Potential of modern investigations for detecting and monitoring asymptomatic congestion in patients with heart failure
https://doi.org/10.15829/1560-4071-2021-4265
Abstract
Congestion associated with pressure and/or volume overload plays a central role in the pathophysiology, manifestations and prognosis of heart failure, being one of the important aims of its therapy. The current methods for congestion diagnosis, mainly clinical, have low sensitivity and specificity, which can lead to a delay in diagnosis and initiation of treatment.
Over the past decades, novel, more sensitive and specific ultrasound techniques have been developed to detect increased intracardiac pressure and/or volume overload, providing early and accurate diagnosis and facilitating treatment strategies. The review discusses the role of modern investigations for detecting and quantifying congestion, including visualization of the lungs (B-lines), kidneys (intrarenal venous flow) and the venous system (diameter of the inferior vena cava and internal jugular veins), and transient elastography.
About the Authors
Zh. D. Kobalava
Peoples’ Friendship University of Russia
Russian Federation
Competing Interests: not
Russian Federation
Moscow
Competing Interests: not
L. V. Kokhan
Peoples’ Friendship University of Russia
Russian Federation
Competing Interests: not
Russian Federation
Moscow
Competing Interests: not
A. F. Safarova
Peoples’ Friendship University of Russia; V.V. Vinogradov City Clinical Hospital
Russian Federation
Competing Interests: not
Russian Federation
Moscow
Competing Interests: not
M. V. Vatsik-Gorodetskaya
V.V. Vinogradov City Clinical Hospital
Russian Federation
Competing Interests: not
Russian Federation
Moscow
Competing Interests: not
S. A. Galochkin
Peoples’ Friendship University of Russia
Russian Federation
Competing Interests: not
Russian Federation
Moscow
Competing Interests: not
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For citations:
Kobalava Zh.D., Kokhan L.V., Safarova A.F., Vatsik-Gorodetskaya M.V., Galochkin S.A. Potential of modern investigations for detecting and monitoring asymptomatic congestion in patients with heart failure. Russian Journal of Cardiology. 2021;26(1):4265. (In Russ.) https://doi.org/10.15829/1560-4071-2021-4265
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