The Role of Lung Ultrasound Scan in Different Heart Failure Scenarios: Current Applications and Lacks of Evidences

Pulmonary congestion is a critical factor influencing the clinical presentation, therapeutic decisions, and outcomes of heart failure (HF) patients. Lung ultrasound (LUS) offers a simple, rapid, and accurate method for assessing pulmonary congestion, surpassing the diagnostic capabilities of traditi...

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Main Authors: Alessandro Campora, Matteo Beltrami, Anita Di Renzo, Alessia Petrini, Alberto Palazzuoli
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/1/45
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author Alessandro Campora
Matteo Beltrami
Anita Di Renzo
Alessia Petrini
Alberto Palazzuoli
author_facet Alessandro Campora
Matteo Beltrami
Anita Di Renzo
Alessia Petrini
Alberto Palazzuoli
author_sort Alessandro Campora
collection DOAJ
description Pulmonary congestion is a critical factor influencing the clinical presentation, therapeutic decisions, and outcomes of heart failure (HF) patients. Lung ultrasound (LUS) offers a simple, rapid, and accurate method for assessing pulmonary congestion, surpassing the diagnostic capabilities of traditional clinical evaluation and chest radiography. Due to the wide availability of ultrasound equipment, congestion can be evaluated in multiple settings, ranging from emergency departments to intensive care units, including outpatient settings. A combined cardiopulmonary imaging approach, integrating LUS with other imaging modalities, enhances congestion assessment in both acute and chronic HF. This comprehensive approach provides valuable insights for HF management and risk stratification. However, optimizing the utilization of LUS remains a challenge, as standardized imaging protocols and B-line thresholds may vary across different clinical scenarios and HF phenotypes. Despite the widespread use of LUS in various HF settings, physician adoption and interpretation of LUS findings remain suboptimal. This review aims to provide a practical and clinical overview of LUS in HF, guiding clinicians towards the correct application and interpretation of this valuable tool in diverse HF contexts.
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spelling doaj-art-b3f60bff41124481963048f76ed22a582025-01-10T13:16:33ZengMDPI AGDiagnostics2075-44182024-12-011514510.3390/diagnostics15010045The Role of Lung Ultrasound Scan in Different Heart Failure Scenarios: Current Applications and Lacks of EvidencesAlessandro Campora0Matteo Beltrami1Anita Di Renzo2Alessia Petrini3Alberto Palazzuoli4Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Viale Bracci 1, 53100 Siena, ItalyArrhythmia and Electrophysiology Unit, Careggi University Hospital, 50134 Florence, ItalyDepartment of Medical Biotechnologies, Division of Cardiology, University of Siena, Viale Bracci 1, 53100 Siena, ItalyDepartment of Medical Biotechnologies, Division of Cardiology, University of Siena, Viale Bracci 1, 53100 Siena, ItalyCardiovascular Diseases Unit, Cardio Thoracic and Vascular Department, Le Scotte Hospital, University of Siena, 53100 Siena, ItalyPulmonary congestion is a critical factor influencing the clinical presentation, therapeutic decisions, and outcomes of heart failure (HF) patients. Lung ultrasound (LUS) offers a simple, rapid, and accurate method for assessing pulmonary congestion, surpassing the diagnostic capabilities of traditional clinical evaluation and chest radiography. Due to the wide availability of ultrasound equipment, congestion can be evaluated in multiple settings, ranging from emergency departments to intensive care units, including outpatient settings. A combined cardiopulmonary imaging approach, integrating LUS with other imaging modalities, enhances congestion assessment in both acute and chronic HF. This comprehensive approach provides valuable insights for HF management and risk stratification. However, optimizing the utilization of LUS remains a challenge, as standardized imaging protocols and B-line thresholds may vary across different clinical scenarios and HF phenotypes. Despite the widespread use of LUS in various HF settings, physician adoption and interpretation of LUS findings remain suboptimal. This review aims to provide a practical and clinical overview of LUS in HF, guiding clinicians towards the correct application and interpretation of this valuable tool in diverse HF contexts.https://www.mdpi.com/2075-4418/15/1/45congestionlung ultrasoundheart failurerespiratory diseases
spellingShingle Alessandro Campora
Matteo Beltrami
Anita Di Renzo
Alessia Petrini
Alberto Palazzuoli
The Role of Lung Ultrasound Scan in Different Heart Failure Scenarios: Current Applications and Lacks of Evidences
Diagnostics
congestion
lung ultrasound
heart failure
respiratory diseases
title The Role of Lung Ultrasound Scan in Different Heart Failure Scenarios: Current Applications and Lacks of Evidences
title_full The Role of Lung Ultrasound Scan in Different Heart Failure Scenarios: Current Applications and Lacks of Evidences
title_fullStr The Role of Lung Ultrasound Scan in Different Heart Failure Scenarios: Current Applications and Lacks of Evidences
title_full_unstemmed The Role of Lung Ultrasound Scan in Different Heart Failure Scenarios: Current Applications and Lacks of Evidences
title_short The Role of Lung Ultrasound Scan in Different Heart Failure Scenarios: Current Applications and Lacks of Evidences
title_sort role of lung ultrasound scan in different heart failure scenarios current applications and lacks of evidences
topic congestion
lung ultrasound
heart failure
respiratory diseases
url https://www.mdpi.com/2075-4418/15/1/45
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