Document Detail


Contribution of natriuretic peptide testing and Doppler echocardiography at bedside to the diagnosis of acute heart failure. A practical overview.
MedLine Citation:
PMID:  22858916     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Acute heart failure is one of the most common condition leading to hospital admission and is burdened by important mortality and readmission rates. A timely diagnosis of congestive heart failure at admission by hospitalists is essential for an early and tailored medical management. The initial clinical evaluation based on symptoms, physical signs and chest radiography remains inconclusive for the diagnosis in many patients with acute dyspnea, and the use of natriuretic peptide testing (BNP and NT-proBNP) through a two cut-point strategy is currently recommended as first-line diagnostic complement in the acute care setting. Bedside Doppler echocardiography is another reliable, noninvasive method that offers additional diagnostic information over the initial clinical evaluation. Along with echocardiographic evidence of depressed left ventricular systolic function, several simple Doppler indexes have been validated in the emergency diagnosis of congestive heart failure. Doppler echocardiography at bedside may especially benefit to patients with intermediate, inconclusive natriuretic peptide concentrations. The aim of the present review was to offer to the hospitalist a practical overview on the relative contribution of natriuretic peptide testing and bedside Doppler echocardiography to the diagnosis of acute heart failure in the emergency care setting.
Authors:
S Arques
Related Documents :
22855086 - Spontaneous coronary artery dissection: a rare threat to young women.
14521666 - Transvenous biventricular pacing in a child after congenital heart surgery as an altern...
21805566 - Novel application of angiojet rheolytic thrombectomy for massive thrombosis of the nati...
18986406 - Left ventricular mechanical dyssynchrony as assessed by phase analysis of ecg-gated spe...
8385646 - Detection of alkoxyl and carbon-centered free radicals in coronary sinus blood from pat...
15078756 - Accurate, noninvasive continuous monitoring of cardiac output by whole-body electrical ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minerva cardioangiologica     Volume:  60     ISSN:  0026-4725     ISO Abbreviation:  Minerva Cardioangiol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400725     Medline TA:  Minerva Cardioangiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  385-94     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Aubagne Hospital, Aubagne, France - sarques@ch-aubagne.fr.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Current therapeutic strategies in cardiorenal syndrome.
Next Document:  Ventricular assist devices in acute heart failure.