Echocardiography and lung ultrasonography for the assessment and management of acute heart failure

被引：140

作者：

Price, Susanna ^{[1
]}

Platz, Elke ^{[2
]}

Cullen, Louise ^{[3
]}

Tavazzi, Guido ^{[4
]}

Christ, Michael ^{[5
]}

Cowie, Martin R. ^{[6
]}

Maisel, Alan S. ^{[7
,8
]}

Masip, Josep ^{[9
,10
]}

Miro, Oscar ^{[11
]}

McMurray, John J. ^{[12
]}

Peacock, W. Frank ^{[13
]}

Javier Martin-Sanchez, F. ^{[14
]}

Di Somma, Salvatore ^{[15
]}

Bueno, Hector ^{[16
,17
]}

Zeymer, Uwe ^{[18
]}

Mueller, Christian ^{[19
,20
]}

机构：

[1] Royal Brompton & Harefield NHS Fdn Trust, Royal Brompton Hosp, Sydney St, London SW3 6NP, England

[2] Harvard Med Sch, Brigham & Womens Hosp, Dept Emergency Med, 75 Francis St, Boston, MA 02115 USA

[3] Royal Brisbane & Womens Hosp, Dept Emergency Med, Butterfield St & Bowen Bridge Rd, Herston, Qld 4029, Australia

[4] Univ Pavia, Intens Care Unit, Dept 1, Fdn Policlinico IRCCS San Matteo, Viale Camillo Golgi 19, I-27100 Pavia, Italy

[5] Klinikum Nurnberg, Dept Emergency & Crit Care Med, Prof Ernst Nathan Str 1, D-90419 Nurnberg, Germany

[6] Imperial Coll London, Royal Brompton Hosp, Dept Cardiol, London SW3 6NP, England

[7] Vet Affairs San Diego Healthcare Syst, Coronary Care Unit, 3350 La Jolla Village Dr, San Diego, CA 92161 USA

[8] Vet Affairs San Diego Healthcare Syst, Heart Failure Program, 3350 La Jolla Village Dr, San Diego, CA 92161 USA

[9] Univ Barcelona, Crit Care Dept, Consorci Sanitari Integral, Hosp St Joan Despi Moises Broggi, Grand Via Corts Catalanes 585, E-08007 Barcelona, Spain

[10] Univ Barcelona, Hosp Gen Hospitalet, Grand Via Corts Catalanes 585, E-08007 Barcelona, Spain

[11] Hosp Clin Barcelona, Emergency Dept, Carrer Villarroel 170, E-08036 Barcelona, Spain

[12] Univ Glasgow, BHF Cardiovasc Res Ctr, 126 Univ Pl, Glasgow G12 8TA, Lanark, Scotland

[13] Baylor Coll Med, Emergency Med, Scurlock Tower,1 Baylor Plaza, Houston, TX 77030 USA

[14] Hosp Clin San Carlos, Inst Invest Sanitaria, Emergency Dept, Madrid 28040, Spain

[15] LaSapienza Univ Rome, Fac Med & Psychol, St Andrea Hosp, Emergency Dept, Piazzale Aldo Moro 5, I-00185 Rome, Italy

[16] Hosp 12 Octubre, Ctr Nacl Invest Cardiovasc, E-28041 Madrid, Spain

[17] Hosp 12 Octubre, Dept Cardiol, E-28041 Madrid, Spain

[18] Klinikum Ludwigshafen, Inst Herzinfarktforsch Ludwigshafen, Bremserstr 79, D-67063 Ludwigshafen, Germany

[19] Univ Basel Hosp, Dept Cardiol, Petersgraben 4, CH-4031 Basel, Switzerland

[20] Univ Basel Hosp, Cardiovasc Res Inst, Petersgraben 4, CH-4031 Basel, Switzerland

来源：

NATURE REVIEWS CARDIOLOGY | 2017年 / 14卷 / 07期

关键词：

MECHANICAL CIRCULATORY SUPPORT; ACUTE MYOCARDIAL-INFARCTION; FOCUSED CARDIAC ULTRASOUND; EARLY HOSPITAL MANAGEMENT; ACUTE RESPIRATORY-FAILURE; LEFT ATRIAL PRESSURE; BUNDLE-BRANCH BLOCK; EUROPEAN ASSOCIATION; AMERICAN SOCIETY; CARDIOGENIC-SHOCK;

D O I：

10.1038/nrcardio.2017.56

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Echocardiography is increasingly recommended for the diagnosis and assessment of patients with severe cardiac disease, including acute heart failure. Although previously considered to be within the realm of cardiologists, the development of ultrasonography technology has led to the adoption of echocardiography by acute care clinicians across a range of specialties. Data from echocardiography and lung ultrasonography can be used to improve diagnostic accuracy, guide and monitor the response to interventions, and communicate important prognostic information in patients with acute heart failure. However, without the appropriate skills and a good understanding of ultrasonography, its wider application to the most acutely unwell patients can have substantial pitfalls. This Consensus Statement, prepared by the Acute Heart Failure Study Group of the ESC Acute Cardiovascular Care Association, reviews the existing and potential roles of echocardiography and lung ultrasonography in the assessment and management of patients with acute heart failure, highlighting the differences from established practice where relevant.

引用

页码：426 / 440

页数：14

共 135 条

[1] 2015 ESC Guidelines for the diagnosis and management of pericardial diseases The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS) [J].