Role of ultrasound in critically ill patients with heart failure
Heart failure (HF) is a clinical syndrome with symptoms and/or signs caused by structural and/or functional cardiac abnormalities. After discharge, patients with acute heart failure (AHF) face a significant risk of rehospitalization and mortality. Detection of residual congestion is crucial to reduc...
| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2025
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/45185 |
| Aporte de: |
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I10-R327-article-45185 |
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ojs |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
heart failure ultrasonography pulmonary edema insuficiencia cardiaca ecografía edema pulmonar insuficiência cardíaca ultrassonografia Edema Pulmonar |
| spellingShingle |
heart failure ultrasonography pulmonary edema insuficiencia cardiaca ecografía edema pulmonar insuficiência cardíaca ultrassonografia Edema Pulmonar Lozita, Julieta Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth Role of ultrasound in critically ill patients with heart failure |
| topic_facet |
heart failure ultrasonography pulmonary edema insuficiencia cardiaca ecografía edema pulmonar insuficiência cardíaca ultrassonografia Edema Pulmonar |
| author |
Lozita, Julieta Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth |
| author_facet |
Lozita, Julieta Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth |
| author_sort |
Lozita, Julieta |
| title |
Role of ultrasound in critically ill patients with heart failure |
| title_short |
Role of ultrasound in critically ill patients with heart failure |
| title_full |
Role of ultrasound in critically ill patients with heart failure |
| title_fullStr |
Role of ultrasound in critically ill patients with heart failure |
| title_full_unstemmed |
Role of ultrasound in critically ill patients with heart failure |
| title_sort |
role of ultrasound in critically ill patients with heart failure |
| description |
Heart failure (HF) is a clinical syndrome with symptoms and/or signs caused by structural and/or functional cardiac abnormalities. After discharge, patients with acute heart failure (AHF) face a significant risk of rehospitalization and mortality. Detection of residual congestion is crucial to reduce readmissions, improve prognosis, and decrease mortality. Echocardiography provides critical information about the severity of left ventricular dysfunction, elevated filling pressures, valvular dysfunction, and estimation of pulmonary artery systolic pressure. The VExUS approach integrates ultrasound evaluation of the inferior vena cava, hepatic veins, portal vein, and renal veins, providing valuable information about systemic congestion. Lung ultrasound detects pulmonary congestion, facilitating early intervention to prevent progression and hospitalizations. Ultrasound evaluation of the internal jugular vein and femoral vein complements the evaluation of venous congestion. Distension of the internal jugular vein during the Valsalva maneuver or the relationship between the diameter of the internal jugular vein and the femoral vein can predict adverse outcomes in patients with HF. In conclusion, a comprehensive ultrasound approach is crucial in the management of patients with critically ill heart failure. Multiparameter ultrasound evaluation provides vital information, guiding appropriate therapeutic interventions and avoiding potentially harmful measures. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2025 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/45185 |
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I10-R327-article-451852025-03-31T17:43:06Z Role of ultrasound in critically ill patients with heart failure Rol de la ecografía en pacientes críticos con insuficiencia cardíaca Papel da ecografia em pacientes críticos com insuficiência cardíaca Lozita, Julieta Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth Ricarte Bratti, Juan Pablo Leopoldo Vicentin, Judith Mailen Pinto, Nadia Elizabeth heart failure ultrasonography pulmonary edema insuficiencia cardiaca ecografía edema pulmonar insuficiência cardíaca ultrassonografia Edema Pulmonar Heart failure (HF) is a clinical syndrome with symptoms and/or signs caused by structural and/or functional cardiac abnormalities. After discharge, patients with acute heart failure (AHF) face a significant risk of rehospitalization and mortality. Detection of residual congestion is crucial to reduce readmissions, improve prognosis, and decrease mortality. Echocardiography provides critical information about the severity of left