Symplified pulmonary ultrasound in heart failure patients with preserved systolic function

Abstract Funding Acknowledgements Type of funding sources: None. Background About 1/3 patients with heart failure (HF) have normal Ejection Fraction (HFpEF). Pulmonary congestion and Oedema is useful marker HFpEF. The aim this study was to determine the place pulmonary ultrasound in DHF. Methods We studied 250 II-IV NYHA class HF from which 70 had HFpEF (I gr) 100 Left Ventricular Diastolic Dysfunction but without signs (control, II gr). All participants undergone standard EchoCG examination. Sonographic evaluation a lung done horizontal or vertical positions patient, 10 points thoracic wall (5 each side), corresponded projection lower, middle upper lobes right lower left lung. Results In we significantly often found multiple (3 more) B-lines "Comet tail Phenomenon" (CTPh), registered 91.1%. 40.0% control group also B-lines, count them less than 3 lines per registration point (the difference between an groups significant). where CTPh 6.8 gr. 0.7 more 82.86% I gr only 5% participants. prominent, protracted while it single short lasting, like lightening. There good correlation B-line (r=0.56), ventricular systolic (r=0.40) diastolic (r=0.32) diameters negative MAPS TAPS (r=-0.42 0.41 respectively). Conclusion Thoracic US sensitive accurate method for sign are phenomenon", protracted, larger area more).