Lung Ultrasound: new Opportunities for a Cardiologist
https://doi.org/10.18087/cardio.2020.1.n617
Abstract
This review focused on ultrasound examination of lungs, a useful complement to transthoracic echocardiography (EchoCG), which is superior to chest X-ray in the diagnostic value. The lung acoustic window always remains open and allows obtaining high-quality images in most cases. For a cardiologist, the major points of the method application are determination of pleural effusion and lung congestion. This method has a number of advantages: it is time-saving; cost-effective; portable and accessible; can be used in a real-time mode; not associated with radiation; reproducible; and highly informative. The ultrasound finding of wet lungs would indicate threatening, acute cardiac decompensation long before appearance of clinical, auscultative, and radiological signs of lung congestion. Modern EchoCG should include examination of the heart and lungs as a part of a single, integrative ultrasound examination.
About the Authors
A. Z. Arystan
Medical Centre Hospital of the President’s Affairs Administration of the Republic of Kazakhstan
Kazakhstan
Nur-Sultan
Kazakhstan
Nur-Sultan
Y. T. Khamzina
Medical Centre Hospital of the President’s Affairs Administration of the Republic of Kazakhstan
Kazakhstan
Nur-Sultan
Kazakhstan
Nur-Sultan
V. V. Benberin
Medical Centre Hospital of the President’s Affairs Administration of the Republic of Kazakhstan
Kazakhstan
Nur-Sultan
Kazakhstan
Nur-Sultan
D. V. Fettser
Municipal Clinical Hospital #52 at the Health Care Department of Moscow City
Russian Federation
Moscow
Russian Federation
Moscow
Y. N. Belenkov
I.M. Sechenov First Moscow State Medical University
Russian Federation
Moscow
Russian Federation
Moscow
References
1. Miglioranza MH, Sousa ACS, Araujo C de SC, Almeida-Santos MA, Gargani L. Lung Ultrasound: The Cardiologists’ New Friend. Arquivos Brasileiros de Cardiologia. 2017;109(6):606–8. DOI: 10.5935/abc.20170169
2. Harrison’s principles of internal medicine. Longo DL, Fauci AS, Kasper DL, Jameson JL, Hauser SL, Loscalzo J, editors -New York, NY: McGraw-Hill Medical;2011. -4012 p. [Part 11, Section 1, Chapter 253]. ISBN 978-0-07-174889-6
3. Picano E, Scali MC, Ciampi Q, Lichtenstein D. Lung Ultrasound for the Cardiologist. JACC: Cardiovascular Imaging. 2018;11(11):1692– 705. DOI: 10.1016/j.jcmg.2018.06.023
4. Skorodumova E.G., Kostenko V.A., Skorodumova E.A., Siverinа A.V. Assessment of interstitial edema in patients with intermediate function of the left ventricle after resolving of acute decompensation of heart failure. Translational Medicine. 2018;5(3):23–7. [Russian] DOI: 10.18705/2311-4495-2018-5-3-23-27
5. Volpicelli G. Lung Ultrasound in Pneumothorax: The Continuing Need for Appropriate Use and Correct Interpretation. The Journal of Emergency Medicine. 2017;53(2):e25–6. DOI: 10.1016/j.jemermed.2017.03.048
6. Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Medicine. 2012;38(4):577–91. DOI: 10.1007/s00134-012-2513-4
7. Gargani L. Ultrasound of the Lungs More than a Room with a View. Heart Failure Clinics. 2019;15(2):297–303. DOI: 10.1016/j.hfc.2018.12.010
8. Picano E, Frassi F, Agricola E, Gligorova S, Gargani L, Mottola G. Ultrasound Lung Comets: A Clinically Useful Sign of Extravascular Lung Water. Journal of the American Society of Echocardiography. 2006;19(3):356–63. DOI: 10.1016/j.echo.2005.05.019
9. Bianco F, Bucciarelli V, Ricci F, De Caterina R, Gallina S. Lung ultrasonography: a practical guide for cardiologists. Journal of Cardiovascular Medicine. 2017;18(7):501–9. DOI: 10.2459/JCM.0000000000000515
10. Gargani L. Lung ultrasound: a new tool for the cardiologist. Cardiovascular Ultrasound. 2011;9(1):6. DOI: 10.1186/1476-7120-9-6
11. Volpicelli G, Mussa A, Garofalo G, Cardinale L, Casoli G, Perotto F et al. Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome. The American Journal of Emergency Medicine. 2006;24(6):689–96. DOI: 10.1016/j.ajem.2006.02.013
12. Alekhin M.N. Lung ultrasonography in the diagnosis of extravascular lung water. Creative Cardiology. 2015;1:27–37. [Russian]
