Role of Internal Jugular Venous Ultrasound in suspected or confirmed Heart Failure: A Systematic Review
| Autor: | Rahul Chaudhary, Marc A. Simon, John J. Pacella, Flordeliza S. Villanueva, Ajaypaul Sukhi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Heart Failure medicine.medical_specialty Catheterization Central Venous business.industry Ultrasound Central venous pressure Reproducibility of Results Emergency department Cochrane Library medicine.disease Dyspnea Heart failure Emergency medicine Medicine Outpatient clinic Humans Jugular Veins Cardiology and Cardiovascular Medicine business Internal jugular vein Lower limbs venous ultrasonography |
| Zdroj: | Journal of cardiac failure. 28(4) |
| ISSN: | 1532-8414 |
| Popis: | Background Few data are available on the use of internal jugular vein (IJV) ultrasound parameters to assess central venous pressure and clinical outcomes among patients with suspected or confirmed heart failure (HF). Methods We performed electronic searches on PubMed, The Cochrane Library, EMBASE, EBSCO, Web of Science, and CINAHL databases from the inception through January 9, 2021, to identify studies evaluating the accuracy and reliability of the IJV ultrasound parameters and exploring its correlation with central venous pressure and clinical outcomes in adult patients with suspected or confirmed acutely decompensated HF. The studies’ report quality was assessed by Quality Assessment of Diagnostic Accuracy Studies-2 scale. Results A total of 11 studies were eligible for final analysis (n = 1481 patients with HF). The studies were segregated into 3 groups: (1) the evaluation of patients presenting to the emergency department with dyspnea, (2) the evaluation of patients presenting to the HF clinic for follow-up, and (3) the evaluation of hospitalized patients with acutely decompensated HF or undergoing right heart catheterization. US parameters included IJV height, IJV diameter, IJV diameter ratio, IJV cross-sectional area, respiratory compressibility index, and compression compressibility index. Conclusions The findings of this systematic review suggest a significant role for ultrasound interrogation of the IJV in evaluation of patients in the emergency department presenting with dyspnea, in the outpatient clinic for poor clinical outcomes in HF, and in determining the timing of discharge for patients admitted with acutely decompensated HF. Further studies are warranted for testing the reliability of the reported ultrasound indices. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect