Pulmonary Edema Assessed by Ultrasound: Impact in Cardiology and Intensive Care Practice

Echocardiography. 2016 May;33(5):778-87. doi: 10.1111/echo.13182. Epub 2016 Feb 3.

Abstract

Pulmonary edema is a frequent condition found in adult patients hospitalized in cardiology wards and intensive care units. Ultrasonography is a diagnostic modality with a high sensitivity for the detection of extravascular lung water, visualized as B lines, and usually caused by cardiogenic or noncardiogenic pulmonary edema. This paper highlights a simple method for the assessment of patients with pulmonary edema, which allows for a differential diagnosis of its possible mechanism and contributes to therapeutic intervention guiding and monitoring.

Keywords: echocardiography; extravascular lung water; pulmonary edema; ultrasonography; ultrasound A lines; ultrasound B lines; ultrasound lung comets.

Publication types

  • Review

MeSH terms

  • Cardiology / trends*
  • Critical Care / trends*
  • Humans
  • Image Enhancement / methods
  • Image Interpretation, Computer-Assisted / methods*
  • Lung / diagnostic imaging*
  • Pulmonary Edema / diagnostic imaging*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Ultrasonography / methods*