Use of clinical ultrasound in primary care: Markers in congestive heart failure

被引:0
作者
Pena, C. Montero [1 ]
Maldonado, F. J. Palma [2 ]
Lopez, J. Fidalgo [3 ,5 ]
Garcia, C. Casanova [4 ,5 ]
机构
[1] Ctr Salud Don Benito Oeste, MFyC, Don Benito, Badajoz, Spain
[2] Ctr Salud Can Misses, MFyC, Eivissa, Islas Baleares, Spain
[3] Hosp Univ Torrejon, FEA Urgencias, Madrid, Spain
[4] Ctr Salud Barrio Pilar, Med Familia, Madrid, Spain
[5] GT Ecog SEMERGEN, Madrid, Spain
来源
MEDICINA DE FAMILIA-SEMERGEN | 2024年 / 50卷 / 09期
关键词
Ultrasound; Primary care; Congestive heart failure; Pleural effusion; Inferior vena cava; Pulsed Doppler ultrasonography; LUNG ULTRASOUND; PULMONARY CONGESTION; PROGNOSTIC VALUE; PREVALENCE; DIAGNOSIS; EDEMA; SIGN;
D O I
10.1016/j.semerg.2024.102383
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The patient with heart failure (HF) is a frequent scenario in primary care consultations. The presence of subclinical congestion is a predictor of rehospitalization and adverse events in these patients. The assessment of congestion is complex due to the low sensitivity of classic symptoms and signs, which leads to underdiagnosis, delayed initiation of treatment and a greater likelihood of complications. The family doctor should be familiar with new techniques for congestion assessment, such as the study of venous congestion with ultrasound and pulmonary ultrasound. This makes it possible to know the existence of subclinical congestion in a more realistic way. Clinical ultrasound in the hands of the family doctor individualizes decongestive therapy in patients with HF in an accurate, fast and safe way. (c) 2024 Sociedad Espanola de Medicos de Atencion Primaria (SEMERGEN). Published by Elsevier Espana, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
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页数:10
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