Ultrasound imaging of congestion in heart failure: examinations beyond the heart.
Ultrasound imaging of congestion in heart failure: examinations beyond the heart.
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DOI：
10.1002/ejhf.2032
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发表时间：
2021-05
影响因子：
18.2
通讯作者：
Girerd N
中科院分区：
文献类型：
--
作者：
Pellicori P;Platz E;Dauw J;Ter Maaten JM;Martens P;Pivetta E;Cleland JGF;McMurray JJV;Mullens W;Solomon SD;Zannad F;Gargani L;Girerd N
与压力和/或液体过载相关的淤血在心力衰竭的病理生理学、临床表现和预后中起着核心作用，并且是一个重要的治疗靶点。虽然液体过载的症状和体征是心力衰竭临床诊断所必需的，但它们缺乏敏感性和特异性，这可能导致诊断延迟和不确定性。在过去几十年中，已经开发出用于检测心内压升高和/或液体过载的新型超声方法，这些方法更敏感和特异，从而能够实现更早、更准确的诊断并促进治疗策略。因此，我们认为对用于检测和量化淤血的超声方法进行最新综述是及时的，包括心脏、肺（B线）、肾脏（肾内静脉血流）和静脉系统（下腔静脉和颈内静脉直径）的成像。
Congestion, related to pressure and/or fluid overload, plays a central role in the pathophysiology, presentation and prognosis of heart failure and is an important therapeutic target. While symptoms and physical signs of fluid overload are required to make a clinical diagnosis of heart failure, they lack both sensitivity and specificity, which might lead to diagnostic delay and uncertainty. Over the last decades, new ultrasound methods for the detection of elevated intracardiac pressures and/or fluid overload have been developed that are more sensitive and specific, thereby enabling earlier and more accurate diagnosis and facilitating treatment strategies. Accordingly, we considered that a state-of-the-art review of ultrasound methods for the detection and quantification of congestion was timely, including imaging of the heart, lungs (B-lines), kidneys (intrarenal venous flow), and venous system (inferior vena cava and internal jugular vein diameter).
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影响因子：
18.2
作者：
Gargani, L.;Frassi, F.;Picano, E.
通讯作者：
Picano, E.
影响因子：
6.1
作者：
Gargani, Luna;Sicari, Rosa;Zoccali, Carmine
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影响因子：
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de la Espriella-Juan, Rafael;Nunez, Eduardo;Nunez, Julio
通讯作者：
Nunez, Julio
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作者：
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