐of‐Care Ultrasound to Evaluate Pulsus Paradoxus in Children With Asthma</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2020-03</date><risdate>2020</risdate><volume>39</volume><issue>3</issue><spage>625</spage><epage>632</epage><pages>625-632</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Pulsus paradoxus (PP) is defined as a fall of systolic blood pressure of greater than 10 mm Hg during the inspiratory phase of respiration. Measurement of PP is recommended by national and international asthma guidelines as an objective measure of asthma severity but is rarely used in clinical practice. Cardiac point‐of‐care ultrasound with pulsed wave Doppler imaging measuring respiratory‐phasic changes of mitral valve inflow velocities is well described in cardiac tamponade as “sonographic” PP. We present 10 cases of acute asthma presenting to an emergency department showing the finding of sonographic determined PP in the apical 4‐chamber view of the heart on pulsed wave Doppler imaging.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>31971275</pmid><doi>10.1002/jum.15226</doi><tpages>8</tpages></addata></record> |
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| ispartof | Journal of ultrasound in medicine, 2020-03, Vol.39 (3), p.625-632 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Asthma - physiopathology Blood Pressure - physiology Child Child, Preschool Echocardiography, Doppler - instrumentation Echocardiography, Doppler - methods Female Heart - diagnostic imaging Heart - physiopathology Humans Male Point-of-Care Systems point‐of‐care ultrasound pulsed wave Doppler pulsus paradoxus Severity of Illness Index ultrasound |
| title | The Use of Point‐of‐Care Ultrasound to Evaluate Pulsus Paradoxus in Children With Asthma |
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