2022, Number 3
Usefulness of lung ultrasound in cardiology
Language: Spanish
References: 44
Page: 1-10
PDF size: 520.93 Kb.
ABSTRACT
Introduction:v Lung ultrasound is a diagnostic technique used in several medical specialties. Quantification of B-lines with this tool indicates the presence of an interstitial syndrome, which may be caused by congestion, inflammation, or fibrosis. Its integration with clinical data and its association with the echocardiogram allow physicians to identify the underlying etiological factors more accurately.Objectives: To describe the performance of lung ultrasound, the most important signs during examination, and the main sonographic features; and to highlight the main applications and benefits of this technique in clinical cardiology practice.
Methods: A review of information published in databases such as PubMed and SciELO using keywords and MeSH terms was conducted.
Conclusions: Lung ultrasound is a simple, easy-to-perform technique that enhances the daily clinical procedures in different medical specialties. Its application is fundamental as a complementary diagnostic method in cardiology. Therefore, extending its use and exploring its usefulness through a holistic cardiopulmonary ultrasound in different scenarios allows optimizing the management of patients with acute and chronic heart diseases.
REFERENCES
Laursen CB, Clive A, Hallifax R, Pietersen PI, Asciak R, Davidsen JR, et al. European Respiratory Society Statement on Thoracic Ultrasound. Eur Respir J. 2021 Mar 1 [acceso 10/05/2022];57(3):2001519. Disponible en: https://www.zora.uzh.ch/id/eprint/194338/1/8._Laursen_CB._European_Respiratory_Society_Statement_on_Thoracic_Ultrasound_-_EUR_RESP_J_2020.pdf.
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. Am J Cardiol. 2004 [acceso 12/07/2020];93(10):1265-70. Disponible en: https://flore.unifi.it/retrieve/handle/2158/774187/23310/Am%20J%20Cardiol%202004.pdf.
Gheorghiade M, Follath F, Ponikowski P, Barsuk JH, Blair JE, Clelan JG, et al. Assessing and grading congestion in acute heart failure: a scientific statement from the acute heart failure committee of the heart failure association of the European Society of Cardiology and endorsed by the European Society of Intensive Care Medicine. Eur J Heart Fail. 2010 [acceso 12/07/2020];12(5):423-33. Disponible en: https://onlinelibrary.wiley.com/doi/pdf/10.1093/eurjhf/hfq045.
Volpicelli G, Elbarbary M, Blavais M, Lichtenstein D, Mathis G, Kirkpatrick A, et al. International evidence-based recommendations for point of care lung ultrasound. Intensive Care Med. 2012 [acceso 12/07/2020];38(4):577-91. Disponible en: https://link.springer.com/content/pdf/10.1007/s00134-012-2513-4.pdf.
Piotr P, Voors A, Anker SD, Bueno H. Guía de práctica clínica de la Sociedad Europea de Cardiología (ESC) 2016 sobre el diagnóstico y tratamiento de la insuficiencia cardíaca aguda y crónica. Rev Esp Cardiol. 2016 [acceso 20/09/2020];69(12):1167- 85. Disponible en: https://orbi.uliege.be/bitstream/2268/241473/1/PONIKOWSKI.pdf.
Mongodi S, De Luca D, Colombo A, Stella A, Santangelo E, Corradi F, et al. Quantitative Lung Ultrasound: Technical Aspects and Clinical Applications. Anesthesiology. 2021 [acceso 09/05/22];134(6):949–65. Disponible en: https://pubs.asahq.org/anesthesiology/article-pdf/134/6/949/511760/20210600.0-00027.pdf.
Lichtenstein DA. Lung ultrasound for the cardiologist – a basic application: The B - profile of the Bedside Lung Ultrasound in Emergencies protocol for diagnosing haemodynamic pulmonary edema. Arch Cardiovasc Dis. 2020 [acceso 09/05/22];113(8):489–91. Disponible en: https://www.sciencedirect.com/science/article/pii/S1875213620301558/pdfft?md5=f6d5a69f71ded1452fa33c59d7d2b3d&pid=1-s2.0-S1875213620301558-main.pdf.