13. Volpicelli G, Noble VE, Liteplo A, Cardinale L. Decreased sensitivity of lung ultrasound limited to the anterior chest in emergency department diagnosis of cardiogenic pulmonary edema: a retrospective analysis. Critical Ultrasound Journal. 2010;2(2):47–52. DOI: 10.1007/s13089-010-0037-0
14. Lichtenstein DA. Lung ultrasound in the critically ill. Annals of Intensive Care. 2014;4(1):1. DOI: 10.1186/2110-5820-4-1
15. Maskell NA. BTS guidelines for the investigation of a unilateral pleural effusion in adults. Thorax. 2003;58(Suppl 2):8ii–17. DOI: 10.1136/thorax.58.suppl_2.ii8
16. Frassi F, Gargani L, Gligorova S, Ciampi Q, Mottola G, Picano E. Clinical and echocardiographic determinants of ultrasound lung comets. European Journal of Echocardiography. 2007;8(6):474–9. DOI: 10.1016/j.euje.2006.09.004
17. Brogi E, Bignami E, Sidoti A, Shawar M, Gargani L, Vetrugno L et al. Could the use of bedside lung ultrasound reduce the number of chest x-rays in the intensive care unit? Cardiovascular Ultrasound. 2017;15(1):23. DOI: 10.1186/s12947-017-0113-8
18. Agricola E, Bove T, Oppizzi M, Marino G, Zangrillo A, Margonato A et al. “Ultrasound Comet-Tail Images”: A Marker Of Pulmonary Edema: a comparative study with wedge pressure and extravascular lung water. Chest. 2005;127(5):1690–5. DOI: 10.1378/chest.127.5.1690
19. Neskovic AN, Skinner H, Price S, Via G, De Hert S, Stankovic I et al. Focus cardiac ultrasound core curriculum and core syllabus of the European Association of Cardiovascular Imaging. European Heart Journal Cardiovascular Imaging. 2018;19(5):475–81. DOI: 10.1093/ehjci/jey006
20. Volpicelli G, Melniker LA, Cardinale L, Lamorte A, Frascisco MF. Lung ultrasound in diagnosing and monitoring pulmonary interstitial fluid. La radiologia medica. 2013;118(2):196–205. DOI: 10.1007/s11547-012-0852-4
21. Diaz-Gomez JL, Ripoll JG, Ratzlaff RA, Tavazzi G. Perioperative Lung Ultrasound for the Cardiothoracic Anesthesiologist: Emerging Importance and Clinical Applications. Journal of Cardiothoracic and Vascular Anesthesia. 2017;31(2):610–25. DOI: 10.1053/j.jvca.2016.11.031
22. Cortellaro F, Ceriani E, Spinelli M, Campanella C, Bossi I, Coen D et al. Lung ultrasound for monitoring cardiogenic pulmonary edema. Internal and Emergency Medicine. 2017;12(7):1011–7. DOI: 10.1007/s11739-016-1510-y
23. Picano E, Scali MC. The lung water cascade in heart failure. Echocardiography. 2017;34(10):1503–7. DOI: 10.1111/echo.13657
24. Baldi G, Gargani L, Abramo A, D’Errico L, Caramella D, Picano E et al. Lung water assessment by lung ultrasonography in intensive care: a pilot study. Intensive Care Medicine. 2013;39(1):74–84. DOI: 10.1007/s00134-012-2694-x
25. Lichtenstein D, van Hooland S, Elbers P, Malbrain MLNG. Ten good reasons to practice ultrasound in critical care. Anaesthesiology Intensive Therapy. 2014;46(5):323–35. DOI: 10.5603/AIT.2014.0056
26. Gargani L, Volpicelli G. How I do it: Lung ultrasound. Cardiovascular Ultrasound. 2014;12(1):25. DOI: 10.1186/1476-7120-12-25
27. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal. 2016;37(27):2129–200. DOI: 10.1093/eurheartj/ehw128
28. Ziskin MC, Thickman DI, Goldenberg NJ, Lapayowker MS, Becker JM. The comet tail artifact. Journal of Ultrasound in Medicine. 1982;1(1):1–7. DOI: 10.7863/jum.1982.1.1.1
29. McMurray JJV, Adamopoulos S, Anker SD, Auricchio A, Bohm M, Dickstein K et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. European Heart Journal. 2012;33(14):1787–847. DOI: 10.1093/eurheartj/ehs104
30. Thickman DI, Ziskin MC, Goldenberg NJ, Linder BE. Clinical manifestations of the comet tail artifact. Journal of Ultrasound in Medicine. 1983;2(5):225–30. DOI: 10.7863/jum.1983.2.5.225
31. Cardinale L. Effectiveness of chest radiography, lung ultrasound and thoracic computed tomography in the diagnosis of congestive heart failure. World Journal of Radiology. 2014;6(6):230–7. DOI: 10.4329/wjr.v6.i6.230
32. Targhetta R, Chavagneux R, Balmes P, Lemerre C, Mauboussin JM, Bourgeois JM et al. Sonographic lung surface evaluation in pulmonary sarcoidosis: preliminary results. Journal of Ultrasound in Medicine. 1994;13(5):381–8. DOI: 10.7863/jum.1994.13.5.381
33. Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG et al. 2009 Focused Update Incorporated Into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the International Society for Heart and Lung Transplantation. Journal of the American College of Cardiology. 2009;53(15):e1–90. DOI: 10.1016/j.jacc.2008.11.013
34. Picano E, Pellikka PA. Ultrasound of extravascular lung water: a new standard for pulmonary congestion. European Heart Journal. 2016;37(27):2097–104. DOI: 10.1093/eurheartj/ehw164
35. Volpicelli G. Lung Sonography. Journal of Ultrasound in Medicine. 2013;32(1):165–71. DOI: 10.7863/jum.2013.32.1.165
36. Jambrik Z, Monti S, Coppola V, Agricola E, Mottola G, Miniati M et al. Usefulness of ultrasound lung comets as a nonradiologic sign of extravascular lung water. The American Journal of Cardiology. 2004;93(10):1265–70. DOI: 10.1016/j.amjcard.2004.02.012
37. Gargani L, Picano E. The risk of cumulative radiation exposure in chest imaging and the advantage of bedside ultrasound. Critical Ultrasound Journal. 2015;7(1):4. DOI: 10.1186/s13089-015-0020-x
38. Gargani L, Lionetti V, Di Cristofano C, Bevilacqua G, Recchia FA, Picano E. Early detection of acute lung injury uncoupled to hypoxemia in pigs using ultrasound lung comets. Critical Care Medicine. 2007;35(12):2769–74. DOI: 10.1097/01.CCM.0000287525.03140.3F
39. Picano E, Gargani L. Ultrasound lung comets: the shape of lung water. European Journal of Heart Failure. 2012;14(11):1194–6. DOI: 10.1093/eurjhf/hfs157
40. Kobalava Zh.D., Safarova A.F., Soloveva A.E., Cabello F.E., Meray I.A., Shavarova E.K. et al. Pulmonary congestion by lung ultrasound in decompensated heart failure. Kardiologiia. 2019;59(8):5–14. [Russian] DOI: 10.18087/cardio.2019.8.n534
41. Volpicelli G, Cardinale L, Garofalo G, Veltri A. Usefulness of lung ultrasound in the bedside distinction between pulmonary edema and exacerbation of COPD. Emergency Radiology. 2008;15(3):145–51. DOI: 10.1007/s10140-008-0701-x
42. Gargani L, Frassi F, Soldati G, Tesorio P, Gheorghiade M, Picano E. Ultrasound lung comets for the differential diagnosis of acute cardiogenic dyspnoea: A comparison with natriuretic peptides. European Journal of Heart Failure. 2008;10(1):70–7. DOI: 10.1016/j.ejheart.2007.10.009
43. Dietrich CF, Mathis G, Blaivas M, Volpicelli G, Seibel A, Atkinson NS et al. Lung artefacts and their use. Medical Ultrasonography. 2016;18(4):488–99. DOI: 10.11152/mu-878
44. Volpicelli G, Caramello V, Cardinale L, Mussa A, Bar F, Frascisco MF. Bedside ultrasound of the lung for the monitoring of acute decompensated heart failure. The American Journal of Emergency Medicine. 2008;26(5):585–91. DOI: 10.1016/j.ajem.2007.09.014
45. Picano E, Ciampi Q, Citro R, D’Andrea A, Scali MC, Cortigiani L et al. Stress echo 2020: the international stress echo study in ischemic and non-ischemic heart disease. Cardiovascular Ultrasound. 2017;15(1):3. DOI: 10.1186/s12947-016-0092-1
46. Grishin A.M., Alekhin M.N., Sidorenko B.A. Experience in using ultrasonography to detect pulmonary extravascular fluid in patients with heart failure. Therapeutic Archive. 2010;82(4):35–9. [Russian]
47. Scali MC, Ciampi Q, Picano E, Bossone E, Ferrara F, Citro R et al. Quality control of B-lines analysis in stress Echo 2020. Cardiovascular Ultrasound. 2018;16(1):20. DOI: 10.1186/s12947-018-0138-7
48. Miglioranza MH, Sousa ACS, Araujo C de SC, Almeida-Santos MA, Gargani L. Lung Ultrasound: The Cardiologists’ New Friend. Arquivos Brasileiros de Cardiologia. 2017;109(6):606–8. DOI: 10.5935/abc.20170169
49. Picano E, Gargani L, Gheorghiade M. Why, when, and how to assess pulmonary congestion in heart failure: pathophysiological, clinical, and methodological implications. Heart Failure Reviews. 2010;15(1):63–72. DOI: 10.1007/s10741-009-9148-8
50. Picano E, Scali MC, Ciampi Q, Lichtenstein D. Lung Ultrasound for the Cardiologist. JACC: Cardiovascular Imaging. 2018;11(11):1692– 705. DOI: 10.1016/j.jcmg.2018.06.023
51. Torino C, Gargani L, Sicari R, Letachowicz K, Ekart R, Fliser D et al. The Agreement between Auscultation and Lung Ultrasound in Hemodialysis Patients: The LUST Study. Clinical Journal of the American Society of Nephrology. 2016;11(11):2005–11. DOI: 10.2215/CJN.03890416
