Ayman Sadek, Mohamad Ahmad Mosaad, Ibrahim Abdel Fattah Yassin and Taher Said
We enrolled 58 cardiomyopathic patients and 20 normal individuals admitted to Dar Al-Fouad hospital complaining of NYHA class III-IV, with evidence of pulmonary congestion. All patients underwent lung ultrasound. A comparison of the LUS results was done to 20 COPD patients with no history of cardiac disease. The mean age of control was 33.80; the mean age of patients was 54.03.The mean ejection fraction in the control group is 61.40, with the lowest ejection fraction 58%. The mean ejection fraction in the subject group 40.72, with the lowest ejection fraction 22% A statistical difference in lung ultrasound B lines total count (Sum) was found between the control and subjects. The mean number of B lines in the control group is 1.9, with the lowest and highest count 0 and 4 respectively. The mean number of B lines in the subject group is 54.95 with the lowest and highest count 13 and 130 respectively. The number of B-lines correlated well with E/e’ value with a positive correlation coefficient (r=0.837 p<0.0001) and a positive linear curve, which indicates its usefulness in diagnosing hemodynamic and pulmonary congestion. The number of B-lines correlated well with NT-proBNP >2000 pg/mL for congestion with a positive correlation coefficient (r=0.638, p<0.0001) and a positive linear curve, which indicates its usefulness in diagnosing pulmonary congestion. When compared to results of COPD patients, the difference was significant with ease of differentiation using lung ultrasound.
この記事をシェアする
English 
Spanish 
Chinese 
Russian 
German 
French 
Portuguese 
Hindi 