共 50 条
Ultrasound of extravascular lung water: a new standard for pulmonary congestion
被引:308
作者:

Picano, Eugenio
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Italian Natl Res Council, Inst Clin Physiol, I-56124 Pisa, Italy CNR, Italian Natl Res Council, Inst Clin Physiol, I-56124 Pisa, Italy

Pellikka, Patricia A.
论文数: 0 引用数: 0
h-index: 0
机构:
Mayo Clin, Coll Med, Dept Cardiovasc Dis, Rochester, MN USA CNR, Italian Natl Res Council, Inst Clin Physiol, I-56124 Pisa, Italy
机构:
[1] CNR, Italian Natl Res Council, Inst Clin Physiol, I-56124 Pisa, Italy
[2] Mayo Clin, Coll Med, Dept Cardiovasc Dis, Rochester, MN USA
关键词:
Oedema;
Lung;
Ultrasound;
Water;
ACUTE HEART-FAILURE;
CHEST SONOGRAPHY;
PROGNOSTIC VALUE;
INTENSIVE-CARE;
EUROPEAN ASSOCIATION;
NATRIURETIC PEPTIDE;
ACUTE DYSPNEA;
COMETS;
EDEMA;
ULTRASONOGRAPHY;
D O I:
10.1093/eurheartj/ehw164
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Extravascular lung water (EVLW) is a key variable in heart failure management and prognosis, but its objective assessment remains elusive. Lung imaging has been traditionally considered off-limits for ultrasound techniques due to the acoustic barrier of high-impedance air wall. In pulmonary congestion however, the presence of both air and water creates a peculiar echo fingerprint. Lung ultrasound shows B-lines, comet-like signals arising from a hyper-echoic pleural line with a to-and-fro movement synchronized with respiration. Increasing EVLW accumulation changes the normal, no-echo signal (black lung, no EVLW) into a black-and-white pattern (interstitial sub-pleural oedema with multiple B-lines) or a white lung pattern (alveolar pulmonary oedema) with coalescing B-lines. The number and spatial extent of B-lines on the antero-lateral chest allows a semi-quantitative estimation of EVLW(from absent, <= 5, to severe pulmonary oedema, >30 B-lines). Wet B-lines are made by water and decreased by diuretics, which cannot modify dry B-lines made by connective tissue. B-lines can be evaluated anywhere (including extreme environmental conditions with pocket size instruments to detect high-altitude pulmonary oedema), anytime (during dialysis to titrate intervention), by anyone (even a novice sonographer after 1 h training), and on anybody (since the chest acoustic window usually remains patent when echocardiography is not feasible). Cardiologists can achieve much diagnostic gain with little investment of technology, training, and time. B-lines represent 'the shape of lung water'. They allow non-invasive detection, in real time, of even sub-clinical forms of pulmonary oedema with a low cost, radiation-free approach.
引用
收藏
页码:2097 / 2104
页数:8
相关论文
共 50 条
[1]
Assessment of stress-induced pulmonary interstitial edema by chest ultrasound during exercise echocardiography and its correlation with left ventricular function
[J].
Agricola, E
;
Picano, E
;
Oppizzi, M
;
Pisani, M
;
Meris, A
;
Fragasso, G
;
Margonato, A
.
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY,
2006, 19 (04)
:457-463

Agricola, E
论文数: 0 引用数: 0
h-index: 0
机构: IRCCS, Hosp San Raffaele, Cardiothorac Dept, Div Noninvas Cardiol, I-20132 Milan, Italy

Picano, E
论文数: 0 引用数: 0
h-index: 0
机构: IRCCS, Hosp San Raffaele, Cardiothorac Dept, Div Noninvas Cardiol, I-20132 Milan, Italy

Oppizzi, M
论文数: 0 引用数: 0
h-index: 0
机构: IRCCS, Hosp San Raffaele, Cardiothorac Dept, Div Noninvas Cardiol, I-20132 Milan, Italy

