Use of lung ultrasound in the differential diagnosis of the causes of dyspnea
Background/Aim. The field of lung ultrasonography (US) is a fast-developing one, and it provides the medical community with numerous new diagnostic opportunities. The aim of this study was to examine the etiology of dyspnea on admission and assess the stage of heart failure (HF) according to the US...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2023-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300053B.pdf |
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| author | Bulatović Kristina Ristić-Anđelkov Anđelka Perić Vladan Todorović Jovana Pandrc Milena Gojka Gabrijela Vraneš Danijela Šipić Maja Rašić Dragiša Milenković Aleksandra Aritonović-Pribaković Jelena Perić Milica |
| author_facet | Bulatović Kristina Ristić-Anđelkov Anđelka Perić Vladan Todorović Jovana Pandrc Milena Gojka Gabrijela Vraneš Danijela Šipić Maja Rašić Dragiša Milenković Aleksandra Aritonović-Pribaković Jelena Perić Milica |
| author_sort | Bulatović Kristina |
| collection | DOAJ |
| description | Background/Aim. The field of lung ultrasonography (US) is a fast-developing one, and it provides the medical community with numerous new diagnostic opportunities. The aim of this study was to examine the etiology of dyspnea on admission and assess the stage of heart failure (HF) according to the US examination of the heart and lungs. Methods. The cross-sectional study included a total of 110 patients treated for the symptoms of dyspnea. The study included all patients treated for any heart or pulmonary condition, as well as patients who reported the first episode of dyspnea with-out any previous illness. The most important diagnostic sign in the US of the lungs in patients with HF was the appearance of B-lines or “comets” (ultrasound artifacts reminiscent of comet tails), which indicate the accumulation of fluid in the interstitium of the lungs. Results. The mean number of registered “comets” in the total number of patients was 14.2 ± 7.4 (minimum 2, maximum 30). The mean number of “comets” among patients with HF was 18.8 ± 5.9. The mean number of “comets” among patients without HF was 8.0 ± 3.7 (p ˂ 0.001). Multivariate linear regression analyses showed the association between the number of “comets” and HF (p ˂ 0.001). Conclusion. As the assessment of present “comets” in pulmonary US examination is safe and non-invasive, it can easily be integrated into the daily clinical practice because it has been shown that the number of pulmonary “comets” is significantly higher in patients with HF compared to those with dyspnea of other etiologies. |
| format | Article |
| id | doaj-art-720188fae611401baeb5d5fd82b9dcb2 |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-720188fae611401baeb5d5fd82b9dcb22025-08-20T03:19:07ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202023-01-0180121028103310.2298/VSP230905053B0042-84502300053BUse of lung ultrasound in the differential diagnosis of the causes of dyspneaBulatović Kristina0https://orcid.org/0000-0002-3488-6765Ristić-Anđelkov Anđelka1Perić Vladan2https://orcid.org/0000-0002-9279-2716Todorović Jovana3https://orcid.org/0000-0001-9741-6317Pandrc Milena4https://orcid.org/0000-0001-9273-4033Gojka Gabrijela5Vraneš Danijela6Šipić Maja7Rašić Dragiša8Milenković Aleksandra9Aritonović-Pribaković Jelena10https://orcid.org/0000-0001-7203-4857Perić Milica11University of Priština/Kosovska Mitrovica, Faculty of Medicine, Kosovska Mitrovica, SerbiaMilitary Medical Academy, Clinic for Emergency and Internal Medicine, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaUniversity of Priština/Kosovska Mitrovica, Faculty of Medicine, Kosovska Mitrovica, SerbiaUniversity of Belgrade, Faculty of Medicine, Institute of Social Medicine, Belgrade, SerbiaMilitary Medical Academy, Clinic for Emergency and Internal Medicine, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaMilitary Medical Academy, Clinic for Cardiology, Belgrade, SerbiaMilitary Medical Academy, Clinic for Emergency and Internal Medicine, Belgrade, SerbiaUniversity of Priština/Kosovska Mitrovica, Faculty of Medicine, Kosovska Mitrovica, SerbiaUniversity of Priština/Kosovska Mitrovica, Faculty of Medicine, Kosovska Mitrovica, SerbiaUniversity of Priština/Kosovska Mitrovica, Faculty of Medicine, Kosovska Mitrovica, SerbiaUniversity of Priština/Kosovska Mitrovica, Faculty of Medicine, Kosovska Mitrovica, SerbiaUniversity of Belgrade, Faculty of Medicine, Institute of Social Medicine, Belgrade, SerbiaBackground/Aim. The field of lung ultrasonography (US) is a fast-developing one, and it provides the medical community with numerous new diagnostic opportunities. The aim of this study was to examine the etiology of dyspnea on admission and assess the stage of heart failure (HF) according to the US examination of the heart and lungs. Methods. The cross-sectional study included a total of 110 patients treated for the symptoms of dyspnea. The study included all patients treated for any heart or pulmonary condition, as well as patients who reported the first episode of dyspnea with-out any previous illness. The most important diagnostic sign in the US of the lungs in patients with HF was the appearance of B-lines or “comets” (ultrasound artifacts reminiscent of comet tails), which indicate the accumulation of fluid in the interstitium of the lungs. Results. The mean number of registered “comets” in the total number of patients was 14.2 ± 7.4 (minimum 2, maximum 30). The mean number of “comets” among patients with HF was 18.8 ± 5.9. The mean number of “comets” among patients without HF was 8.0 ± 3.7 (p ˂ 0.001). Multivariate linear regression analyses showed the association between the number of “comets” and HF (p ˂ 0.001). Conclusion. As the assessment of present “comets” in pulmonary US examination is safe and non-invasive, it can easily be integrated into the daily clinical practice because it has been shown that the number of pulmonary “comets” is significantly higher in patients with HF compared to those with dyspnea of other etiologies.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300053B.pdfheart failurelung edemaultrasonographydiagnosisdifferential |
| spellingShingle | Bulatović Kristina Ristić-Anđelkov Anđelka Perić Vladan Todorović Jovana Pandrc Milena Gojka Gabrijela Vraneš Danijela Šipić Maja Rašić Dragiša Milenković Aleksandra Aritonović-Pribaković Jelena Perić Milica Use of lung ultrasound in the differential diagnosis of the causes of dyspnea Vojnosanitetski Pregled heart failure lung edema ultrasonography diagnosis differential |
| title | Use of lung ultrasound in the differential diagnosis of the causes of dyspnea |
| title_full | Use of lung ultrasound in the differential diagnosis of the causes of dyspnea |
| title_fullStr | Use of lung ultrasound in the differential diagnosis of the causes of dyspnea |
| title_full_unstemmed | Use of lung ultrasound in the differential diagnosis of the causes of dyspnea |
| title_short | Use of lung ultrasound in the differential diagnosis of the causes of dyspnea |
| title_sort | use of lung ultrasound in the differential diagnosis of the causes of dyspnea |
| topic | heart failure lung edema ultrasonography diagnosis differential |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300053B.pdf |
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