Correlation analysis between lung ultrasound scores and pulmonary arterial systolic pressure in patients with acute heart failure admitted to the emergency intensive care unit

作     者：Ping Xu Basma Nasr Liang Li Wenbin Huang Wei Liu Xuelian Wang Ping Xu;Basma Nasr;Liang Li;Wenbin Huang;Wei Liu;Xuelian Wang

作者机构：Emergency DepartmentZigong Fourth People’s HospitalZigongChina Institute of Medical Big DataZigong Academy of Artificial Intelligence and Big Data for Medical ScienceZigongChina Artificial Intelligence Key Laboratory of Sichuan ProvinceZigongChina Department of CardiologyFirst Affiliated Hospital of Dalian Medical UniversityDalianChina 

出 版 物：《Journal of Intensive Medicine》 (重症医学（英文）)

年 卷 期：2024年第4卷第1期

页      面：125-132页

核心收录：

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 100207[医学-影像医学与核医学] 1002[医学-临床医学] 1011[医学-护理学（可授医学、理学学位）] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 10[医学] 

基　　金：supported by the Scientific Project of Zigong Fourth People’s Hospital(202102) the Open Foundation of Artificial Intelligence Key Laboratory of Sichuan Province(2020RYY03) the Health and Family Planning Commission of Sichuan Province(17PJ136) 

主　　题：Acute heart failure Pulmonary arterial systolic pressure Pulmonary hypertension Left heart disease Lung ultrasound 

摘      要：Background:No convenient,inexpensive,and non-invasive screening tools exist to identify pulmonary hypertension(PH)-left heart disease(LHD)patients during the early stages of the disease *** study investigated whether different methods of lung ultrasound(LUS)could be used for the initial investigation of ***:This was a single-center prospective observational study which was performed in the Zigong Fourth People’s *** consecutively enrolled patients with heart failure(HF)admitted to the emergency intensive care unit from January 2018 to May *** echocardiography and LUS were performed within 24 h before *** used the Spearman coefficient for correlation analysis between ultrasound scores and pulmonary arterial systolic pressure(PASP).Bland-Altman plots were generated to inspect possible bias,and receiver operating characteristic(ROC)curves were calculated to assess the relationship between ultrasound scores and an intermediate and high echocardiographic probability of ***:Seventy-one patients were enrolled in this study,with an overall median age of 79(interquartile range:71.5–84.0)*** the 71 patients,36(50.7%)cases were male,and 26(36.6%)had an intermediate and high echocardiographic probability of *** four LUS scores in patients with an intermediate and high probability of PH were significantly higher than in patients with a low probability of PH(P0.05).The correlation coefficient(r)between different LUS scoring methods and PASP was moderate for the 6-zone(r=0.455,P0.001),8-zone(r=0.385,P=0.001),12-zone(r=0.587,P0.001),and 28-zone(r=0.535,P0.001)*** Bland-Altman plots,each of the four LUS scoring methods had a good agreement with PASP(P0.001).The 8-zone and 12-zone methods showed moderately accurate discriminative values in differentiating patients with an intermediate and high echocardiographic probability of PH(P0.05).