Pisani, M
论文数: 0 引用数: 0
h-index: 0
机构: IRCCS, Hosp San Raffaele, Cardiothorac Dept, Div Noninvas Cardiol, I-20132 Milan, Italy

Meris, A
论文数: 0 引用数: 0
h-index: 0
机构: IRCCS, Hosp San Raffaele, Cardiothorac Dept, Div Noninvas Cardiol, I-20132 Milan, Italy

Fragasso, G
论文数: 0 引用数: 0
h-index: 0
机构: IRCCS, Hosp San Raffaele, Cardiothorac Dept, Div Noninvas Cardiol, I-20132 Milan, Italy

Margonato, A
论文数: 0 引用数: 0
h-index: 0
机构: IRCCS, Hosp San Raffaele, Cardiothorac Dept, Div Noninvas Cardiol, I-20132 Milan, Italy
[2]
Ultrasound comet-tail images: A marker of pulmonary edema - A comparative study with wedge pressure and extravascular lung water
[J].
Agricola, E
;
Bove, T
;
Oppizzi, M
;
Marino, G
;
Zangrillo, A
;
Margonato, A
;
Picano, E
.
CHEST,
2005, 127 (05)
:1690-1695

Agricola, E
论文数: 0 引用数: 0
h-index: 0
机构: Hosp San Raffaele, IRCCS, Div Non Invas Cardiol, Cardiothorac Dept, I-20132 Milan, Italy

Bove, T
论文数: 0 引用数: 0
h-index: 0
机构: Hosp San Raffaele, IRCCS, Div Non Invas Cardiol, Cardiothorac Dept, I-20132 Milan, Italy

Oppizzi, M
论文数: 0 引用数: 0
h-index: 0
机构: Hosp San Raffaele, IRCCS, Div Non Invas Cardiol, Cardiothorac Dept, I-20132 Milan, Italy

Marino, G
论文数: 0 引用数: 0
h-index: 0
机构: Hosp San Raffaele, IRCCS, Div Non Invas Cardiol, Cardiothorac Dept, I-20132 Milan, Italy

Zangrillo, A
论文数: 0 引用数: 0
h-index: 0
机构: Hosp San Raffaele, IRCCS, Div Non Invas Cardiol, Cardiothorac Dept, I-20132 Milan, Italy

Margonato, A
论文数: 0 引用数: 0
h-index: 0
机构: Hosp San Raffaele, IRCCS, Div Non Invas Cardiol, Cardiothorac Dept, I-20132 Milan, Italy

Picano, E
论文数: 0 引用数: 0
h-index: 0
机构: Hosp San Raffaele, IRCCS, Div Non Invas Cardiol, Cardiothorac Dept, I-20132 Milan, Italy
[3]
Point-of-care Ultrasonography for the Diagnosis of Acute Cardiogenic Pulmonary Edema in Patients Presenting With Acute Dyspnea: A Systematic Review and Meta-analysis
[J].
Al Deeb, Mohammad
;
Barbic, Skye
;
Featherstone, Robin
;
Dankoff, Jerrald
;
Barbic, David
.
ACADEMIC EMERGENCY MEDICINE,
2014, 21 (08)
:843-852

Al Deeb, Mohammad
论文数: 0 引用数: 0
h-index: 0
机构:
McGill Univ, Ctr Hlth, Clin Pharmacol & Toxicol Fellowship Program, Montreal, PQ, Canada
King Abdul Aziz Med City, Riyadh, Saudi Arabia McGill Univ, Ctr Hlth, Clin Pharmacol & Toxicol Fellowship Program, Montreal, PQ, Canada

Barbic, Skye
论文数: 0 引用数: 0
h-index: 0
机构:
Ctr Addict & Mental Hlth, SAMI Fellowship Program, Toronto, ON, Canada McGill Univ, Ctr Hlth, Clin Pharmacol & Toxicol Fellowship Program, Montreal, PQ, Canada

Featherstone, Robin
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Alberta, Dept Pediat, Alberta Res Ctr Hlth Evidence, Edmonton, AB, Canada McGill Univ, Ctr Hlth, Clin Pharmacol & Toxicol Fellowship Program, Montreal, PQ, Canada

Dankoff, Jerrald
论文数: 0 引用数: 0
h-index: 0
机构:
McGill Univ, Jewish Gen Hosp, Dept Emergency Med, Montreal, PQ H3T 1E2, Canada McGill Univ, Ctr Hlth, Clin Pharmacol & Toxicol Fellowship Program, Montreal, PQ, Canada

Barbic, David
论文数: 0 引用数: 0
h-index: 0
机构:
Sunnybrook Hlth Sci Ctr, Dept Emergency Med, Toronto, ON M4N 3M5, Canada McGill Univ, Ctr Hlth, Clin Pharmacol & Toxicol Fellowship Program, Montreal, PQ, Canada
[4]
Lung water assessment by lung ultrasonography in intensive care: a pilot study
[J].
Baldi, Giacomo
;
Gargani, Luna
;
Abramo, Antonio
;
D'Errico, Luigia
;
Caramella, Davide
;
Picano, Eugenio
;
Giunta, Francesco
;
Forfori, Francesco
.
INTENSIVE CARE MEDICINE,
2013, 39 (01)
:74-84

Baldi, Giacomo
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Pisa, Dept Surg, I-56100 Pisa, Italy Univ Pisa, Dept Surg, I-56100 Pisa, Italy

Gargani, Luna
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Inst Clin Physiol, Pisa, Italy Univ Pisa, Dept Surg, I-56100 Pisa, Italy

Abramo, Antonio
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Pisa, Dept Surg, I-56100 Pisa, Italy Univ Pisa, Dept Surg, I-56100 Pisa, Italy

D'Errico, Luigia
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Pisa, Dept Oncol Transplants & New Med Technol, I-56100 Pisa, Italy Univ Pisa, Dept Surg, I-56100 Pisa, Italy

Caramella, Davide
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Pisa, Dept Oncol Transplants & New Med Technol, I-56100 Pisa, Italy Univ Pisa, Dept Surg, I-56100 Pisa, Italy

Picano, Eugenio
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Inst Clin Physiol, Pisa, Italy Univ Pisa, Dept Surg, I-56100 Pisa, Italy

Giunta, Francesco
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Pisa, Dept Surg, I-56100 Pisa, Italy Univ Pisa, Dept Surg, I-56100 Pisa, Italy

Forfori, Francesco
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Pisa, Dept Surg, I-56100 Pisa, Italy Univ Pisa, Dept Surg, I-56100 Pisa, Italy
[5]
Evaluation of ultrasound lung comets by hand-held echocardiography
[J].
Bedetti G.
;
Gargani L.
;
Corbisiero A.
;
Frassi F.
;
Poggianti E.
;
Mottola G.
.
Cardiovascular Ultrasound,
4 (1)

Bedetti G.
论文数: 0 引用数: 0
h-index: 0
机构:
Imola Hospital, Imola Imola Hospital, Imola

Gargani L.
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Institute of Clinical Physiology, Pisa Imola Hospital, Imola

Corbisiero A.
论文数: 0 引用数: 0
h-index: 0
机构:
Montevergine Clinic, Mercogliano Imola Hospital, Imola

Frassi F.
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Institute of Clinical Physiology, Pisa Imola Hospital, Imola

Poggianti E.
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Institute of Clinical Physiology, Pisa Imola Hospital, Imola

