Subclinical congestion assessed by lung ultrasound in ST segment elevation myocardial infarction

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  • dc.contributor.author Carreras-Mora, José
  • dc.contributor.author Simón-Ramón, Clara
  • dc.contributor.author Vidal Burdeus, María
  • dc.contributor.author Rodríguez Sotelo, Laura
  • dc.contributor.author Sionis, Alessandro
  • dc.contributor.author Giralt Borrell, Teresa
  • dc.contributor.author Izquierdo-Marquisá, Andrea
  • dc.contributor.author Rodríguez González, Clara
  • dc.contributor.author Farré López, Núria
  • dc.contributor.author Cainzos-Achirica, Miguel
  • dc.contributor.author Tizón-Marcos, Helena
  • dc.contributor.author Garcia-Picart, Joan
  • dc.contributor.author Milà Pascual, Laia
  • dc.contributor.author Vaquerizo Montilla, Beatriz
  • dc.contributor.author Rivas-Lasarte, Mercedes
  • dc.contributor.author Ribas Barquet, Núria
  • dc.date.accessioned 2024-04-15T06:27:31Z
  • dc.date.available 2024-04-15T06:27:31Z
  • dc.date.issued 2023
  • dc.description.abstract Objective: We evaluated the prognostic value of subclinical congestion assessed by lung ultrasound (LUS) in patients admitted for ST segment elevation myocardial infarction (STEMI). Methods: This was a multicentre study that prospectively enrolled 312 patients admitted for STEMI without signs of heart failure (HF) at admission. LUS was performed during the first 24 hours after revascularisation and classified patients as having either wet lung (three or more B-lines in at least one lung field) or dry lung. The primary endpoint was a composite of acute HF, cardiogenic shock or death during hospitalisation. The secondary endpoint was a composite of readmission for HF or new acute coronary syndrome or death during 30-day follow-up. Zwolle score was calculated in all patients to assess predictive improvement by adding the result of the LUS to this score. Results: 14 patients (31.1%) in the wet lung group presented the primary endpoint vs 7 (2.6%) in the dry lung group (adjusted RR 6.0, 95% CI 2.3 to 16.2, p=0.007). The secondary endpoint occurred in five patients (11.6%) in the wet lung group and in three (1.2%) in the dry lung group (adjusted HR 5.4, 95% CI 1.0 to 28.7, p=0.049). Addition of LUS improved the ability of the Zwolle score to predict the follow-up composite endpoint (net reclassification improvement 0.99). LUS showed a very high negative predictive value in predicting in-hospital and follow-up endpoints (97.4% and 98.9%, respectively). Conclusion: Early subclinical pulmonary congestion identified by LUS in patients with Killip I STEMI at hospital admission is associated with adverse outcomes during hospitalisation and 30-day follow-up.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Carreras-Mora J, Simón-Ramón C, Vidal-Burdeus M, Rodríguez-Sotelo L, Sionis A, Giralt-Borrell T, et al. Subclinical congestion assessed by lung ultrasound in ST segment elevation myocardial infarction. Heart. 2023 Oct 12;109(21):1602-7. DOI: 10.1136/heartjnl-2023-322690
  • dc.identifier.doi http://dx.doi.org/10.1136/heartjnl-2023-322690
  • dc.identifier.issn 1355-6037
  • dc.identifier.uri http://hdl.handle.net/10230/59762
  • dc.language.iso eng
  • dc.publisher BMJ Publishing Group
  • dc.relation.ispartof Heart. 2023 Oct 12;109(21):1602-7
  • dc.rights © Author(s). Published by BMJ Publishing Group http://dx.doi.org/10.1136/heartjnl-2023-322690. Reuse of this manuscript version (excluding any databases, tables, diagrams, photographs and other images or illustrative material included where a another copyright owner is identified) is permitted strictly pursuant to the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC-BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
  • dc.subject.keyword Acute Coronary Syndrome
  • dc.subject.keyword Diagnostic Imaging
  • dc.subject.keyword Heart Failure
  • dc.subject.keyword Systolic
  • dc.title Subclinical congestion assessed by lung ultrasound in ST segment elevation myocardial infarction
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/acceptedVersion

Col·leccions

Articles (Hospital del Mar Research Institute)
Articles (Departament de Medicina i Ciències de la Vida)