P1655Lung ultrasound B-lines in patients with acute heart failure and comorbidities
Abstract Background Lung ultrasound assessment of B-lines is a sonographic method for a semi-quantitative evaluation of extravascular lung water, that can be employed to asssess and monitor pulmonary congestion in acute heart failure. Purpose To assess the degree and changes in B-lines during hospit...
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| Veröffentlicht in: | European heart journal 2019-10, Vol.40 (Supplement_1) |
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| creator | Gargani, L Zavagli, M Barbarisi, G Marchiani, C Bandini, G Moggi-Pignone, A |
| description | Abstract
Background
Lung ultrasound assessment of B-lines is a sonographic method for a semi-quantitative evaluation of extravascular lung water, that can be employed to asssess and monitor pulmonary congestion in acute heart failure.
Purpose
To assess the degree and changes in B-lines during hospitalization for acute heart failure, independently of the etiology, and their correlation with patients' comorbidities.
Methods
Two-hundred and forty-one complete antero-lateral B-lines assessments were recorded in an old population of 73 patients (mean age 83.0±7.6 years, 54.8% males) admitted with a diagnosis of acute heart failure (AHF). Chronic obstructive pulmonary disease (COPD) was present in 30% patients, chronic kidney disease (CKD) was present in 31% patients, a previously known cardiac condition was present in 73% of patients. B-lines were evaluated according to standard protocol at admission (T1), at 24 hours (T2), 48 hours (T3) and at discharge (T4). NT-proBNP was assessed at admission and at discharge.
Results
Mean antero-lateral B-lines at T1 were 42±39 with a statistically significant reduction at T3 (25±23, p |
| doi_str_mv | 10.1093/eurheartj/ehz748.0413 |
| format | Article |
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Background
Lung ultrasound assessment of B-lines is a sonographic method for a semi-quantitative evaluation of extravascular lung water, that can be employed to asssess and monitor pulmonary congestion in acute heart failure.
Purpose
To assess the degree and changes in B-lines during hospitalization for acute heart failure, independently of the etiology, and their correlation with patients' comorbidities.
Methods
Two-hundred and forty-one complete antero-lateral B-lines assessments were recorded in an old population of 73 patients (mean age 83.0±7.6 years, 54.8% males) admitted with a diagnosis of acute heart failure (AHF). Chronic obstructive pulmonary disease (COPD) was present in 30% patients, chronic kidney disease (CKD) was present in 31% patients, a previously known cardiac condition was present in 73% of patients. B-lines were evaluated according to standard protocol at admission (T1), at 24 hours (T2), 48 hours (T3) and at discharge (T4). NT-proBNP was assessed at admission and at discharge.
Results
Mean antero-lateral B-lines at T1 were 42±39 with a statistically significant reduction at T3 (25±23, p<0.001) and at T4 (16±22, p<0.001), but not at T2 (37±38, p=0.41) (see figure), with high variability in the percentage of B-lines reduction among patients, at all time points, and with 34% of patients with still significant pulmonary congestion at discharge (≥15 B-lines). B-lines number and changes did not differ in patients with and without COPD, CKD, or a previously known heart/valvular disease. A weak, albeit significant correlation was found between the percentage of B-lines change between admission and discharge and total diuresis (R=-0.25, p<0.05), delta (T3 values - T1 values) glomerular filtration rate (R=0.30, p<0.05) and delta NT-proBNP (R=0.31, p<0.05).
Dynamic changes of B-lines over time
Conclusions
In older patients hospitalized with AHF with multiple comorbidities, B-lines are present at admission and significantly reduce at 48 hours, although with high variability among different patients at all time points, and persistent significant congestion at discharge in about one third of patients. Lung ultrasound B-lines provide a specific and dynamic information about the degree and changes of pulmonary congestion, which is additive to other patient's characteristics.</description><identifier>ISSN: 0195-668X</identifier><identifier>EISSN: 1522-9645</identifier><identifier>DOI: 10.1093/eurheartj/ehz748.0413</identifier><language>eng</language><publisher>Oxford University Press</publisher><ispartof>European heart journal, 2019-10, Vol.40 (Supplement_1)</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2019. For permissions, please email: journals.permissions@oup.com. 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1579,27905,27906</link.rule.ids></links><search><creatorcontrib>Gargani, L</creatorcontrib><creatorcontrib>Zavagli, M</creatorcontrib><creatorcontrib>Barbarisi, G</creatorcontrib><creatorcontrib>Marchiani, C</creatorcontrib><creatorcontrib>Bandini, G</creatorcontrib><creatorcontrib>Moggi-Pignone, A</creatorcontrib><title>P1655Lung ultrasound B-lines in patients with acute heart failure and comorbidities</title><title>European heart journal</title><description>Abstract
Background
Lung ultrasound assessment of B-lines is a sonographic method for a semi-quantitative evaluation of extravascular lung water, that can be employed to asssess and monitor pulmonary congestion in acute heart failure.
Purpose
To assess the degree and changes in B-lines during hospitalization for acute heart failure, independently of the etiology, and their correlation with patients' comorbidities.
Methods
Two-hundred and forty-one complete antero-lateral B-lines assessments were recorded in an old population of 73 patients (mean age 83.0±7.6 years, 54.8% males) admitted with a diagnosis of acute heart failure (AHF). Chronic obstructive pulmonary disease (COPD) was present in 30% patients, chronic kidney disease (CKD) was present in 31% patients, a previously known cardiac condition was present in 73% of patients. B-lines were evaluated according to standard protocol at admission (T1), at 24 hours (T2), 48 hours (T3) and at discharge (T4). NT-proBNP was assessed at admission and at discharge.