Mottola G.
论文数: 0 引用数: 0
h-index: 0
机构:
Montevergine Clinic, Mercogliano Imola Hospital, Imola
[6]
Comparison of Prognostic Value of Echocardiacgraphic Risk Score With the Thrombolysis In Myocardial Infarction (TIMI) and Global Registry In Acute Coronary Events (GRACE) Risk Scores in Acute Coronary Syndrome
[J].
Bedetti, Gigliola
;
Gargani, Luna
;
Sicari, Rosa
;
Gianfaldoni, Maria Luisa
;
Molinaro, Sabrina
;
Picano, Eugenio
.
AMERICAN JOURNAL OF CARDIOLOGY,
2010, 106 (12)
:1709-1716

Bedetti, Gigliola
论文数: 0 引用数: 0
h-index: 0
机构:
S Maria della Scaletta Hosp, Div Cardiol, Imola, Italy S Maria della Scaletta Hosp, Div Cardiol, Imola, Italy

Gargani, Luna
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Inst Clin Physiol, Pisa, Italy S Maria della Scaletta Hosp, Div Cardiol, Imola, Italy

Sicari, Rosa
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Inst Clin Physiol, Pisa, Italy S Maria della Scaletta Hosp, Div Cardiol, Imola, Italy

Gianfaldoni, Maria Luisa
论文数: 0 引用数: 0
h-index: 0
机构:
S Giuseppe Hosp, Div Cardiol, Empoli, Italy S Maria della Scaletta Hosp, Div Cardiol, Imola, Italy

Molinaro, Sabrina
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Inst Clin Physiol, Pisa, Italy S Maria della Scaletta Hosp, Div Cardiol, Imola, Italy

Picano, Eugenio
论文数: 0 引用数: 0
h-index: 0
机构:
CNR, Inst Clin Physiol, Pisa, Italy S Maria della Scaletta Hosp, Div Cardiol, Imola, Italy
[7]
Ultrasound lung comets induced by repeated breath-hold diving, a study in underwater fishermen
[J].
Boussuges, A.
;
Coulange, M.
;
Bessereau, J.
;
Gargne, O.
;
Ayme, K.
;
Gavarry, O.
;
Fontanari, P.
;
Joulia, F.
.
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS,
2011, 21 (06)
:E384-E392

Boussuges, A.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France
Inst Rech Biomed Arme IRBA, Marseille, France Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France

Coulange, M.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France
Inst Rech Biomed Arme IRBA, Marseille, France Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France

Bessereau, J.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France
Inst Rech Biomed Arme IRBA, Marseille, France Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France

Gargne, O.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France
Inst Rech Biomed Arme IRBA, Marseille, France Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France

Ayme, K.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France
Inst Rech Biomed Arme IRBA, Marseille, France Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France

Gavarry, O.
论文数: 0 引用数: 0
h-index: 0
机构:
UFR STAPS, Lab Biomodelisat & Ingn Handicaps HANDIBIO EA 43, La Garde, France Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France

Fontanari, P.
论文数: 0 引用数: 0
h-index: 0
机构:
UFR STAPS, Lab Biomodelisat & Ingn Handicaps HANDIBIO EA 43, La Garde, France Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France

Joulia, F.
论文数: 0 引用数: 0
h-index: 0
机构:
UFR STAPS, Lab Biomodelisat & Ingn Handicaps HANDIBIO EA 43, La Garde, France Univ Mediterrane, Physiol & Physiopathol Condit Oxyge Nation Extrem, UMR MD2, Marseille, France
[8]
Automated B-Line Scoring on Thoracic Sonography
[J].
Brattain, Laura J.
;
Telfer, Brian A.
;
Liteplo, Andrew S.
;
Noble, Vicki E.
.
JOURNAL OF ULTRASOUND IN MEDICINE,
2013, 32 (12)
:2185-2190

Brattain, Laura J.
论文数: 0 引用数: 0
h-index: 0
机构:
MIT, Lincoln Lab, Lexington, MA 02420 USA MIT, Lincoln Lab, Lexington, MA 02420 USA

Telfer, Brian A.
论文数: 0 引用数: 0
h-index: 0
机构:
MIT, Lincoln Lab, Lexington, MA 02420 USA MIT, Lincoln Lab, Lexington, MA 02420 USA

