Pulmonary edema echocardiography
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]
Overview
Echocardiography is useful in confirming a cardiac or no-cardiac cause of pulmonary edema. Echocardiography may identify the presence and severity of valvular causes of pulmonary edema. Echocardiography is helpful in diagnosis of ischemia or myocardial infarction, cardiomyopathy as an underlying cause of pulmonary edema. Echocardiography is less sensitive in identifying diastolic dysfunction. Thus, a normal echocardiogram may not rule out cardiogenic pulmonary edema.
Echocardiography
- Echocardiography is helpful in the diagnosis of cardiogenic causes of pulmonary edema.[1][2]
- Echocardiography may identify the presence and severity of valvular causes of pulmonary edema including:
- Echocardiography findings helpful in diagnosis of ischemia or myocardial infarction as an underlying cause of pulmonary edema include:
- Focal segment wall motion abnormalities
- Echocardiography findings helpful in diagnosis of cardiomyopathy as an underlying cause of pulmonary edema:
- Global impairment of left ventricular function.
- Echocardiography is less sensitive in identifying diastolic dysfunction. Therefore, a normal echocardiogram may not rule out cardiogenic pulmonary edema.[3]
Ultrasound
- Ultrasound is helpful in the diagnosis of cardiogenic causes of pulmonary edema.[4]
- Ultrasonography findings helpful in diagnosis of cardiogenic pulmonary edema include:
- B-lines( sensitivity of 94.1% and a specificity of 92.4%)
References
- ↑ Ware LB, Matthay MA (December 2005). "Clinical practice. Acute pulmonary edema". N. Engl. J. Med. 353 (26): 2788–96. doi:10.1056/NEJMcp052699. PMID 16382065.
- ↑ Sibbald WJ, Cunningham DR, Chin DN (October 1983). "Non-cardiac or cardiac pulmonary edema? A practical approach to clinical differentiation in critically ill patients". Chest. 84 (4): 452–61. PMID 6617283.
- ↑ Aurigemma GP, Gaasch WH (September 2004). "Clinical practice. Diastolic heart failure". N. Engl. J. Med. 351 (11): 1097–105. doi:10.1056/NEJMcp022709. PMID 15356307.
- ↑ Al Deeb M, Barbic S, Featherstone R, Dankoff J, Barbic D (August 2014). "Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: a systematic review and meta-analysis". Acad Emerg Med. 21 (8): 843–52. doi:10.1111/acem.12435. PMID 25176151.