52. Volpicelli G. Lung Ultrasound in Pneumothorax: The Continuing Need for Appropriate Use and Correct Interpretation. The Journal of Emergency Medicine. 2017;53(2):e25–6. DOI: 10.1016/j.jemermed.2017.03.048
53. Mojoli F, Bouhemad B, Mongodi S, Lichtenstein D. Lung Ultrasound for Critically Ill Patients. American Journal of Respiratory and Critical Care Medicine. 2019;199(6):701–14. DOI: 10.1164/rccm.201802-0236CI
54. Gargani L. Ultrasound of the Lungs More than a Room with a View. Heart Failure Clinics. 2019;15(2):297–303. DOI: 10.1016/j.hfc.2018.12.010
55. Bedetti G, Gargani L, Corbisiero A, Frassi F, Poggianti E, Mottola G. Evaluation of ultrasound lung comets by hand-held echocardiography. Cardiovascular Ultrasound. 2006;4(1):34. DOI: 10.1186/1476-7120-4-34
56. Bianco F, Bucciarelli V, Ricci F, De Caterina R, Gallina S. Lung ultrasonography: a practical guide for cardiologists. Journal of Cardiovascular Medicine. 2017;18(7):501–9. DOI: 10.2459/JCM.0000000000000515
57. Gargani L, Pang PS, Frassi F, Miglioranza MH, Dini FL, Landi P et al. Persistent pulmonary congestion before discharge predicts rehospitalization in heart failure: a lung ultrasound study. Cardiovascular Ultrasound. 2015;13(1):40. DOI: 10.1186/s12947-015-0033-4
58. Volpicelli G, Mussa A, Garofalo G, Cardinale L, Casoli G, Perotto F et al. Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome. The American Journal of Emergency Medicine. 2006;24(6):689–96. DOI: 10.1016/j.ajem.2006.02.013
59. Coiro S, Rossignol P, Ambrosio G, Carluccio E, Alunni G, Murrone A et al. Prognostic value of residual pulmonary congestion at discharge assessed by lung ultrasound imaging in heart failure: Prognostic value of B-lines after discharge from HF hospitalisation. European Journal of Heart Failure. 2015;17(11):1172–81. DOI: 10.1002/ejhf.344
60. Volpicelli G, Noble VE, Liteplo A, Cardinale L. Decreased sensitivity of lung ultrasound limited to the anterior chest in emergency department diagnosis of cardiogenic pulmonary edema: a retrospective analysis. Critical Ultrasound Journal. 2010;2(2):47–52. DOI: 10.1007/s13089-010-0037-0
61. Gargani L. Prognosis in heart failure: look at the lungs. European Journal of Heart Failure. 2015;17(11):1086–8. DOI: 10.1002/ejhf.423
62. Maskell NA. BTS guidelines for the investigation of a unilateral pleural effusion in adults. Thorax. 2003;58(Suppl 2):8ii–17. DOI: 10.1136/thorax.58.suppl_2.ii8
63. Cogliati C, Casazza G, Ceriani E, Torzillo D, Furlotti S, Bossi I et al. Lung ultrasound and short-term prognosis in heart failure patients. International Journal of Cardiology. 2016;218:104–8. DOI: 10.1016/j.ijcard.2016.05.010
64. Brogi E, Bignami E, Sidoti A, Shawar M, Gargani L, Vetrugno L et al. Could the use of bedside lung ultrasound reduce the number of chest x-rays in the intensive care unit? Cardiovascular Ultrasound. 2017;15(1):23. DOI: 10.1186/s12947-017-0113-8
65. Miglioranza MH, Picano E, Badano LP, Sant’Anna R, Rover M, Zaffaroni F et al. Pulmonary congestion evaluated by lung ultrasound predicts decompensation in heart failure outpatients. International Journal of Cardiology. 2017;240:271–8. DOI: 10.1016/j.ijcard.2017.02.150
66. Neskovic AN, Skinner H, Price S, Via G, De Hert S, Stankovic I et al. Focus cardiac ultrasound core curriculum and core syllabus of the European Association of Cardiovascular Imaging. European Heart Journal Cardiovascular Imaging. 2018;19(5):475–81. DOI: 10.1093/ehjci/jey006
67. Diaz-Gomez JL, Ripoll JG, Ratzlaff RA, Tavazzi G. Perioperative Lung Ultrasound for the Cardiothoracic Anesthesiologist: Emerging Importance and Clinical Applications. Journal of Cardiothoracic and Vascular Anesthesia. 2017;31(2):610–25. DOI: 10.1053/j.jvca.2016.11.031
68. Platz E, Lewis EF, Uno H, Peck J, Pivetta E, Merz AA et al. Detection and prognostic value of pulmonary congestion by lung ultrasound in ambulatory heart failure patients. European Heart Journal. 2016;37(15):1244–51. DOI: 10.1093/eurheartj/ehv745
69. Ricci F, Aquilani R, Radico F, Bianco F, Dipace GG, Miniero E et al. Role and importance of ultrasound lung comets in acute cardiac care. European Heart Journal: Acute Cardiovascular Care. 2015;4(2):103– 12. DOI: 10.1177/2048872614553166
