Department of Cardiology, Xiangtan Central Hospital, Xiangtan, China.
Center of Cooperative Postgraduate Cultivation in Xiangtan Central Hospital, University of South China, Xiangtan, China.
Clin Cardiol. 2021 Nov;44(11):1488-1496. doi: 10.1002/clc.23738. Epub 2021 Oct 1.
Chronic heart failure is one of the common causes of hospitalization and death. Pulmonary congestion is the common disease feature of patients with chronic heart failure, which could be correctly diagnosed by lung ultrasound. Efficacy of lung ultrasound-guided pulmonary congestion management for patients with acute heart failure is well documented, however, more evidence is needed to establish the clinical value of pulmonary congestion detection by lung ultrasound examination in patients with chronic heart failure. This review summarized current evidence related to the use and clinical value of pulmonary congestion assessment by lung ultrasound in patients with chronic heart failure, aiming to provide new suggestions on promoting the widespread use of lung ultrasound in patients with chronic heart failure to improve the quality of life and outcome of patients with chronic heart failure.
慢性心力衰竭是住院和死亡的常见原因之一。肺淤血是慢性心力衰竭患者的常见疾病特征,可通过肺部超声正确诊断。肺部超声指导急性心力衰竭患者肺淤血管理的疗效已有充分的证据,但仍需要更多证据来确定肺部超声检查在慢性心力衰竭患者中检测肺淤血的临床价值。本综述总结了目前与慢性心力衰竭患者肺部超声评估肺淤血应用和临床价值相关的证据,旨在为促进肺部超声在慢性心力衰竭患者中的广泛应用提供新的建议,以提高慢性心力衰竭患者的生活质量和预后。