1. Value of inferior vena cava collapsibility index as marker of heart failure in chronic obstructive pulmonary disease exacerbation
- Author
-
Cyrine Kouraichi, Adel Sekma, Khaoula Bel Haj Ali, Ikram Chamtouri, Sarra Sassi, Marwa Toumia, Hajer Yaakoubi, Rym Youssef, Mohamed Amine Msolli, Kaouthar Beltaief, Zied Mezgar, Mariem Khrouf, Wahid Bouida, Zohra Dridi, Riadh Boukef, Hamdi Boubaker, Mohamed Habib Grissa, and Semir Nouira
- Subjects
Heart failure ,Dyspnea ,Emergency AECOPD ,Ultrasound ,Collabsibility index ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Introduction Inferior vena cava (IVC) diameter variability with respiration measured by ultrasound was found to be useful for the diagnosis of heart failure (HF) in ED patients with acute dyspnea. Its value in identifying HF in acute exacerbation of chronic obstructive pulmonary disease exacerbation (AECOPD) was not specifically demonstrated. Objective To determine the value of ΔIVC in the diagnosis of HF patients with AECOPD. Methods This is a prospective study conducted in the ED of three Tunisian university hospitals including patients with AECOPD. During this period, 401 patients met the inclusion criteria. The final diagnosis of HF is based on the opinion of two emergency experts after consulting the data from clinical examination, cardiac echocardiography, and BNP level. The ΔIVC was calculated by two experienced emergency physicians who were blinded from the patient’s clinical and laboratory data. A cut off of 15% was used to define the presence (
- Published
- 2023
- Full Text
- View/download PDF