Liteplo, Andrew S.
论文数: 0 引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Emergency Med, Div Emergency Ultrasound, Boston, MA 02114 USA MIT, Lincoln Lab, Lexington, MA 02420 USA

Noble, Vicki E.
论文数: 0 引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Emergency Med, Div Emergency Ultrasound, Boston, MA 02114 USA MIT, Lincoln Lab, Lexington, MA 02420 USA
[9]
Comparison of Expert and Novice Sonographers' Performance in Focused Lung Ultrasonography in Dyspnea (FLUID) to Diagnose Patients With Acute Heart Failure Syndrome
[J].
Chiem, Alan T.
;
Chan, Connie H.
;
Ander, Douglas S.
;
Kobylivker, Andrew N.
;
Manson, William C.
.
ACADEMIC EMERGENCY MEDICINE,
2015, 22 (05)
:564-573

Chiem, Alan T.
论文数: 0 引用数: 0
h-index: 0
机构:
Olive View Univ Calif Los Angeles, Dept Emergency Med, Sylmar, CA 91342 USA Olive View Univ Calif Los Angeles, Dept Emergency Med, Sylmar, CA 91342 USA

Chan, Connie H.
论文数: 0 引用数: 0
h-index: 0
机构:
Kaiser Permanente Honolulu Med Ctr, Dept Emergency Med, Honolulu, HI USA Olive View Univ Calif Los Angeles, Dept Emergency Med, Sylmar, CA 91342 USA

Ander, Douglas S.
论文数: 0 引用数: 0
h-index: 0
机构:
Emory Univ, Sch Med, Dept Emergency Med, Atlanta, GA USA Olive View Univ Calif Los Angeles, Dept Emergency Med, Sylmar, CA 91342 USA

Kobylivker, Andrew N.
论文数: 0 引用数: 0
h-index: 0
机构:
Southeast Permanente Med Grp, Dept Cardiol, Atlanta, GA USA Olive View Univ Calif Los Angeles, Dept Emergency Med, Sylmar, CA 91342 USA

Manson, William C.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Texas Southwestern, Dept Anesthesiol, Dallas, TX USA Olive View Univ Calif Los Angeles, Dept Emergency Med, Sylmar, CA 91342 USA
[10]
Prognostic value of residual pulmonary congestion at discharge assessed by lung ultrasound imaging in heart failure
[J].
Coiro, Stefano
;
Rossignol, Patrick
;
Ambrosio, Giuseppe
;
Carluccio, Erberto
;
Alunni, Gianfranco
;
Murrone, Adriano
;
Tritto, Isabella
;
Zannad, Faiez
;
Girerd, Nicolas
.
EUROPEAN JOURNAL OF HEART FAILURE,
2015, 17 (11)
:1172-1181

论文数: 引用数:
h-index:
机构:

Rossignol, Patrick
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Lorraine, CHU Nancy, Inst Lorrain Coeur & Vaisseaux, INSERM,Ctr Invest Clin 9501, Nancy, France
INI CRCT Cardiovasc & Renal Clin Trialists F CRIN, Nancy, France Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy

Ambrosio, Giuseppe
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy

Carluccio, Erberto
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy

Alunni, Gianfranco
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy

Murrone, Adriano
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy

论文数: 引用数:
h-index:
机构:

Zannad, Faiez
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Lorraine, CHU Nancy, Inst Lorrain Coeur & Vaisseaux, INSERM,Ctr Invest Clin 9501, Nancy, France
INI CRCT Cardiovasc & Renal Clin Trialists F CRIN, Nancy, France Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy

Girerd, Nicolas
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Lorraine, CHU Nancy, Inst Lorrain Coeur & Vaisseaux, INSERM,Ctr Invest Clin 9501, Nancy, France
INI CRCT Cardiovasc & Renal Clin Trialists F CRIN, Nancy, France Univ Perugia, Sch Med, Div Cardiol, I-06100 Perugia, Italy