70. Picano E, Scali MC. The lung water cascade in heart failure. Echocardiography. 2017;34(10):1503–7. DOI: 10.1111/echo.13657
71. Shyamsundar M, Attwood B, Keating L, Walden AP. Clinical review: The role of ultrasound in estimating extra-vascular lung water. Critical Care. 2013;17(5):237. DOI: 10.1186/cc12710
72. Lichtenstein D, van Hooland S, Elbers P, Malbrain MLNG. Ten good reasons to practice ultrasound in critical care. Anaesthesiology Intensive Therapy. 2014;46(5):323–35. DOI: 10.5603/AIT.2014.0056
73. Anile A, Russo J, Castiglione G, Volpicelli G. A simplified lung ultrasound approach to detect increased extravascular lung water in critically ill patients. Critical Ultrasound Journal. 2017;9(1):13. DOI: 10.1186/s13089-017-0068-x
74. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal. 2016;37(27):2129–200. DOI: 10.1093/eurheartj/ehw128
75. Bedetti G, Gargani L, Sicari R, Gianfaldoni ML, Molinaro S, Picano E. 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. The American Journal of Cardiology. 2010;106(12):1709–16. DOI: 10.1016/j.amjcard.2010.08.024
76. McMurray JJV, Adamopoulos S, Anker SD, Auricchio A, Bohm M, Dickstein K et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. European Heart Journal. 2012;33(14):1787–847. DOI: 10.1093/eurheartj/ehs104
77. Miglioranza MH, Gargani L, Sant’Anna RT, Rover MM, Martins VM, Mantovani A et al. Lung Ultrasound for the Evaluation of Pulmonary Congestion in Outpatients: a comparison with clinical assessment, natriuretic peptides, and echocardiography. JACC: Cardiovascular Imaging. 2013;6(11):1141–51. DOI: 10.1016/j.jcmg.2013.08.004
78. Cardinale L. Effectiveness of chest radiography, lung ultrasound and thoracic computed tomography in the diagnosis of congestive heart failure. World Journal of Radiology. 2014;6(6):230–7. DOI: 10.4329/wjr.v6.i6.230
79. Brogi E, Gargani L, Bignami E, Barbariol F, Marra A, Forfori F et al. Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment. Critical Care. 2017;21(1):325. DOI: 10.1186/s13054-017-1897-5
80. Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG et al. 2009 Focused Update Incorporated Into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the International Society for Heart and Lung Transplantation. Journal of the American College of Cardiology. 2009;53(15):e1–90. DOI: 10.1016/j.jacc.2008.11.013
81. Lichtenstein D. Novel approaches to ultrasonography of the lung and pleural space: where are we now? Breathe. 2017;13(2):100–11. DOI: 10.1183/20734735.004717
82. Volpicelli G. Lung Sonography. Journal of Ultrasound in Medicine. 2013;32(1):165–71. DOI: 10.7863/jum.2013.32.1.165
83. Morales-Rull JL, Bielsa S, Conde-Martel A, Aramburu-Bodas O, Llàcer P, Quesada MA et al. Pleural effusions in acute decompensated heart failure: Prevalence and prognostic implications. European Journal of Internal Medicine. 2018;52:49–53. DOI: 10.1016/j.ejim.2018.02.004
84. Gargani L, Picano E. The risk of cumulative radiation exposure in chest imaging and the advantage of bedside ultrasound. Critical Ultrasound Journal. 2015;7(1):4. DOI: 10.1186/s13089-015-0020-x
85. Atkinson P, Milne J, Loubani O, Verheul G. The V-line: a sonographic aid for the confirmation of pleural fluid. Critical Ultrasound Journal. 2012;4(1):19. PMID: 22920298
86. Picano E, Gargani L. Ultrasound lung comets: the shape of lung water. European Journal of Heart Failure. 2012;14(11):1194–6. DOI: 10.1093/eurjhf/hfs157
87. Goffi A, Kruisselbrink R, Volpicelli G. The sound of air: point-of-care lung ultrasound in perioperative medicine. Canadian Journal of Anaesthesia = Journal Canadien D’anesthesie. 2018;65(4):399–416. DOI: 10.1007/s12630-018-1062-x
88. Volpicelli G, Cardinale L, Garofalo G, Veltri A. Usefulness of lung ultrasound in the bedside distinction between pulmonary edema and exacerbation of COPD. Emergency Radiology. 2008;15(3):145–51. DOI: 10.1007/s10140-008-0701-x
89. Tavazzi G, Neskovic AN, Hussain A, Volpicelli G, Via G. A plea for an early ultrasound-clinical integrated approach in patients with acute heart failure. A proactive comment on the ESC Guidelines on Heart Failure 2016. International Journal of Cardiology. 2017;245:207–10. DOI: 10.1016/j.ijcard.2017.07.013
