Comparative value of Doppler echocardiography and B-type natriuretic peptide assay in the etiologic diagnosis of acute dyspnea
Damien Logeart,Carole Saudubray,Pascale Beyne,Gabriel Thabut,Pierre-Vladimir Ennezat,Christophe Chavelas,Caroline Zanker,Erik Bouvier,Alain Cohen Solal +8 more
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TLDR
Bedside BNP measurement and Doppler echocardiography are both useful for establishing the cause of acute dyspnea, but doppler analysis of the mitral inflow pattern was more accurate, particularly in patients with intermediate BNP levels or "flash" pulmonary edema.About:
This article is published in Journal of the American College of Cardiology.The article was published on 2002-11-20 and is currently open access. It has received 199 citations till now. The article focuses on the topics: Doppler echocardiography & Brain natriuretic peptide.read more
Citations
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Journal ArticleDOI
State of the art: using natriuretic peptide levels in clinical practice.
Alan S. Maisel,Alan S. Maisel,Christian Mueller,Kirkwood F. Adams,Stefan D. Anker,Nadia Aspromonte,John G.F. Cleland,Alain Cohen-Solal,Ulf Dahlström,Anthony N. DeMaria,Salvatore Di Somma,Gerasimos Filippatos,Gregg C. Fonarow,P. Jourdain,Michel Komajda,Peter P. Liu,Theresa McDonagh,Kenneth McDonald,Alexandre Mebazaa,Markku S. Nieminen,W. Frank Peacock,Marco Tubaro,Roberto Valle,Marc Vanderhyden,Clyde W. Yancy,Faiez Zannad,Eugene Braunwald +26 more
TL;DR: Ten key messages to clinicians are highlighted about the role of NP levels in state‐of‐the‐art clinical practice is evolving rapidly.
Journal ArticleDOI
Predischarge B-type natriuretic peptide assay for identifying patients at high risk of re-admission after decompensated heart failure.
Damien Logeart,Gabriel Thabut,Patrick Jourdain,Christophe Chavelas,Pascale Beyne,Florence Beauvais,Erik Bouvier,Alain Cohen Solal +7 more
TL;DR: High predischarge BNP assay is a strong, independent marker of death or re-admission after decompensated CHF, more relevant than common clinical or echocardiographic parameters and morerelevant than changes in BNP levels during acute cares.
Journal ArticleDOI
Does this dyspneic patient in the emergency department have congestive heart failure
TL;DR: A low serum BNP proved to be the most useful test for diagnosing heart failure in adult patients presenting with dyspnea in the emergency department, and a directed history, physical examination, chest radiograph, and electrocardiography should be performed.
Journal ArticleDOI
Systematic review and individual patient data meta-analysis of diagnosis of heart failure, with modelling of implications of different diagnostic strategies in primary care
Jonathan Mant,Jenny Doust,Andrea K Roalfe,Pelham Barton,Martin R. Cowie,Paul Glasziou,David Mant,Richard J McManus,Roger Holder,Jonathan J Deeks,Kate Fletcher,M. Qume,S. Sohanpal,Sharon Sanders,F. D. R. Hobbs +14 more
TL;DR: A simple clinical rule was developed: in a patient presenting with symptoms such as breathlessness in whom heart failure is suspected, refer directly to echocardiography if the patient has a history of myocardial infarction or basal crepitations or is a male with ankle oedema; otherwise, carry out a BNP test and refer for echOCardiography depending on the results of the test.
Journal ArticleDOI
Role of Biomarkers for the Prevention, Assessment, and Management of Heart Failure: A Scientific Statement From the American Heart Association
Sheryl L. Chow,Alan S. Maisel,Inder S. Anand,Biykem Bozkurt,Rudolf A. de Boer,G. Michael Felker,Gregg C. Fonarow,Barry H. Greenberg,James L. Januzzi,Michael S. Kiernan,Peter P. Liu,Thomas J. Wang,Clyde W. Yancy,Michael R. Zile +13 more
TL;DR: HF is a complex syndrome involving diverse pathways and pathological processes that can manifest in circulation as biomarkers that can provide the clinician information about the diagnosis and severity of HF but also can improve prognostication and treatment strategies.
References
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Journal ArticleDOI
Clinical Utility of Doppler Echocardiography and Tissue Doppler Imaging in the Estimation of Left Ventricular Filling Pressures A Comparative Simultaneous Doppler-Catheterization Study
Steve R. Ommen,Rick A. Nishimura,Christopher P. Appleton,Fletcher A. Miller,J K Oh,Margaret M. Redfield,Abdul J. Tajik +6 more
TL;DR: The combination of tissue Doppler imaging of the mitral annulus and mitral inflow velocity curves provides better estimates of LV filling pressures than other methods (pulmonary vein, preload reduction), however, accurate prediction of filling pressures for an individual patient requires a stepwise approach incorporating all available data.
Journal ArticleDOI
Congestive heart failure in subjects with normal versus reduced left ventricular ejection fraction: prevalence and mortality in a population-based cohort.
Ramachandran S. Vasan,ScD Martin G Larson,Emelia J. Benjamin,Emelia J. Benjamin,Jane C. Evans,Craig K Reiss,Daniel Levy +6 more
TL;DR: Although CHF cases with normal LV systolic function have a lower mortality risk than cases with reduced LVEF, they have a fourfold mortality risk compared with control subjects who are free of CHF.
Journal ArticleDOI
Evaluation of Diastolic Filling of Left Ventricle in Health and Disease: Doppler Echocardiography Is the Clinician’s Rosetta Stone
Rick A. Nishimura,A. Jamil Tajik +1 more
TL;DR: A simplified approach to understanding the process of diastolic filling of the left ventricle and interpreting the Doppler flow velocity curves as they relate to this process is presented.
Journal ArticleDOI
New Doppler echocardiographic applications for the study of diastolic function
TL;DR: These new Doppler applications have been shown to provide an accurate estimate of LV relaxation and appear to be relatively insensitive to the effects of preload compensation.
Journal ArticleDOI
The Limited Reliability of Physical Signs for Estimating Hemodynamics in Chronic Heart Failure
TL;DR: The cardiovascular physical examination is used commonly as a basis for diagnosis and therapy in chronic heart failure, although the relationship between physical signs, increased ventricular filling pressure, and decreased cardiac output has not been established for this population.
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