Zhang Hui, Zhu Yunlong, Li Na, Zeng Jianping
Department of Cardiology, Xiangtan Central Hospital, 411100 Xiangtan, Hunan, China.
Graduate Collaborative Training Base of Xiangtan Central Hospital, Hengyang Medical School, University of South China, 421001 Hengyang, Hunan, China.
Rev Cardiovasc Med. 2022 Oct 18;23(10):350. doi: 10.31083/j.rcm2310350. eCollection 2022 Oct.
Acute decompensated heart failure (ADHF) is one of the most common causes of hospital admission for cardiovascular diseases. ADHF often affects the elderly population, is associated with high morbidity, admission rate and mortality. Pulmonary congestion (PC) is the most common cause of hospitalization among ADHF patients. Previous studies have shown that lung ultrasound (LUS) serves as a valuable tool for the evaluation of PC in patients with heart failure in terms of diagnosis, guiding of the treatment, and post-discharge monitoring. The use of LUS for ADHF is well described and already widely used in the daily clinical practice. PC might differ in ADHF patients with different left ventricular ejection fraction value and treatment options should be steadily adjusted according to the LUS-derived PC results to improve the outcome. This review summarized the value of LUS examination in patients with ADHF with preserved, mildly reduced, and reduced left ventricular ejection fraction, aiming to expand the rational use of LUS, promote the LUS-guided management and improve the outcome among patients with ADHF.
急性失代偿性心力衰竭（ADHF）是心血管疾病住院治疗的最常见原因之一。ADHF常影响老年人群，具有高发病率、住院率和死亡率。肺淤血（PC）是ADHF患者住院的最常见原因。既往研究表明，肺部超声（LUS）在心力衰竭患者PC的诊断、治疗指导及出院后监测方面是一种有价值的评估工具。LUS用于ADHF的情况已有充分描述且已在日常临床实践中广泛应用。不同左心室射血分数值的ADHF患者的PC情况可能不同，应根据LUS得出的PC结果稳步调整治疗方案以改善预后。本综述总结了LUS检查在左心室射血分数保留、轻度降低和降低的ADHF患者中的价值，旨在扩大LUS的合理应用，促进LUS指导下的管理并改善ADHF患者的预后。