90. Dietrich CF, Mathis G, Blaivas M, Volpicelli G, Seibel A, Atkinson NS et al. Lung artefacts and their use. Medical Ultrasonography. 2016;18(4):488–99. DOI: 10.11152/mu-878
91. Stolz L, O’Brien K, Miller M, Winters-Brown N, Blaivas M, Adhikari S. A Review of Lawsuits Related to Point-of-Care Emergency Ultrasound Applications. Western Journal of Emergency Medicine. 2015;16(1):1–4. DOI: 10.5811/westjem.2014.11.23592
92. Picano E, Ciampi Q, Citro R, D’Andrea A, Scali MC, Cortigiani L et al. Stress echo 2020: the international stress echo study in ischemic and non-ischemic heart disease. Cardiovascular Ultrasound. 2017;15(1):3. DOI: 10.1186/s12947-016-0092-1
93. Nazerian P, Volpicelli G, Gigli C, Lamorte A, Grifoni S, Vanni S. Diagnostic accuracy of focused cardiac and venous ultrasound examinations in patients with shock and suspected pulmonary embolism. Internal and Emergency Medicine. 2018;13(4):567–74. DOI: 10.1007/s11739-017-1681-1
94. Scali MC, Ciampi Q, Picano E, Bossone E, Ferrara F, Citro R et al. Quality control of B-lines analysis in stress Echo 2020. Cardiovascular Ultrasound. 2018;16(1):20. DOI: 10.1186/s12947-018-0138-7
95. Volpicelli G, Vanni S, Becattini C, Sferrazza Papa GF, Gigli C, Grifoni S et al. Prediction Rule for Diagnosis of Pulmonary Embolism Enhanced by Lung and Venous Ultrasound: Making Confusion or Increasing Efficiency? Academic Emergency Medicine. 2017;24(4):498–9. DOI: 10.1111/acem.13153
96. Picano E, Gargani L, Gheorghiade M. Why, when, and how to assess pulmonary congestion in heart failure: pathophysiological, clinical, and methodological implications. Heart Failure Reviews. 2010;15(1):63–72. DOI: 10.1007/s10741-009-9148-8
97. Nazerian P, Vanni S, Volpicelli G, Gigli C, Zanobetti M, Bartolucci M et al. Accuracy of Point-of-Care Multiorgan Ultrasonography for the Diagnosis of Pulmonary Embolism. Chest. 2014;145(5):950–7. DOI: 10.1378/chest.13-1087
98. Torino C, Gargani L, Sicari R, Letachowicz K, Ekart R, Fliser D et al. The Agreement between Auscultation and Lung Ultrasound in Hemodialysis Patients: The LUST Study. Clinical Journal of the American Society of Nephrology. 2016;11(11):2005–11. DOI: 10.2215/CJN.03890416
99. Malbrain MLNG, De Tavernier B, Haverals S, Slama M, VieillardBaron A, Wong A et al. Executive summary on the use of ultrasound in the critically ill: consensus report from the 3rd Course on Acute Care Ultrasound (CACU). Anaesthesiology Intensive Therapy. 2017;49(5):393–411. DOI: 10.5603/AIT.a2017.0072
100. Mojoli F, Bouhemad B, Mongodi S, Lichtenstein D. Lung Ultrasound for Critically Ill Patients. American Journal of Respiratory and Critical Care Medicine. 2019;199(6):701–14. DOI: 10.1164/rccm.201802-0236CI
101. Havelock T, Teoh R, Laws D, Gleeson F, BTS Pleural Disease Guideline Group. Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65(Suppl 2):ii61-76. DOI: 10.1136/thx.2010.137026
102. Bedetti G, Gargani L, Corbisiero A, Frassi F, Poggianti E, Mottola G. Evaluation of ultrasound lung comets by hand-held echocardiography. Cardiovascular Ultrasound. 2006;4(1):34. DOI: 10.1186/1476-7120-4-34
103. Dancel R, Schnobrich D, Puri N, Franco-Sadud R, Cho J, Grikis L et al. Recommendations on the Use of Ultrasound Guidance for Adult Thoracentesis: A Position Statement of the Society of Hospital Medicine. Journal of Hospital Medicine. 2018;13(2):126–35. DOI: 10.12788/jhm.2940
104. Gargani L, Pang PS, Frassi F, Miglioranza MH, Dini FL, Landi P et al. Persistent pulmonary congestion before discharge predicts rehospitalization in heart failure: a lung ultrasound study. Cardiovascular Ultrasound. 2015;13(1):40. DOI: 10.1186/s12947-015-0033-4
105. Sicari R, Galderisi M, Voigt J-U, Habib G, Zamorano JL, Lancellotti P et al. The use of pocket-size imaging devices: a position statement of the European Association of Echocardiography. European Journal of Echocardiography. 2011;12(2):85–7. DOI: 10.1093/ejechocard/jeq184
