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Experience in using ultrasonography to detect pulmonary extravascular fluid in patients with heart failure
- Authors: Grishin A.M.1, Alekhin M.N.1, Sidorenko B.A.1, Grishin AM2, Alekhin MN2, Sidorenko BA2
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Affiliations:
- Central Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian Federation
- Issue: Vol 82, No 4 (2010)
- Pages: 35-39
- Section: Editorial
- URL: https://ter-arkhiv.ru/0040-3660/article/view/30574
- ID: 30574
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Abstract
Subjects and methods. One hundred and forty coronary heart disease patients (aged 68.6 ± 15.7 years) with signs of heart failure: acute left ventricular heart failure (acute left ventricular heart failure (ALVHF) in 19 patients and chronic heart failure (CHF) in 121, were examined. EchoCG, lung X-ray study and ultrasonography (USG) were performed to reveal ULCs on admission and over time.
Results. On admission, lung USG recorded multiple ULCs in all patients (n = 15) in the ALVHF group. Repeated lung USG showed a decrease in the amount of ULCs in response to diuretic therapy. In the group of patients with Functional Classes (FC) III-IV CHF (n = 19), primary lung USG indicated multiple and single ULCs in 11 (57.9%). Repeated lung USG demonstrated a decrease in the amount of ULCs in response to diuretic therapy. In the FC I-II CHF (n = 106), primary lung ULCs identified multiple and single ULCs in 12 (11.3%). In the group of 19 apparently healthy individuals, single ULCs were revealed in 3 (15.8%) cases.
Conclusion. The decreased number of ULCs in patients with CHF shows a high correlation with the efficiency of diuretic therapy. In patients with CHF, the detection rate of ULCs depends on the severity of CHF.
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About the authors
Aleksey Mikhaylovich Grishin
Mikhail Nikolaevich Alekhin
Boris Alekseevich Sidorenko
A M Grishin
Central Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian FederationCentral Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian Federation
M N Alekhin
Central Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian FederationCentral Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian Federation
B A Sidorenko
Central Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian FederationCentral Clinical Hospital with Polyclinic, Department for Presidential Affairs of the Russian Federation
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