Ponce-Gallegos Marco Antonio, Mendoza-Mujica Miguel, Ponce-Gallegos Jaime, García-Diaz Jesús Alberto, Zelada-Pineda Jorge Armando, Araiza-Garaygordobil Diego
Clinical Cardiology Department. Instituto Nacional de Cardiología Ignacio Chávez. Tlalpan, Ciudad de México, México. Clinical Cardiology Department Instituto Nacional de Cardiología Ignacio Chávez Tlalpan, Ciudad de México México.
Internal Medicine Department. Nuevo Hospital Civil de Guadalajara "Dr. Juan I. Menchaca". Guadalajara, Jalisco, México. Internal Medicine Department Nuevo Hospital Civil de Guadalajara "Dr. Juan I. Menchaca" Guadalajara, Jalisco México.
Arch Peru Cardiol Cir Cardiovasc. 2024 Sep 29;5(3):153-156. doi: 10.47487/apcyccv.v5i3.413. eCollection 2024 Jul-Sep.
Lung ultrasound is a tool that is increasingly gaining strength in the initial evaluation of the patient in the emergency department and in critical care areas, making it particularly useful for cardiologists. In patients with ST elevation and acute myocardial infarction it has been observed that 25-45% of patients are wrongly classified as Class I in the Killip and Kimball classification after lung ultrasound (subclinical congestion). The clinical relevance of this finding lies in the fact that the greater the number of B lines, the greater short- and long-term the mortality is. An important advantage is that no prolonged time for learning the technique is required. More studies are needed to evaluate the role and importance of subclinical congestion in patients with acute myocardial infarction. Unfortunately, ultrasound is not widely available in developing countries, so the physical examination will continue to play an important role in the initial evaluation of patients with acute myocardial infraction.
肺部超声是一种在急诊科和重症监护领域对患者进行初始评估时越来越重要的工具，对心脏病专家尤其有用。在ST段抬高型急性心肌梗死患者中，经肺部超声检查后发现，25%至45%的患者在Killip和Kimball分类中被错误地归类为I级（亚临床充血）。这一发现的临床意义在于，B线数量越多，短期和长期死亡率越高。一个重要的优点是不需要长时间学习该技术。需要更多的研究来评估亚临床充血在急性心肌梗死患者中的作用和重要性。不幸的是，超声检查在发展中国家并不普及，因此体格检查在急性心肌梗死患者的初始评估中仍将发挥重要作用。