106. Coiro S, Rossignol P, Ambrosio G, Carluccio E, Alunni G, Murrone A et al. Prognostic value of residual pulmonary congestion at discharge assessed by lung ultrasound imaging in heart failure: Prognostic value of B-lines after discharge from HF hospitalisation. European Journal of Heart Failure. 2015;17(11):1172–81. DOI: 10.1002/ejhf.344
107. Neskovic AN, Hagendorff A, Lancellotti P, Guarracino F, Varga A, Cosyns B et al. Emergency echocardiography: the European Association of Cardiovascular Imaging recommendations. European Heart Journal Cardiovascular Imaging. 2013;14(1):1–11. DOI: 10.1093/ehjci/jes193
108. Gargani L. Prognosis in heart failure: look at the lungs. European Journal of Heart Failure. 2015;17(11):1086–8. DOI: 10.1002/ejhf.423
109. Mebazaa A, Yilmaz MB, Levy P, Ponikowski P, Peacock WF, Laribi S et al. Recommendations on pre-hospital and early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine – short version. European Heart Journal. 2015;36(30):1958–66. DOI: 10.1093/eurheartj/ehv066
110. Cogliati C, Casazza G, Ceriani E, Torzillo D, Furlotti S, Bossi I et al. Lung ultrasound and short-term prognosis in heart failure patients. International Journal of Cardiology. 2016;218:104–8. DOI: 10.1016/j.ijcard.2016.05.010
111. Price S, Platz E, Cullen L, Tavazzi G, Christ M, Cowie MR et al. Echocardiography and lung ultrasonography for the assessment and management of acute heart failure. Nature Reviews Cardiology. 2017;14(7):427–40. DOI: 10.1038/nrcardio.2017.56
112. Miglioranza MH, Picano E, Badano LP, Sant’Anna R, Rover M, Zaffaroni F et al. Pulmonary congestion evaluated by lung ultrasound predicts decompensation in heart failure outpatients. International Journal of Cardiology. 2017;240:271–8. DOI: 10.1016/j.ijcard.2017.02.150
113. Lancellotti P, Pellikka PA, Budts W, Chaudhry FA, Donal E, Dulgheru R et al. The clinical use of stress echocardiography in non-ischaemic heart disease: recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. European Heart Journal – Cardiovascular Imaging. 2016;17(11):1191–229. DOI: 10.1093/ehjci/jew190
114. Platz E, Lewis EF, Uno H, Peck J, Pivetta E, Merz AA et al. Detection and prognostic value of pulmonary congestion by lung ultrasound in ambulatory heart failure patients. European Heart Journal. 2016;37(15):1244–51. DOI: 10.1093/eurheartj/ehv745
115. Ricci F, Aquilani R, Radico F, Bianco F, Dipace GG, Miniero E et al. Role and importance of ultrasound lung comets in acute cardiac care. European Heart Journal: Acute Cardiovascular Care. 2015;4(2):103– 12. DOI: 10.1177/2048872614553166
116. Shyamsundar M, Attwood B, Keating L, Walden AP. Clinical review: The role of ultrasound in estimating extra-vascular lung water. Critical Care. 2013;17(5):237. DOI: 10.1186/cc12710
117. Anile A, Russo J, Castiglione G, Volpicelli G. A simplified lung ultrasound approach to detect increased extravascular lung water in critically ill patients. Critical Ultrasound Journal. 2017;9(1):13. DOI: 10.1186/s13089-017-0068-x
118. Bedetti G, Gargani L, Sicari R, Gianfaldoni ML, Molinaro S, Picano E. 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. The American Journal of Cardiology. 2010;106(12):1709–16. DOI: 10.1016/j.amjcard.2010.08.024
119. Miglioranza MH, Gargani L, Sant’Anna RT, Rover MM, Martins VM, Mantovani A et al. Lung Ultrasound for the Evaluation of Pulmonary Congestion in Outpatients: a comparison with clinical assessment, natriuretic peptides, and echocardiography. JACC: Cardiovascular Imaging. 2013;6(11):1141–51. DOI: 10.1016/j.jcmg.2013.08.004
120. Brogi E, Gargani L, Bignami E, Barbariol F, Marra A, Forfori F et al. Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment. Critical Care. 2017;21(1):325. DOI: 10.1186/s13054-017-1897-5
121. Lichtenstein D. Novel approaches to ultrasonography of the lung and pleural space: where are we now? Breathe. 2017;13(2):100–11. DOI: 10.1183/20734735.004717
122. Morales-Rull JL, Bielsa S, Conde-Martel A, Aramburu-Bodas O, Llàcer P, Quesada MA et al. Pleural effusions in acute decompensated heart failure: Prevalence and prognostic implications. European Journal of Internal Medicine. 2018;52:49–53. DOI: 10.1016/j.ejim.2018.02.004
123. Atkinson P, Milne J, Loubani O, Verheul G. The V-line: a sonographic aid for the confirmation of pleural fluid. Critical Ultrasound Journal. 2012;4(1):19. PMID: 22920298