Gargani L, Frassi F, Soldati G, Tesorio P, Gheorghiade M, Picano E. Ultrasound lung comets for the differential diagnosis of acute cardiogenic dyspnea: A comparison with natriuretic peptides. Eur J Heart Fail. 2008 [acceso 12/07/2020];10(1):70-7. Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1016/j.ejheart.2007.10.009
Picano E, Scali MCh, Ciampi Q, Lichtenstein D. Lung Ultrasound for the Cardiologist, JACC Cardiovasc Imaging. 2018 [acceso 12/07/2020];11(11):1692-705. Disponible en: https://www.sciencedirect.com/science/article/pii/S1936878X18307605/pdfft?md5=e2acebc9cbb5f4acda5951955d2cd3f6&pid=1-s2.0-S1936878X18307605-main.pdf.
Lacedonia D, Scioscia G, Giardinelli A, Quarato CMI, Sassani EV, Foschino Barbaro MP, et al. The Role of Transthoracic Ultrasound in the Study of Interstitial Lung Diseases: High-Resolution Computed Tomography Versus Ultrasound Patterns: Our Preliminary Experience. Diagnostics (Basel). 2021[acceso 09/05/2022];11(3):439. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001146/pdf/diagnostics-11-00439.pdf.
Copetti R, Soldati G, Copetti P. Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema from acute respiratory distress syndrome. Cardiovasc Ultrasound. 2008 [acceso 12/07/2020];6:16. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386861/pdf/1476-7120-6-16.pdf.
Tsai CH, Burgt J van der, Vukovic D, Kaur N, Demi L, Canty D, et al. Automatic deep learning-based pleural effusion classification in lung ultrasound images for respiratory pathology diagnosis. Physica Medica: European Journal of Medical Physics. 2021 [acceso 09/05/2022];83:38–45. Disponible en: https://www.physicamedica.com/action/showPdf?pii=S1120-1797%2821%2900112-5.
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. Crit Care. 2017[acceso 12/07/2020];21(1):325. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745967/pdf/13054_2017_Article_1897.pdf.
Bitar ZI, Maadarani OS, El‐Shably AM, Al‐Ajmi MJ. Diagnostic accuracy of chest ultrasound in patients with pneumonia in the intensive care unit: A single‐hospital study. Health Sci Rep. 2018 [acceso 10/07/2022];2(1):e102. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346984/pdf/HSR2-2-e102.pdf.
Strøm JJ, Haugen PS, Hansen MP, Graumann O, Jensen MBB, Aakjær C. Accuracy of lung ultrasonography in the hands of non-imaging specialists to diagnose and assess the severity of community-acquired pneumonia in adults: a systematic review. BMJ Open. 2020[acceso 10/05/2022];10(6):e036067. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304808/pdf/bmjopen-2019-036067.pdf.
Chan KK, Joo DA, McRae AD, Takwoingi Y, Premji ZA, Lang E, et al. Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department. Cochrane Database Syst Rev. 2020[acceso 10/05/2022];2020(7):CD013031. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7390330/pdf/CD013031.pdf.
Fraile V, Ayuela JM, Pérez-Torresa D, Zapatac L, Rodríguez A, Yakushevdy A. Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): aplicaciones clínicas en Medicina Intensiva - una revisión narrativa. Medicina Intensiva. 2020 [acceso 12/09/2020]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198178/pdf/main.pdf.
Bajwa SJS, Kurdi MS, Sutagatti JG, Bajwa SK, Theerth KA. Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis. Indian J Anaesth. 2021 [acceso 10/07/2022];65(10):716–30. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607863/pdf/IJA-65-716.pdf.
Zieleskiewicz L, Contargyris C, Brun C, Touret M, Vellin A, Antonini F, et al. Lung Ultrasound Predicts Interstitial Syndrome and Hemodynamic Profile in Parturients with Severe Preeclampsia. Anesthesiology. 2014 [acceso 28/07/2020];120(4):906–14. Disponible en: https://pubs.asahq.org/anesthesiology/article-pdf/120/4/906/264923/20140400_0-00025.pdf.
