Ultrasound lung comets for the differential diagnosis of acute cardiogenic dyspnoea: A comparison with natriuretic peptides☆
| Autor: | Gino Soldati, Paola Tesorio, Mihai Gheorghiade, Luna Gargani, Eugenio Picano, F. Frassi |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class Diagnosis Differential Internal medicine Natriuretic Peptide Brain medicine Natriuretic peptide Humans Single-Blind Method Prospective Studies Intensive care medicine Prospective cohort study Lung Aged Aged 80 and over business.industry Medical record Ultrasound Area under the curve Middle Aged Reference Standards medicine.disease Peptide Fragments respiratory tract diseases Dyspnea medicine.anatomical_structure ROC Curve Echocardiography Research Design Heart failure Acute Disease Cardiology Female Differential diagnosis Cardiology and Cardiovascular Medicine business Biomarkers |
| Zdroj: | European Journal of Heart Failure. 10:70-77 |
| ISSN: | 1388-9842 |
| DOI: | 10.1016/j.ejheart.2007.10.009 |
| Popis: | Background: Acute dyspnoea as a presenting symptom is a frequent diagnostic challenge for physicians. The main differential diagnosis is between dyspnoea of cardiac and non-cardiac origin. Natriuretic peptides have been shown to be useful in this setting. Ultrasound lung comets (ULCs) are a simple, echographic method which can be used to assess pulmonary congestion. Aim: To evaluate the accuracy of ULCs for predicting dyspnoea of cardiac origin compared to natriuretic peptides. Methods: We evaluated 149 patients admitted with acute dyspnoea. Chest sonography and NT-proBNP assessments were performed a maximum of 4 h apart and independently analyzed. ULCs were evaluated via cardiac probes placed on the anterior and lateral chest. Two independent physicians, blinded to ULCs and NT-proBNP findings, reviewed all the medical records to establish the aetiologic diagnosis of dyspnoea. Results: Cardiogenic dyspnoea was confirmed in 122 patients and ruled-out in 27 patients. The number of ULCs was significantly correlated to NT-proBNP values (r=.69, p |
| Databáze: | OpenAIRE |
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