Experience in using ultrasonography to detect pulmonary extravascular fluid in patients with heart failure
- Authors: Grishin A.M.1, Alekhin M.N.1, Sidorenko B.A.1, Grishin AM2, Alekhin MN2, Sidorenko BA2
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Affiliations:
- ФГУ "Центральная клиническая больница с поликлиникой" УД Президента РФ
- Central Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian Federation
- Issue: Vol 82, No 4 (2010)
- Pages: 35-39
- Section: Editorial
- URL: https://journals.rcsi.science/0040-3660/article/view/30574
- ID: 30574
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Abstract
Subjects and methods. One hundred and forty coronary heart disease patients (aged 68.6 ± 15.7 years) with signs of heart failure: acute left ventricular heart failure (acute left ventricular heart failure (ALVHF) in 19 patients and chronic heart failure (CHF) in 121, were examined. EchoCG, lung X-ray study and ultrasonography (USG) were performed to reveal ULCs on admission and over time.
Results. On admission, lung USG recorded multiple ULCs in all patients (n = 15) in the ALVHF group. Repeated lung USG showed a decrease in the amount of ULCs in response to diuretic therapy. In the group of patients with Functional Classes (FC) III-IV CHF (n = 19), primary lung USG indicated multiple and single ULCs in 11 (57.9%). Repeated lung USG demonstrated a decrease in the amount of ULCs in response to diuretic therapy. In the FC I-II CHF (n = 106), primary lung ULCs identified multiple and single ULCs in 12 (11.3%). In the group of 19 apparently healthy individuals, single ULCs were revealed in 3 (15.8%) cases.
Conclusion. The decreased number of ULCs in patients with CHF shows a high correlation with the efficiency of diuretic therapy. In patients with CHF, the detection rate of ULCs depends on the severity of CHF.
Keywords
About the authors
Aleksey Mikhaylovich Grishin
ФГУ "Центральная клиническая больница с поликлиникой" УД Президента РФаспирант каф. кардиологии и общей терапии УНМЦ УД Президента РФ; ФГУ "Центральная клиническая больница с поликлиникой" УД Президента РФ
Mikhail Nikolaevich Alekhin
ФГУ "Центральная клиническая больница с поликлиникой" УД Президента РФзав. ОФД ЦКБ с поликлиникой УД Президента РФ, проф; ФГУ "Центральная клиническая больница с поликлиникой" УД Президента РФ
Boris Alekseevich Sidorenko
ФГУ "Центральная клиническая больница с поликлиникой" УД Президента РФзав. каф. кардиологии и общей терапии УНМЦ УД Президента РФ, тел. 8-495-414-05-17; ФГУ "Центральная клиническая больница с поликлиникой" УД Президента РФ
A M Grishin
Central Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian FederationCentral Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian Federation
M N Alekhin
Central Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian FederationCentral Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian Federation
B A Sidorenko
Central Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian FederationCentral Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian Federation
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