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• W2741190638 abstract "Objectives Objective measures of clinical improvement in patients with acute heart failure (AHF) are lacking. The aim of this study was to determine whether repeated lung sonography could semiquantitatively capture changes in pulmonary edema (B‐lines) in patients with hypertensive AHF early in the course of treatment. Methods We conducted a feasibility study in a cohort of adults with acute onset of dyspnea, severe hypertension in the field or at triage (systolic blood pressure ≥ 180 mm Hg), and a presumptive diagnosis of AHF. Patients underwent repeated dyspnea and lung sonographic assessments using a 10‐cm visual analog scale (VAS) and an 8‐zone scanning protocol. Lung sonographic assessments were performed at the time of triage, initial VAS improvement, and disposition from the emergency department. Sonographic pulmonary edema was independently scored offline in a randomized and blinded fashion by using a scoring method that accounted for both the sum of discrete B‐lines and degree of B‐line fusion. Results Sonographic pulmonary edema scores decreased significantly from initial to final sonographic assessments ( P < .001). The median percentage decrease among the 20 included patient encounters was 81% (interquartile range, 55%–91%). Although sonographic pulmonary edema scores correlated with VAS scores (ρ = 0.64; P < .001), the magnitude of the change in these scores did not correlate with each other (ρ = –0.04; P = .89). Conclusions Changes in sonographic pulmonary edema can be semiquantitatively measured by serial 8‐zone lung sonography using a scoring method that accounts for B‐line fusion. Sonographic pulmonary edema improves in patients with hypertensive AHF during the initial hours of treatment." @default.
• W2741190638 created "2017-08-08" @default.
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• W2741190638 date "2017-07-31" @default.
• W2741190638 modified "2023-10-15" @default.
• W2741190638 title "Serial Sonographic Assessment of Pulmonary Edema in Patients With Hypertensive Acute Heart Failure" @default.
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• W2741190638 doi "https://doi.org/10.1002/jum.14336" @default.
• W2741190638 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5798430" @default.
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• W2741190638 hasPublicationYear "2017" @default.
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