Clinical and echocardiographic determinants of ultrasound lung comets☆
| Autor: | Quirino Ciampi, F. Frassi, Eugenio Picano, G. Mottola, Suzana Gligorova, Luna Gargani |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Diastole Doppler echocardiography Diagnosis Differential Ultrasound lung comets Internal medicine Dyspnoea medicine Humans Radiology Nuclear Medicine and imaging Aged Chi-Square Distribution Lung Ejection fraction medicine.diagnostic_test business.industry Ultrasound Echocardiography General Medicine medicine.disease Echocardiography Doppler Logistic Models medicine.anatomical_structure Heart failure Extravascular Lung Water Cardiology Female Radiology Intercostal space Cardiology and Cardiovascular Medicine business Chi-squared distribution |
| Zdroj: | European Journal of Echocardiography. 8:474-479 |
| ISSN: | 1525-2167 |
| DOI: | 10.1016/j.euje.2006.09.004 |
| Popis: | Background: Ultrasound lung comets (ULCs) are an echographic sign of extravascular lung water, that originate from water-thickened interlobular septa. Aim: To establish the echocardiographic correlates of ULCs. Methods 340 in-hospital patients (68±12years, 115 females) admitted to adult cardiology department underwent upon admission a separate evaluation of chest ULCs and a comprehensive 2D and Doppler echocardiography assessment, including the degree of left ventricular diastolic dysfunction (from 0=normal to 3=restrictive pattern). A patient ULC score has been obtained by summing the number of ULCs from each of the scanning spaces in the anterior right and left chest, from second to fifth intercostal space. Results: Multivariate linear regression analysis identified New York Heart Association (NYHA) class (OR=2.1, CI=1.4–2.9), ejection fraction (OR 0.954, CI=0.928–0.981) and degree of diastolic dysfunction (OR=2.438, CI=1.418–4.190) as the only parameters independently associated to the number of ULCs. Conclusion: ULCs are a simple echographic sign of extravascular lung water, more frequently associated with left ventricular diastolic and/or systolic dysfunction. ULCs can usefully integrate the clinical and pathophysiological information provided by conventional 2D and Doppler echocardiography, in patients with known or suspected heart failure and dyspnoea as a presenting symptom. |
| Databáze: | OpenAIRE |
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