124. Goffi A, Kruisselbrink R, Volpicelli G. The sound of air: point-of-care lung ultrasound in perioperative medicine. Canadian Journal of Anaesthesia = Journal Canadien D’anesthesie. 2018;65(4):399–416. DOI: 10.1007/s12630-018-1062-x
125. Tavazzi G, Neskovic AN, Hussain A, Volpicelli G, Via G. A plea for an early ultrasound-clinical integrated approach in patients with acute heart failure. A proactive comment on the ESC Guidelines on Heart Failure 2016. International Journal of Cardiology. 2017;245:207–10. DOI: 10.1016/j.ijcard.2017.07.013
126. Stolz L, O’Brien K, Miller M, Winters-Brown N, Blaivas M, Adhikari S. A Review of Lawsuits Related to Point-of-Care Emergency Ultrasound Applications. Western Journal of Emergency Medicine. 2015;16(1):1–4. DOI: 10.5811/westjem.2014.11.23592
127. Nazerian P, Volpicelli G, Gigli C, Lamorte A, Grifoni S, Vanni S. Diagnostic accuracy of focused cardiac and venous ultrasound examinations in patients with shock and suspected pulmonary embolism. Internal and Emergency Medicine. 2018;13(4):567–74. DOI: 10.1007/s11739-017-1681-1
128. Volpicelli G, Vanni S, Becattini C, Sferrazza Papa GF, Gigli C, Grifoni S et al. Prediction Rule for Diagnosis of Pulmonary Embolism Enhanced by Lung and Venous Ultrasound: Making Confusion or Increasing Efficiency? Academic Emergency Medicine. 2017;24(4):498–9. DOI: 10.1111/acem.13153
129. Nazerian P, Vanni S, Volpicelli G, Gigli C, Zanobetti M, Bartolucci M et al. Accuracy of Point-of-Care Multiorgan Ultrasonography for the Diagnosis of Pulmonary Embolism. Chest. 2014;145(5):950–7. DOI: 10.1378/chest.13-1087
130. Malbrain MLNG, De Tavernier B, Haverals S, Slama M, VieillardBaron A, Wong A et al. Executive summary on the use of ultrasound in the critically ill: consensus report from the 3rd Course on Acute Care Ultrasound (CACU). Anaesthesiology Intensive Therapy. 2017;49(5):393–411. DOI: 10.5603/AIT.a2017.0072
131. Havelock T, Teoh R, Laws D, Gleeson F, BTS Pleural Disease Guideline Group. Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65(Suppl 2):ii61-76. DOI: 10.1136/thx.2010.137026
132. Dancel R, Schnobrich D, Puri N, Franco-Sadud R, Cho J, Grikis L et al. Recommendations on the Use of Ultrasound Guidance for Adult Thoracentesis: A Position Statement of the Society of Hospital Medicine. Journal of Hospital Medicine. 2018;13(2):126–35. DOI: 10.12788/jhm.2940
133. Sicari R, Galderisi M, Voigt J-U, Habib G, Zamorano JL, Lancellotti P et al. The use of pocket-size imaging devices: a position statement of the European Association of Echocardiography. European Journal of Echocardiography. 2011;12(2):85–7. DOI: 10.1093/ejechocard/jeq184
134. Neskovic AN, Hagendorff A, Lancellotti P, Guarracino F, Varga A, Cosyns B et al. Emergency echocardiography: the European Association of Cardiovascular Imaging recommendations. European Heart Journal Cardiovascular Imaging. 2013;14(1):1–11. DOI: 10.1093/ehjci/jes193
135. Mebazaa A, Yilmaz MB, Levy P, Ponikowski P, Peacock WF, Laribi S et al. Recommendations on pre-hospital and early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine – short version. European Heart Journal. 2015;36(30):1958–66. DOI: 10.1093/eurheartj/ehv066
136. Price S, Platz E, Cullen L, Tavazzi G, Christ M, Cowie MR et al. Echocardiography and lung ultrasonography for the assessment and management of acute heart failure. Nature Reviews Cardiology. 2017;14(7):427–40. DOI: 10.1038/nrcardio.2017.56
137. Lancellotti P, Pellikka PA, Budts W, Chaudhry FA, Donal E, Dulgheru R et al. The clinical use of stress echocardiography in non-ischaemic heart disease: recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. European Heart Journal – Cardiovascular Imaging. 2016;17(11):1191–229. DOI: 10.1093/ehjci/jew190
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For citations:
Arystan A.Z., Khamzina Y.T., Benberin V.V., Fettser D.V., Belenkov Y.N. Lung Ultrasound: new Opportunities for a Cardiologist. Kardiologiia. 2020;60(1):81-92. (In Russ.) https://doi.org/10.18087/cardio.2020.1.n617
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