Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography › Научные исследования в СПбГУ

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Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography. / Stress Echo 2020 study group of the Italian Society of Cardiovascular Echography.

в: JACC: Cardiovascular Imaging, Том 13, № 10, 10.2020, стр. 2085-2095.

Результаты исследований: Научные публикации в периодических изданиях › статья › Рецензирование

Harvard

Stress Echo 2020 study group of the Italian Society of Cardiovascular Echography 2020, 'Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography', JACC: Cardiovascular Imaging, Том. 13, № 10, стр. 2085-2095. https://doi.org/10.1016/j.jcmg.2020.04.020

APA

Stress Echo 2020 study group of the Italian Society of Cardiovascular Echography (2020). Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography. JACC: Cardiovascular Imaging, 13(10), 2085-2095. https://doi.org/10.1016/j.jcmg.2020.04.020

Vancouver

Stress Echo 2020 study group of the Italian Society of Cardiovascular Echography. Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography. JACC: Cardiovascular Imaging. 2020 Окт.;13(10):2085-2095. https://doi.org/10.1016/j.jcmg.2020.04.020

Author

Stress Echo 2020 study group of the Italian Society of Cardiovascular Echography. / Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography. в: JACC: Cardiovascular Imaging. 2020 ; Том 13, № 10. стр. 2085-2095.

BibTeX

@article{2bad5cb638194d8098be03896fd4d172,

title = "Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography",

abstract = "Objectives: The purpose of this study was to assess the functional and prognostic correlates of B-lines during stress echocardiography (SE). Background: B-profile detected by lung ultrasound (LUS) is a sign of pulmonary congestion during SE. Methods: The authors prospectively performed transthoracic echocardiography (TTE) and LUS in 2,145 patients referred for exercise (n = 1,012), vasodilator (n = 1,054), or dobutamine (n = 79) SE in 11 certified centers. B-lines were evaluated in a 4-site simplified scan (each site scored from 0: A-lines to 10: white lung for coalescing B-lines). During stress the following were also analyzed: stress-induced new regional wall motion abnormalities in 2 contiguous segments; reduced left ventricular contractile reserve (peak/rest based on force, ≤2.0 for exercise and dobutamine, ≤1.1 for vasodilators); and abnormal coronary flow velocity reserve ≤2.0, assessed by pulsed-wave Doppler sampling in left anterior descending coronary artery and abnormal heart rate reserve (peak/rest heart rate) ≤1.80 for exercise and dobutamine (≤1.22 for vasodilators). All patients completed follow-up. Results: According to B-lines at peak stress patients were divided into 4 different groups: group I, absence of stress B-lines (score: 0 to 1; n = 1,389; 64.7%); group II, mild B-lines (score: 2 to 4; n = 428; 20%); group III, moderate B-lines (score: 5 to 9; n = 209; 9.7%) and group IV, severe B-lines (score: ≥10; n = 119; 5.4%). During median follow-up of 15.2 months (interquartile range: 12 to 20 months) there were 38 deaths and 28 nonfatal myocardial infarctions in 64 patients. At multivariable analysis, severe stress B-lines (hazard ratio [HR]: 3.544; 95% confidence interval [CI]: 1.466 to 8.687; p = 0.006), abnormal heart rate reserve (HR: 2.276; 95% CI: 1.215 to 4.262; p = 0.010), abnormal coronary flow velocity reserve (HR: 2.178; 95% CI: 1.059 to 4.479; p = 0.034), and age (HR: 1.031; 95% CI: 1.002 to 1.062; p = 0.037) were independent predictors of death and nonfatal myocardial infarction. Conclusions: Severe stress B-lines predict death and nonfatal myocardial infarction. (Stress Echo 2020 - The International Stress Echo Study [SE2020]; NCT03049995)",

keywords = "coronary artery disease, heart failure, lung ultrasound, stress echocardiography, COMETS, SIGN, PROGNOSTIC VALUE, WATER",

