• Am J Emerg Med · Jun 2016

    Review

    Resolution of sonographic B-lines as a measure of pulmonary decongestion in acute heart failure.

    • Jennifer L Martindale.
    • Department of Emergency Medicine, SUNY Downstate/Kings County Hospital, Brooklyn, NY 11203. Electronic address: martindale.jen@gmail.com.
    • Am J Emerg Med. 2016 Jun 1; 34 (6): 1129-32.

    AbstractObjective noninvasive measures of dyspnea in patients with acute heart failure are lacking. In this review, we describe lung ultrasound as a tool to estimate the degree of pulmonary congestion in patients presenting with acute heart failure and to monitor therapeutic efficacy. Serial semiquantitative measures of sonographic B-lines in acute heart failure patients can be converted to pulmonary edema scores obtained at admission and hospital discharge. These scores provide prognostic information for short-term clinical outcomes. Lung ultrasound has the potential to measure changes in pulmonary edema during acute heart failure management and improve risk stratification. Copyright © 2016 Elsevier Inc. All rights reserved.

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