PMID- 29487872
OWN - NLM
STAT- MEDLINE
DCOM- 20180824
LR  - 20181113
IS  - 2314-6141 (Electronic)
IS  - 2314-6133 (Print)
VI  - 2018
DP  - 2018
TI  - A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion 
      in Patients with Heart Failure.
PG  - 8474839
LID - 10.1155/2018/8474839 [doi]
LID - 8474839
AB  - Ultrasound lung comets (ULCs) are a nonionizing bedside approach to assess 
      extravascular lung water. We evaluated a protocol for grading ULC score to 
      estimate pulmonary congestion in heart failure patients and investigated clinical 
      and echocardiographic correlates of the ULC score. Ninety-three patients with 
      congestive heart failure, admitted to the emergency department, underwent 
      pulmonary ultrasound and echocardiography. A ULC score was obtained by summing 
      the ULC scores of 7 zones of anterolateral chest scans. The results of ULC score 
      were compared with echocardiographic results, the New York Heart Association 
      (NYHA) functional classification, radiologic score, and N-terminal pro-b-type 
      natriuretic peptide (NT-proBNP). Positive linear correlations were found between 
      the 7-zone ULC score and the following: E/e', systolic pulmonary artery pressure, 
      severity of mitral regurgitation, left ventricular global longitudinal strain, 
      NYHA functional classification, radiologic score, and NT-proBNP. However, there 
      was no significant correlation between ULC score and left ventricular ejection 
      fraction, left ventricle diameter, left ventricular volume, or left atrial 
      volume. A multivariate analysis identified the E/e', systolic pulmonary artery 
      pressure, and radiologic score as the only independent variables associated with 
      ULC score increase. The simplified 7-zone ULC score is a rapid and noninvasive 
      method to assess lung congestion. Diastolic rather than systolic performance may 
      be the most important determinant of the degree of lung congestion in patients 
      with heart failure.
FAU - Li, Hong
AU  - Li H
AD  - Department of Ultrasound, Shanxi Provincial People's Hospital, Taiyuan 030012, 
      China.
FAU - Li, Yi-Dan
AU  - Li YD
AD  - Department of Echocardiography, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing 100020, China.
FAU - Zhu, Wei-Wei
AU  - Zhu WW
AD  - Department of Echocardiography, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing 100020, China.
FAU - Kong, Ling-Yun
AU  - Kong LY
AD  - Department of Echocardiography, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing 100020, China.
FAU - Ye, Xiao-Guang
AU  - Ye XG
AD  - Department of Echocardiography, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing 100020, China.
FAU - Cai, Qi-Zhe
AU  - Cai QZ
AD  - Department of Echocardiography, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing 100020, China.
FAU - Sun, Lan-Lan
AU  - Sun LL
AD  - Department of Echocardiography, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing 100020, China.
FAU - Lu, Xiu-Zhang
AU  - Lu XZ
AUID- ORCID: 0000-0001-9566-9484
AD  - Department of Echocardiography, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing 100020, China.
LA  - eng
PT  - Journal Article
DEP - 20180102
PL  - United States
TA  - Biomed Res Int
JT  - BioMed research international
JID - 101600173
RN  - 0 (Peptide Fragments)
RN  - 0 (pro-brain natriuretic peptide (1-76))
RN  - 114471-18-0 (Natriuretic Peptide, Brain)
SB  - IM
MH  - Aged
MH  - Echocardiography/methods
MH  - Extravascular Lung Water/metabolism/physiology
MH  - Female
MH  - Heart Failure/metabolism/*physiopathology
MH  - Heart Ventricles/metabolism/physiopathology
MH  - Humans
MH  - Lung/metabolism/*physiopathology
MH  - Male
MH  - Natriuretic Peptide, Brain/metabolism
MH  - Peptide Fragments/metabolism
MH  - Prospective Studies
MH  - Pulmonary Circulation/physiology
MH  - Pulmonary Edema/metabolism/physiopathology
MH  - Ultrasonography/methods
MH  - Ventricular Function, Left/physiology
PMC - PMC5816880
EDAT- 2018/03/01 06:00
MHDA- 2018/08/25 06:00
PMCR- 2018/01/02
CRDT- 2018/03/01 06:00
PHST- 2017/08/07 00:00 [received]
PHST- 2017/11/23 00:00 [revised]
PHST- 2017/12/03 00:00 [accepted]
PHST- 2018/03/01 06:00 [entrez]
PHST- 2018/03/01 06:00 [pubmed]
PHST- 2018/08/25 06:00 [medline]
PHST- 2018/01/02 00:00 [pmc-release]
AID - 10.1155/2018/8474839 [doi]
PST - epublish
SO  - Biomed Res Int. 2018 Jan 2;2018:8474839. doi: 10.1155/2018/8474839. eCollection 
      2018.