Exercise‐induced B‐lines in heart failure with preserved ejection fraction occur along with diastolic function worsening

Autor: Masatake Kobayashi, Marina Deljanin-Ilic, Giuseppe Ambrosio, Erberto Carluccio, Nicolas Girerd, D. Simonovic, Stefano Coiro
Přispěvatelé: BOZEC, Erwan, Institute for treatment and rehabilitation 'Niska Banja', Clinic of Cardiology, University of Nis School of Medicine, Perugia General Hospital, Centre d'investigation clinique plurithématique Pierre Drouin [Nancy] (CIC-P), Centre d'investigation clinique [Nancy] (CIC), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Défaillance Cardiovasculaire Aiguë et Chronique (DCAC), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Cardiovascular and Renal Clinical Trialists [Vandoeuvre-les-Nancy] (INI-CRCT), Institut Lorrain du Coeur et des Vaisseaux Louis Mathieu [Nancy], French-Clinical Research Infrastructure Network - F-CRIN [Paris] (Cardiovascular & Renal Clinical Trialists - CRCT ), Università degli Studi di Perugia = University of Perugia (UNIPG)
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
medicine.medical_specialty
Supine position
medicine.drug_class
Heart failure with preserved ejection faction
Nyha class
Ventricular Function
Left
Pulmonary congestion
B-lines
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
Diastole
Internal medicine
Natriuretic peptide
Diseases of the circulatory (Cardiovascular) system
Medicine
Humans
Diastolic function
Heart Failure
business.industry
Stroke Volume
Original Articles
medicine.disease
[SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
Echocardiographic predictors
Echocardiography
RC666-701
Heart failure
Concomitant
Cardiology
Original Article
Female
B‐lines
Cardiology and Cardiovascular Medicine
Heart failure with preserved ejection fraction
business
Zdroj: ESC Heart Failure
ESC Heart Failure, 2021, 8 (6), pp.5068-5080. ⟨10.1002/ehf2.13575⟩
ESC Heart Failure, Vol 8, Iss 6, Pp 5068-5080 (2021)
ISSN: 2055-5822
DOI: 10.1002/ehf2.13575⟩
Popis: International audience; Aims Pulmonary congestion during exercise assessed by lung ultrasound predicts negative outcome in patients with heart failure with preserved ejection fraction (HFpEF). We aimed at assessing predictors of exercise-induced pulmonary B-lines in HFpEF patients. Methods and results Eighty-one I-II NYHA class HFpEF patients (65.0 ± 8.2 y/o, 56.8% females) underwent standard and strain echocardiography, lung ultrasound, and natriuretic peptide assessment during supine exercise echocardiography (baseline and peak exercise). Peak values and their changes were compared in subgroups according to exercise lung congestion grading (peak B-lines >10 or ≤10). Exercise elicited significant changes for all echocardiographic parameters in both subgroups [39/81 (48.1%) with peak B-lines >10; 42/81 (51.9%) with B-lines ≤10]. Peak values and changes of E-wave (and its derived indices) were significantly higher in patients with >10 peak B-lines compared with those with ≤10 B-line (all P-values 10 (all P-values
Databáze: OpenAIRE
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