Castagna O, Gempp E, Poyet R, Schmid B, Desruelle A-V, Crunel V, et al. Cardiovascular Mechanisms of Extravascular Lung Water Accumulation in Divers [resumen]. Ame J Cardiol. 2017[acceso 28/07/2020];119(6):[aprox. 1p.]. Disponible en: https://www.ajconline.org/article/S0002-9149(16)31950-6/fulltext. 45. Lichtenstein DA. Lung ultrasound in acute respiratory failure an introduction to the BLUE-protocol. Minerva Anestesiológica. 2009 [acceso 12/07/2020];75(5):313-17. Disponible en: https://www.minervamedica.it/en/freedownload.php?cod=R02Y2009N05A0313.46. Arango-Granados MC, Zarama Córdoba V. Ultrasonido para el diagnóstico diferencial de la patología pulmonar en el paciente crítico. Rev Colombiana Neumol. 2018 [acceso 12/09/2020];30(1):29-42. Disponible en: https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/299/250/658.47. Martindale JL, Wakai A, Collins SP, Levy PD, Diercks D, Hiestand BC, et al. Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta-analysis. Acad Emerg Med. 2016[acceso 28/03/2022];23(3):223–42. Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.12878.48. Frassi F, Gargani L, Tesorio P, Raciti M, Mottola G, Picano E. Prognostic Value of Extravascular Lung Water Assessed With Ultrasound Lung Comets by Chest Sonography in Patients With Dyspnea and/or Chest Pain [resumen]. J Card Fail. 2007 [acceso 12/07/2020]13(10):[aprox. 1 p.]. Disponible en: https://www.onlinejcf.com/article/S1071-9164(07)00960-8/fulltext.49. Öhman J, Harjola V, Karjalainen P, Lassus J. Focused echocardiography and lung ultrasound protocol for guiding treatment in acute heart failure. ESC Heart Fail. 2017 [acceso 10/05/2022];5(1):120–8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793966/pdf/EHF2-5-120.pdf.50. Domingo M, Conangla L, Lupón J, de Antonio M, Moliner P, Santiago Vacas E, et al. Valor pronóstico de la ecografía de pulmón en pacientes ambulatorios con insuficiencia cardíaca crónica estable [resumen]. Rev Esp Cardiol. 2021[ acceso 10/05/2022];74(10):[aprox. 2p]. Disponible en: http://www.revespcardiol.org/es-valor-pronostico-ecografia-pulmon-pacientes-articulo-S0300893220304322.51. 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 [resumen]. Am J Cardiol. 2010 [acceso 28/09/2020];106(12):[aprox. 1 p.]. Disponible en: https://www.ajconline.org/article/S0002-9149(10)01634-6/fulltext.52. Ye XJ, Li N, Li JH, Wu WJ, Li AL, Li XL. B-lines by lung ultrasound predict heart failure in hospitalized patients with acute anterior wall STEMI. Echocardiography. 2019 [acceso 17/07/2020];36(7):1253-62. Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/echo.14420.53. Araujo GN, Silveira AD, Scolari FL, Custodio JL, Marques FP, Beltrame R, et al. Admission Bedside Lung Ultrasound Reclassifies Mortality Prediction in Patients With ST-Segment–Elevation Myocardial Infarction. Circ Cardiovasc Imaging. 2020 [acceso 10/09/2020];13(6): [aprox. 27 p.]. Disponible en:https://www.ahajournals.org/doi/10.1161/CIRCIMAGING.119.010269?url_ver=Z39.882003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed.54. Vázquez B, Razón R. Utilidad de la ultrasonografía en la exploración torácica. Rev Cubana Pediatr. 1987 [acceso 17/07/2022];59(1):89-96. Disponible en: http://files.sld.cu/digitalizacion-bmn/files/2016/12/S0034-7531.1987.0001.0012.pdf.