Lung ultrasound in heart failure

M Méndez Bailón; J M Cerqueiro; J Carriel; E Orviz García; J M Cepeda Rodrigo

doi:10.1016/j.rce.2019.09.005

Lung ultrasound in heart failure

Rev Clin Esp (Barc). 2020 May;220(4):250-255. doi: 10.1016/j.rce.2019.09.005. Epub 2019 Dec 13.

[Article in English, Spanish]

Authors

M Méndez Bailón¹, J M Cerqueiro², J Carriel³, E Orviz García⁴, J M Cepeda Rodrigo⁵

Affiliations

¹ Servicio de Medicina Interna, Hospital Clínico San Carlos, Facultad de Medicina Universidad Complutense, Instituto de Investigación Sanitaria y Biomédica, Hospital Clínico San Carlos (IdISSC), Madrid, España. Electronic address: manuelmenba@hotmail.com.
² Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, España.
³ Servicio de Urgencias, Hospital General de Villalba, Collado Villalba, Madrid, España.
⁴ Servicio de Medicina Interna, Hospital Clínico San Carlos, Madrid, España.
⁵ Servicio de Medicina Interna, Hospital Vega Baja, Orihuela, Alicante, España.

PMID: 31839253
DOI: 10.1016/j.rce.2019.09.005

Abstract

The present article reviews the usefulness of lung ultrasound in the diagnosis, prognostic stratification and treatment of patients with heart failure. The article addresses the technical aspects when performing lung ultrasonography, as well as the importance of the presence of B-lines in the diagnosis and the prognostic value of pulmonary congestion. Moreover, the article reviews the most recently published evidence on the use of lung ultrasound in heart failure. Lastly, the article references the new clinical trials currently underway, including the EPICC study conducted jointly by the Heart Failure and Clinical Ultrasonography Workgroups of the Spanish Society of Internal Medicine.

Keywords: B-lines; Clinical ultrasonography; Congestión pulmonar; Ecografía clínica; Ecografía pulmonar; Heart failure; Insuficiencia cardiaca; Lung ultrasound; Líneas B; Pulmonary congestion.