Observational studyEuropean heart journal. Acute cardiovascular care2023
Association between B-lines on lung ultrasound, invasive haemodynamics, and prognosis in acute heart failure patients.
Observational study in European heart journal. Acute cardiovascular care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- ΔVExPLUs: prognostic value of integrating serial changes in VExUS score and lung ultrasound in acute decompensated heart failure.European heart journal. Imaging methods and practice · 2026Article
- International evidence-based recommendations for point-of-care lung ultrasound : 2025 focused update of the 2012 recommendations.Intensive care medicine · 2026Article
- Point-of-care ultrasound improves the diagnosis of heart failure in patients with dyspnea in primary care.Frontiers in medicine · 2026Article
- Lung Ultrasound Offers Fast and Reliable Exclusion of Heart Failure in the Emergency Department: A Prospective Diagnostic Study.Diagnostics (Basel, Switzerland) · 2025Article
- Evolving role of echocardiography across the heart failure spectrum: from prevention to advanced management.Heart failure reviews · 2025Review
- Lung ultrasound and mortality in a cardiogenic shock population: A prospective registry-based analysis.European journal of heart failure · 2025Observational
- Home-operated ultrasound exam for detection of worsening heart failure (HOUSE-HF).ESC heart failure · 2025Observational
- Ultrasound Assessment of Venous and Pulmonary Congestion in Left Ventricular Assist Devices Patients.Artificial organs · 2025Article
- Imaging of Congestion in Cardio-renal Syndrome.Current heart failure reports · 2025Review
- Predictors of B-line count in hospitalized patients with COVID-19.Frontiers in cardiovascular medicine · 2025Article
- Automatic B-lines: a tool for minimizing time to diuretic administration in pulmonary edema patients in the emergency department of a developing country.International journal of emergency medicine · 2024Article
- Biomarkers of Hemodynamic Congestion in Heart Failure.Current heart failure reports · 2024Review
- Deep-learning generated B-line score mirrors clinical progression of disease for patients with heart failure.The ultrasound journal · 2024Article
- Point of Care Ultrasound (POCUS) in the Management of Heart Failure: A Narrative Review.Journal of personalized medicine · 2024Review
- Point-of-care ultrasonography in cirrhosis-related acute kidney injury: How I do it.World journal of critical care medicine · 2024Review
- Sound waves and solutions: Point-of-care ultrasonography for acute kidney injury in cirrhosis.World journal of critical care medicine · 2024Review
- Acute kidney injury and point-of-care ultrasound in liver cirrhosis: redefining hepatorenal syndrome.Clinical kidney journal · 2024Review
- Comparison of the prognostic value, feasibility, and reproducibility among different scoring methods of 8‑point lung ultrasonography in patients with acute heart failure.Internal and emergency medicine · 2023Observational
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsIncreased left atrial pressure leads to pulmonary congestion. Although the B-lines in lung ultrasound (LUS) are useful in detecting pulmonary congestion, data regarding the association between B-lines and invasive haemodynamics are inconsistent. This study aimed to explore the correlation of the B-line count by LUS with pulmonary capillary wedge pressure (PCWP) stratified for preserved and reduced ejection fraction (EF) in acute heart failure patients. METHODS AND
resultsWe performed a prospective observational study on 116 hospitalized patients with acute heart failure (mean age, 75.2 ± 10.3 years), who underwent right heart catheterization before discharge. LUS was performed in eight zones within 4 h of right heart catheterization and compared with PCWP separately in each EF group. Cardiac events were recorded 1 year after discharge. PCWP revealed a clear pivot point at which the B-lines began to increase in the overall cohort and each EF. Specific thresholds of the increase in B-lines were identified at 19 and 25 mmHg for preserved and reduced EF, respectively. Residual congestion at discharge was defined as the presence of ≥6 B-lines. Patients with residual congestion had a higher risk for cardiac events than those without residual congestion (hazard ratio, 12.6; 95% confidence interval, 4.71-33.7; log-rank, P < 0.0001).
conclusionA clear pivot point was associated with increased B-lines count in PCWP at 19 and 25 mmHg for preserved and reduced EF, respectively. Moreover, the increased B-line count above the defined cut-off used to quantify residual congestion was associated with significantly worse outcomes.
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