Semi-quantitative pulmonary congestion score: prevalence and diuretic management implications after heart failure discharge.
Rev Clin Esp (Barc)
; 224(3): 157-161, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38355098
ABSTRACT
INTRODUCTION:
Persistent congestion after heart failure (HF) discharge is associated with a higher risk of readmissions. MATERIAL ANDMETHODS:
eighty-two patients included after HF discharge. The aim of the study was to characterize semiquantitatively the degree of pulmonary congestion and its changes, describing the relationship between these findings and diuretic management.RESULTS:
On the first visit, despite the absence of clinical congestion in the majority of patients, half of the had some degree of pulmonary congestion by ultrasound. After global assessment in this initial visit (clinical and ultrasound) the diuretic was lowered in 50 patients (60%), kept the same in 16 (20%) and it was increased in the rest. In the 45 patients without ultrasound congestion, diuretic reduction was attempted in 80%, being this strategy successful in the majority of them.CONCLUSIONS:
Lung ultrasound, using simple quantification methods, allows its real incorporation into clinical practice, helping us in the decision making process.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Edema Pulmonar
/
Insuficiência Cardíaca
Tipo de estudo:
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Rev Clin Esp (Barc)
Ano de publicação:
2024
Tipo de documento:
Article