author = "{Stress Echo 2020 study group of the Italian Society of Cardiovascular Echography} and Scali, {Maria Chiara} and Angela Zagatina and Quirino Ciampi and Lauro Cortigiani and Antonello D'Andrea and Daros, {Clarissa Borguezan} and Nadezhda Zhuravskaya and Kasprzak, {Jaroslaw D.} and Karina Wierzbowska-Drabik and {Luis de Castro e Silva Pretto}, Jos{\'e} and Ana Djordjevic-Dikic and Branko Beleslin and Marija Petrovic and Nikola Boskovic and Milorad Tesic and Ines Monte and Iana Simova and Martina Vladova and Alla Boshchenko and Alexander Vrublevsky and Rodolfo Citro and Miguel Amor and {Vargas Mieles}, {Paul E.} and Rosina Arbucci and Merlo, {Pablo Martin} and {Lowenstein Haber}, {Diego M.} and Claudio Dodi and Fausto Rigo and Suzana Gligorova and Milica Dekleva and Sergio Severino and Fabio Lattanzi and Doralisa Morrone and Maurizio Galderisi and Torres, {Marco A.R.} and Alessandro Salustri and Hugo Rodr{\`i}guez-Zanella and Costantino, {Fabio Marco} and Albert Varga and Gergely Agoston and Eduardo Bossone and Francesco Ferrara and Nicola Gaibazzi and Jelena Celutkiene and Maciej Haberka and Fabio Mori and D'Alfonso, {Maria Grazia} and Barbara Reisenhofer and Camarozano, {Ana Cristina} and Miglioranza, {Marcelo Haertel}",

note = "Publisher Copyright: {\textcopyright} 2020 American College of Cardiology Foundation",

year = "2020",

month = oct,

doi = "10.1016/j.jcmg.2020.04.020",

language = "English",

volume = "13",

pages = "2085--2095",

journal = "JACC: Cardiovascular Imaging",

issn = "1936-878X",

publisher = "Elsevier",

number = "10",

}

RIS

TY - JOUR

T1 - Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography

AU - Stress Echo 2020 study group of the Italian Society of Cardiovascular Echography

AU - Scali, Maria Chiara

AU - Zagatina, Angela

AU - Ciampi, Quirino

AU - Cortigiani, Lauro

AU - D'Andrea, Antonello

AU - Daros, Clarissa Borguezan

AU - Zhuravskaya, Nadezhda

AU - Kasprzak, Jaroslaw D.

AU - Wierzbowska-Drabik, Karina

AU - Luis de Castro e Silva Pretto, José

AU - Djordjevic-Dikic, Ana

AU - Beleslin, Branko

AU - Petrovic, Marija

AU - Boskovic, Nikola

AU - Tesic, Milorad

AU - Monte, Ines

AU - Simova, Iana

AU - Vladova, Martina

AU - Boshchenko, Alla

AU - Vrublevsky, Alexander

AU - Citro, Rodolfo

AU - Amor, Miguel

AU - Vargas Mieles, Paul E.

AU - Arbucci, Rosina

AU - Merlo, Pablo Martin

AU - Lowenstein Haber, Diego M.

AU - Dodi, Claudio

AU - Rigo, Fausto

AU - Gligorova, Suzana

AU - Dekleva, Milica

AU - Severino, Sergio

AU - Lattanzi, Fabio

AU - Morrone, Doralisa

AU - Galderisi, Maurizio

AU - Torres, Marco A.R.

