Pulmonary congestion during exercise stress echocardiography in hypertrophic cardiomyopathy
| Autor: | Jesús Peteiro, Federica Re, C M Van De Heyning, Eugenio Picano, J L De Castro E Silva Pretto, Maria Grazia D'Alfonso, Marco Antonio Rodrigues Torres, Carlos Cotrim, Attila Pálinkás, Eszter Pálinkás, Fabio Mori, Róbert Sepp, Quirino Ciampi, Gergely Ágoston, Iana Simova |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Lung ultrasonography business.industry Human immunodeficiency virus (HIV) Hypertrophic cardiomyopathy medicine.disease_cause medicine.disease Internal medicine medicine Cardiology Stress Echocardiography Exercise stress echocardiography Pulmonary congestion Systole Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Heart Journal. 42 |
| ISSN: | 1522-9645 0195-668X |
| DOI: | 10.1093/eurheartj/ehab724.051 |
| Popis: | Background B-lines detected by lung ultrasound (LUS) indicate pulmonary congestion during exercise stress echo (ESE). Aim To assess B-lines during ESE in hypertrophic cardiomyopathy (HCM). Methods We enrolled 110 HCM patients (age 52±16 years, 74 males) referred for ESE (treadmill in 39, semi-supine bicycle in 71 patients) in 10 quality-controlled centers from 8 countries (Belgium, Brazil, Bulgaria, Hungary, Italy, Portugal, Serbia, Spain). ESE assessment included: left ventricular outflow tract gradient (LVOTG); mitral regurgitation (MR, score from 0 to 3); E/e'; systolic pulmonary arterial pressure (SPAP, from tricuspid regurgitant jet velocity); end-diastolic volume (EDV); left atrial volume (LAV). B-lines were assessed by LUS with the 4-site simplified scan, each site scored from 0 (normal A-lines) to 10 (coalescing B-lines). The positivity criterion was a B-line score stress ≥2 points. Results LUS was feasible in all subjects, with additional scanning and analysis time Conclusion B-lines are found in about 1 of 10 HCM patients at rest and in 1 of 3 during ESE. Acute backward heart failure during exercise can recognize multiple mechanisms in HCM, and ESE can help to capture this heterogeneity. Funding Acknowledgement Type of funding sources: None. Functional correlates of stress B-lines |
| Databáze: | OpenAIRE |
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