The incremental value of multi-organ assessment of congestion using ultrasound in outpatients with heart failure

Abstract Aims We investigated the prevalence and clinical value of assessing multi-organ congestion by ultrasound in heart failure (HF) outpatients. Methods and results Ultrasound congestion was defined as inferior vena cava of ≥21 mm, highest tertile of lung B-lines, or discontinuous renal venous f...

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Published in:European heart journal cardiovascular imaging 2023-06, Vol.24 (7), p.961-971
Main Authors: Pugliese, Nicola Riccardo, Pellicori, Pierpaolo, Filidei, Francesco, Del Punta, Lavinia, De Biase, Nicolò, Balletti, Alessio, Di Fiore, Valerio, Mengozzi, Alessandro, Taddei, Stefano, Gargani, Luna, Mullens, Wilfried, Cleland, John G F, Masi, Stefano
Format: Article
Language:English
Subjects:
Aged
Biomarkers
Heart Failure - diagnosis
Humans
Natriuretic Peptide, Brain
Outpatients
Peptide Fragments
Prognosis
Stroke Volume - physiology
Ultrasonography
Ventricular Function, Left
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Summary:Abstract Aims We investigated the prevalence and clinical value of assessing multi-organ congestion by ultrasound in heart failure (HF) outpatients. Methods and results Ultrasound congestion was defined as inferior vena cava of ≥21 mm, highest tertile of lung B-lines, or discontinuous renal venous flow. Associations with clinical characteristics and prognosis were explored. We enrolled 310 HF patients [median age: 77 years, median NT-proBNP: 1037 ng/L, 51% with a left ventricular ejection fraction (LVEF)
ISSN:2047-2404
2047-2412
DOI:10.1093/ehjci/jeac254