Results
Mean antero-lateral B-lines at T1 were 42±39 with a statistically significant reduction at T3 (25±23, p<0.001) and at T4 (16±22, p<0.001), but not at T2 (37±38, p=0.41) (see figure), with high variability in the percentage of B-lines reduction among patients, at all time points, and with 34% of patients with still significant pulmonary congestion at discharge (≥15 B-lines). B-lines number and changes did not differ in patients with and without COPD, CKD, or a previously known heart/valvular disease. A weak, albeit significant correlation was found between the percentage of B-lines change between admission and discharge and total diuresis (R=-0.25, p<0.05), delta (T3 values - T1 values) glomerular filtration rate (R=0.30, p<0.05) and delta NT-proBNP (R=0.31, p<0.05).
Dynamic changes of B-lines over time
Conclusions
In older patients hospitalized with AHF with multiple comorbidities, B-lines are present at admission and significantly reduce at 48 hours, although with high variability among different patients at all time points, and persistent significant congestion at discharge in about one third of patients. Lung ultrasound B-lines provide a specific and dynamic information about the degree and changes of pulmonary congestion, which is additive to other patient's characteristics.</description><issn>0195-668X</issn><issn>1522-9645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqNkMtKAzEYhYMoWKuPIOQFpk0mt8lSizcoKNiFu-FP5h-bMp0pyQTRp7e14trV2ZzvHPgIueZsxpkVc8xxjRDHzRzXX0ZWMya5OCETrsqysFqqUzJh3KpC6-rtnFyktGGMVZrrCXl94VqpZe7fae7GCGnIfUNviy70mGjo6Q7GgP2Y6EcY1xR8HpH-vNEWQpcjUtgDftgO0YUm7Mvpkpy10CW8-s0pWd3frRaPxfL54Wlxsyx8ZURReQOOozfeitJqxQB4aYQE5xSgMNyUqm2cbQGkLV2LkpmmaT1IpwVKFFOijrM-DilFbOtdDFuInzVn9UFM_SemPoqpD2L2HDtyQ979E_kGos9s7g</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Gargani, L</creator><creator>Zavagli, M</creator><creator>Barbarisi, G</creator><creator>Marchiani, C</creator><creator>Bandini, G</creator><creator>Moggi-Pignone, A</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20191001</creationdate><title>P1655Lung ultrasound B-lines in patients with acute heart failure and comorbidities</title><author>Gargani, L ; Zavagli, M ; Barbarisi, G ; Marchiani, C ; Bandini, G ; Moggi-Pignone, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c873-8c7ab1ec7c9329650aa12734abb5ae371725fdb9faa492bfe407ddfca4b63e4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gargani, L</creatorcontrib><creatorcontrib>Zavagli, M</creatorcontrib><creatorcontrib>Barbarisi, G</creatorcontrib><creatorcontrib>Marchiani, C</creatorcontrib><creatorcontrib>Bandini, G</creatorcontrib><creatorcontrib>Moggi-Pignone, A</creatorcontrib><collection>CrossRef</collection><jtitle>European heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gargani, L</au><au>Zavagli, M</au><au>Barbarisi, G</au><au>Marchiani, C</au><au>Bandini, G</au><au>Moggi-Pignone, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>P1655Lung ultrasound B-lines in patients with acute heart failure and comorbidities</atitle><jtitle>European heart journal</jtitle><date>2019-10-01</date><risdate>2019</risdate><volume>40</volume><issue>Supplement_1</issue><issn>0195-668X</issn><eissn>1522-9645</eissn><abstract>Abstract
Background
Lung ultrasound assessment of B-lines is a sonographic method for a semi-quantitative evaluation of extravascular lung water, that can be employed to asssess and monitor pulmonary congestion in acute heart failure.
Purpose
To assess the degree and changes in B-lines during hospitalization for acute heart failure, independently of the etiology, and their correlation with patients' comorbidities.
Methods
Two-hundred and forty-one complete antero-lateral B-lines assessments were recorded in an old population of 73 patients (mean age 83.0±7.6 years, 54.8% males) admitted with a diagnosis of acute heart failure (AHF). Chronic obstructive pulmonary disease (COPD) was present in 30% patients, chronic kidney disease (CKD) was present in 31% patients, a previously known cardiac condition was present in 73% of patients. B-lines were evaluated according to standard protocol at admission (T1), at 24 hours (T2), 48 hours (T3) and at discharge (T4). NT-proBNP was assessed at admission and at discharge.
Results
Mean antero-lateral B-lines at T1 were 42±39 with a statistically significant reduction at T3 (25±23, p<0.001) and at T4 (16±22, p<0.001), but not at T2 (37±38, p=0.41) (see figure), with high variability in the percentage of B-lines reduction among patients, at all time points, and with 34% of patients with still significant pulmonary congestion at discharge (≥15 B-lines). B-lines number and changes did not differ in patients with and without COPD, CKD, or a previously known heart/valvular disease. A weak, albeit significant correlation was found between the percentage of B-lines change between admission and discharge and total diuresis (R=-0.25, p<0.05), delta (T3 values - T1 values) glomerular filtration rate (R=0.30, p<0.05) and delta NT-proBNP (R=0.31, p<0.05).
Dynamic changes of B-lines over time
Conclusions
In older patients hospitalized with AHF with multiple comorbidities, B-lines are present at admission and significantly reduce at 48 hours, although with high variability among different patients at all time points, and persistent significant congestion at discharge in about one third of patients. Lung ultrasound B-lines provide a specific and dynamic information about the degree and changes of pulmonary congestion, which is additive to other patient's characteristics.</abstract><pub>Oxford University Press</pub><doi>10.1093/eurheartj/ehz748.0413</doi></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| title | P1655Lung ultrasound B-lines in patients with acute heart failure and comorbidities |
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