ventricular dysfunction, elevated filling pressures, valvular dysfunction, and estimation of pulmonary artery systolic pressure. The VExUS approach integrates ultrasound evaluation of the inferior vena cava, hepatic veins, portal vein, and renal veins, providing valuable information about systemic congestion. Lung ultrasound detects pulmonary congestion, facilitating early intervention to prevent progression and hospitalizations. Ultrasound evaluation of the internal jugular vein and femoral vein complements the evaluation of venous congestion. Distension of the internal jugular vein during the Valsalva maneuver or the relationship between the diameter of the internal jugular vein and the femoral vein can predict adverse outcomes in patients with HF. In conclusion, a comprehensive ultrasound approach is crucial in the management of patients with critically ill heart failure. Multiparameter ultrasound evaluation provides vital information, guiding appropriate therapeutic interventions and avoiding potentially harmful measures. La insuficiencia cardíaca (IC) es un síndrome clínico con síntomas y/o signos causados por anomalías cardíacas estructurales y/o funcionales. Después del alta, los pacientes con insuficiencia cardíaca aguda (ICA) se enfrentan a un riesgo significativo de rehospitalización y mortalidad.La detección de la congestión residual es crucial para reducir los reingresos, mejorar el pronóstico y disminuir la mortalidad. La ecocardiografía proporciona información crítica sobre la gravedad de la disfunción del ventrículo izquierdo, las presiones de llenado elevadas, la disfunción valvular y la estimación de la presión sistólica de la arteria pulmonar. El enfoque VExUS integra la evaluación por ultrasonido de la vena cava inferior, las venas hepáticas, la vena porta y las venas renales, lo que brinda información valiosa sobre la congestión sistémica. La ecografía pulmonar detecta la congestión pulmonar, facilitando la intervención temprana para evitar la progresión y las hospitalizaciones.La evaluación ecográfica de la vena yugular interna y la vena femoral complementa la evaluación de la congestión venosa. La distensión de la vena yugular interna durante la maniobra de Valsalva o la relación entre el diámetro de la vena yugular interna y la vena femoral pueden predecir resultados adversos en pacientes con IC.En conclusión, un enfoque ecográfico integral es crucial en el abordaje de pacientes con insuficiencia cardiaca críticamente enfermos. La evaluación de ultrasonido multiparamétrico proporciona información vital, orientando las intervenciones terapéuticas adecuadas y evitando medidas potencialmente dañinas. A insuficiência cardíaca (IC) é uma síndrome clínica com sintomas e/ou sinais causados por anormalidades cardíacas estruturais e/ou funcionais. Após a alta, os pacientes com insuficiência cardíaca aguda (ICA) enfrentam um risco significativo de reinternação e mortalidade.A detecção de congestão residual é crucial para reduzir reinternações, melhorar o prognóstico e diminuir a mortalidade. A ecocardiografia fornece informações críticas sobre a gravidade da disfunção ventricular esquerda, pressões de enchimento elevadas, disfunção valvular e estimativa da pressão sistólica da artéria pulmonar. A abordagem VExUS integra a avaliação ultrassonográfica da veia cava inferior, veias hepáticas, veia porta e veias renais, fornecendo informações valiosas sobre congestão sistêmica. A ultrassonografia pulmonar detecta a congestão pulmonar, facilitando a intervenção precoce para evitar a progressão e internações.A avaliação ultrassonográfica da veia jugular interna e da veia femoral complementa a avaliação da congestão venosa. A distensão da veia jugular interna durante a manobra de Valsalva ou a relação entre o diâmetro da veia jugular interna e a veia femoral podem prever resultados adversos em pacientes com IC. insuficiência cardíaca doente. A avaliação ultrassonográfica multiparamétrica fornece informações vitais, orientando intervenções terapêuticas adequadas e evitando medidas potencialmente prejudiciais. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/45185 10.31053/1853.0605.v82.n1.45185 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 82 No. 1 (2025); 188-205 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 82 Núm. 1 (2025); 188-205 Revista da Faculdade de Ciências Médicas de Córdoba; v. 82 n. 1 (2025); 188-205 1853-0605 0014-6722 10.31053/1853.0605.v82.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/45185/48675 https://revistas.unc.edu.ar/index.php/med/article/view/45185/48614 Derechos de autor 2025 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |