Preview

Complex Issues of Cardiovascular Diseases

Advanced search

Echocardiography in acute cardiovascular care. Part 2. Cardiac and lung ultrasound examination

https://doi.org/10.17802/2306-1278-2020-9-3-49-58

Abstract

Lung ultrasound is an integral part of echocardiography in emergency conditions. The method allows determining the clinical status of the patient and remains an important differential diagnostic method for examining patients in intensive care units.

The second part of the article is devoted to echocardiography as part of the differential diagnosis of dyspnea syndrome. Lung ultrasound for differentiation of interstitial pulmonary syndrome, the role of echocardiography in the diagnosis of pulmonary thromboembolism and verification of valvular pathology are described.

About the Authors

O. N. Dzhioeva
National Research Centre for Therapy and Preventive Medicine; Federal State Budgetary Institution of Higher Education “Pirogov Russian National Research Medical University of Ministry of Health of Russian Federation”
Russian Federation

PhD, senior researcher at the Department of Fundamental and Applied Aspects of Obesity,

10, Petroverigsky per., b. 3, Moscow, 101953;

1, Ostrovityanova, Moscow, 117997



D. O. Orlov
National Research Centre for Therapy and Preventive Medicine
Russian Federation

physician at the Department of Management and Analysis of Medical Care,

10, Petroverigsky per., b. 3, Moscow, 101953



I. G. Nikitin
Federal State Budgetary Institution of Higher Education “Pirogov Russian National Research Medical University of Ministry of Health of Russian Federation”
Russian Federation

Professor, PhD, Head of the Department of Hospital Therapy No. 2,

1, Ostrovityanova, Moscow, 117997



References

1. Popescu B., Andrade M., Badano L., Fox K.F., Flachskampf F.A., Lancellotti P., Varga A., Sicari R., Evangelista A., Nihoyannopoulos P., Zamorano J.L.; European Association of Echocardiography, Derumeaux G., Kasprzak J.D., Roelandt J.R. European Association of Echocardiography recommendations for training, competence, and quality improvement in echocardiography. Eur J Echocardiogr 2009;10:893 – 905. doi: 10.1093/ejechocard/jep151.

2. Vignon P., AitHssain A., François B., Preux P.M., Pichon N., Clavel M., Frat J.P., Gastinne H. Echocardiographic assessment of pulmonary artery occlusion pressure in ventilated patients: A transesophageal study. Crit Care 2008;12: R18. doi: 10.1186/cc6792

3. Paulus W., Tschope C., Sanderson J., Rusconi C., Flachskampf F.A., Rademakers F.E, Marino P., Smiseth O.A., De Keulenaer G., Leite-Moreira A.F., Borbély A., Edes I., Handoko M.L., Heymans S., Pezzali N., Pieske B., Dickstein K., Fraser A.G., Brutsaert D.L. How to diagnose diastolic heart failure: A consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology. Eur Heart J 2007;28:2539 – 2550. doi: 10.1093/eurheartj/ehm037.

4. Ryan T. Masses, tumors, and source of embolus. In: Feigenbaum H, Armstrong WF (eds) Feigenbaum’s echocardiography. 6th ed. Philadelphia, PA: Lippincott Williams and Wilkins, 2005, p.701 – 733.

5. Torbicki A., Perrier A., Konstantinides S., Agnelli G., Galiè N., Pruszczyk P., Bengel F., Brady A.J., Ferreira D., Janssens U., Klepetko W., Mayer E., Remy-Jardin M., Bassand J.P.; ESC Committee for Practice Guidelines (CPG).Guidelines on the diagnosis and management of acute pulmonary embolism: The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Eur Heart J 2008;29:2276 – 2315. doi: 10.1093/eurheartj/ehn310.

6. Haddad F., Doyle R., Murphy D., Hunt S.A. Right ventricular function in cardiovascular disease, part II: Pathophysiology, clinical importance, and management of right ventricular failure. Circulation 2008;117:1717 – 1731. doi: 10.1161/CIRCULATIONAHA.107.653584.

7. McConnell M., Solomon S., Rayan M., Come P.C., Goldhaber S.Z., Lee R.T. Regional right ventricular dysfunction detected by echocardiography in acute pulmonary embolism. Am J Cardiol 1996; 78:469 – 473. doi: 10.1016/s0002-9149(96)00339-6.

8. Lichtenstein D., Meziere G., Biderman P., Gepner A. The ‘lung point’: An ultrasound sign specific to pneumothorax. Intensive Care Med 2000;26:1434 – 1440. doi: 10.1007/s001340000627.

9. Diwan A., McCulloch M., Lawrie G.M., Reardon M.J., Nagueh S.F. Doppler estimation of left ventricular filling pressures in patients with mitral valve disease. Circulation 2005;111:3281 – 3289. doi: 10.1161/CIRCULATIONAHA.104.508812.

10. Pepi M., Muratori M. Echocardiography in the diagnosis and management of pericardial disease. J Cardiovasc Med 2006;7:533 – 544. doi: 10.2459/01.JCM.0000234772.73454.57.

11. Klein T., Ramani G. Assessment and management of cardiogenic shock in the emergency department. Cardiol Clin 2012;30:651 – 664. doi: 10.1016/j.ccl.2012.07.004.

12. Lancellotti P., Tribouilloy C., Hagendorff A., Popescu B.A., Edvardsen T., Pierard L.A., Badano L., Zamorano J.L.; Scientific Document Committee of the European Association of Cardiovascular Imaging. Recommendations for the echocardiographic assessment of native valvular regurgitation: An executive summary from the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 2013;14:611 – 644. doi: 10.1093/ehjci/jet105.

13. Baumgartner H., Falk V., Bax J.J., De Bonis M., Hamm C., Holm P.J., Iung B., Lancellotti P., Lansac E., Rodriguez Muñoz D., Rosenhek R., Sjögren J., Tornos Mas P., Vahanian A., Walther T., Wendler O., Windecker S., Zamorano J.L.; ESC Scientific Document Group.2017 ESC/EACTS Guidelines for the management of valvular heart disease. European Heart Journal, Volume 38, Issue 36, 21 September 2017, Pages 2739– 2791. doi: 10.1093/eurheartj/ehx391.

14. Baumgartner H., Hung J., Bermejo J., Chambers J.B., Evangelista A., Griffin B.P., Iung B., Otto C.M., Pellikka P.A., Quiñones M; EAE/ASE.Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. Eur J Echocardiogr 2009; 10:1 – 25. doi: 10.1093/ejechocard/jen303.

15. Barbarash L.S., Rogulina N.V., Rutkovskaya N.V., Ovcharenko E.A. Mechanisms underlying bioprosthetic heart valve dysfunctions. Complex Issues of Cardiovascular Diseases. 2018;7(2):10-24. (In Russian) https://doi.org/10.17802/2306-1278-2018-7-2-10-24

16. Govindan M., Kiotsekoglou A., Saha S., Borgulya, G., Bajpai, A., Bijnens, B.H., Sagnella, G.A., Camm, J.A. Validation of echocardiographic left atrial parameters in atrial fibrillation using the index beat of preceding cardiac cycles of equal duration. J Am Soc Echocardiogr 2011;24:1141 – 1147. doi:10.1016/j.echo.2011.07.002

17. Lichtenstein D. The BLUE-protocol, venous part: deep venous thrombosis in the critically ill. Technique, results for the diagnosis of acute pulmonary embolism. In: Lichtenstein D., ed. Lung Ultrasound in the Critically Ill. Berlin, Germany: Springer-Verlag; 2015. P.123-142.

18. Mathis G., Blank W., Reissig A., Lechleitner P., Reuss J., Schuler A., Beckh S. Thoracic Ultrasound for Diagnosing Pulmonary Embolism: A Prospective Multicenter Study of 352 Patients. Chest 2005: 1531-1538.doi: 10.1378/chest.128.3.1531

19. Price S., Platz E., Cullen L., Tavazzi G., Christ M., Cowie M.R., Maisel A.S., Masip J., Miro O., McMurray J.J., Peacock W.F., Martin-Sanchez F.J., Di Somma S., Bueno H., Zeymer U., Mueller C.; Acute Heart Failure Study Group of the European Society of Cardiology Acute Cardiovascular Care Association. Echocardiography and lung ultrasonography for the assessment and management of acute heart failure. Nat Rev Cardiol. 2017;14: 427–440. doi:10.1038/nrcardio.2017.56


Review

For citations:


Dzhioeva O.N., Orlov D.O., Nikitin I.G. Echocardiography in acute cardiovascular care. Part 2. Cardiac and lung ultrasound examination. Complex Issues of Cardiovascular Diseases. 2020;9(3):49-58. (In Russ.) https://doi.org/10.17802/2306-1278-2020-9-3-49-58

Views: 806


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2306-1278 (Print)
ISSN 2587-9537 (Online)