AU - Salustri, Alessandro

AU - Rodrìguez-Zanella, Hugo

AU - Costantino, Fabio Marco

AU - Varga, Albert

AU - Agoston, Gergely

AU - Bossone, Eduardo

AU - Ferrara, Francesco

AU - Gaibazzi, Nicola

AU - Celutkiene, Jelena

AU - Haberka, Maciej

AU - Mori, Fabio

AU - D'Alfonso, Maria Grazia

AU - Reisenhofer, Barbara

AU - Camarozano, Ana Cristina

AU - Miglioranza, Marcelo Haertel

PY - 2020/10

Y1 - 2020/10

N2 - Objectives: The purpose of this study was to assess the functional and prognostic correlates of B-lines during stress echocardiography (SE). Background: B-profile detected by lung ultrasound (LUS) is a sign of pulmonary congestion during SE. Methods: The authors prospectively performed transthoracic echocardiography (TTE) and LUS in 2,145 patients referred for exercise (n = 1,012), vasodilator (n = 1,054), or dobutamine (n = 79) SE in 11 certified centers. B-lines were evaluated in a 4-site simplified scan (each site scored from 0: A-lines to 10: white lung for coalescing B-lines). During stress the following were also analyzed: stress-induced new regional wall motion abnormalities in 2 contiguous segments; reduced left ventricular contractile reserve (peak/rest based on force, ≤2.0 for exercise and dobutamine, ≤1.1 for vasodilators); and abnormal coronary flow velocity reserve ≤2.0, assessed by pulsed-wave Doppler sampling in left anterior descending coronary artery and abnormal heart rate reserve (peak/rest heart rate) ≤1.80 for exercise and dobutamine (≤1.22 for vasodilators). All patients completed follow-up. Results: According to B-lines at peak stress patients were divided into 4 different groups: group I, absence of stress B-lines (score: 0 to 1; n = 1,389; 64.7%); group II, mild B-lines (score: 2 to 4; n = 428; 20%); group III, moderate B-lines (score: 5 to 9; n = 209; 9.7%) and group IV, severe B-lines (score: ≥10; n = 119; 5.4%). During median follow-up of 15.2 months (interquartile range: 12 to 20 months) there were 38 deaths and 28 nonfatal myocardial infarctions in 64 patients. At multivariable analysis, severe stress B-lines (hazard ratio [HR]: 3.544; 95% confidence interval [CI]: 1.466 to 8.687; p = 0.006), abnormal heart rate reserve (HR: 2.276; 95% CI: 1.215 to 4.262; p = 0.010), abnormal coronary flow velocity reserve (HR: 2.178; 95% CI: 1.059 to 4.479; p = 0.034), and age (HR: 1.031; 95% CI: 1.002 to 1.062; p = 0.037) were independent predictors of death and nonfatal myocardial infarction. Conclusions: Severe stress B-lines predict death and nonfatal myocardial infarction. (Stress Echo 2020 - The International Stress Echo Study [SE2020]; NCT03049995)

AB - Objectives: The purpose of this study was to assess the functional and prognostic correlates of B-lines during stress echocardiography (SE). Background: B-profile detected by lung ultrasound (LUS) is a sign of pulmonary congestion during SE. Methods: The authors prospectively performed transthoracic echocardiography (TTE) and LUS in 2,145 patients referred for exercise (n = 1,012), vasodilator (n = 1,054), or dobutamine (n = 79) SE in 11 certified centers. B-lines were evaluated in a 4-site simplified scan (each site scored from 0: A-lines to 10: white lung for coalescing B-lines). During stress the following were also analyzed: stress-induced new regional wall motion abnormalities in 2 contiguous segments; reduced left ventricular contractile reserve (peak/rest based on force, ≤2.0 for exercise and dobutamine, ≤1.1 for vasodilators); and abnormal coronary flow velocity reserve ≤2.0, assessed by pulsed-wave Doppler sampling in left anterior descending coronary artery and abnormal heart rate reserve (peak/rest heart rate) ≤1.80 for exercise and dobutamine (≤1.22 for vasodilators). All patients completed follow-up. Results: According to B-lines at peak stress patients were divided into 4 different groups: group I, absence of stress B-lines (score: 0 to 1; n = 1,389; 64.7%); group II, mild B-lines (score: 2 to 4; n = 428; 20%); group III, moderate B-lines (score: 5 to 9; n = 209; 9.7%) and group IV, severe B-lines (score: ≥10; n = 119; 5.4%). During median follow-up of 15.2 months (interquartile range: 12 to 20 months) there were 38 deaths and 28 nonfatal myocardial infarctions in 64 patients. At multivariable analysis, severe stress B-lines (hazard ratio [HR]: 3.544; 95% confidence interval [CI]: 1.466 to 8.687; p = 0.006), abnormal heart rate reserve (HR: 2.276; 95% CI: 1.215 to 4.262; p = 0.010), abnormal coronary flow velocity reserve (HR: 2.178; 95% CI: 1.059 to 4.479; p = 0.034), and age (HR: 1.031; 95% CI: 1.002 to 1.062; p = 0.037) were independent predictors of death and nonfatal myocardial infarction. Conclusions: Severe stress B-lines predict death and nonfatal myocardial infarction. (Stress Echo 2020 - The International Stress Echo Study [SE2020]; NCT03049995)

KW - coronary artery disease

KW - heart failure

KW - lung ultrasound

KW - stress echocardiography

KW - COMETS

KW - SIGN

KW - PROGNOSTIC VALUE

KW - WATER

UR - http://www.scopus.com/inward/record.url?scp=85089290503&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/4376993b-8df1-34d4-bc27-2db2f19db357/

U2 - 10.1016/j.jcmg.2020.04.020

DO - 10.1016/j.jcmg.2020.04.020

M3 - Article

C2 - 32682714

AN - SCOPUS:85089290503

VL - 13

SP - 2085

EP - 2095

JO - JACC: Cardiovascular Imaging

JF - JACC: Cardiovascular Imaging

SN - 1936-878X

IS - 10

ER -

ID: 62495872