Expert consensus document: Reporting checklist for quantification of pulmonary congestion by lung ultrasound in heart failure

Elke Platz, Pardeep S Jhund, Nicolas Girerd, Emanuele Pivetta, John J V McMurray, W Frank Peacock, Josep Masip, Francisco Javier Martin-Sanchez, Òscar Miró, Susanna Price, Louise Cullen, Alan S Maisel, Christiaan Vrints, Martin R Cowie, Salvatore DiSomma, Hector Bueno, Alexandre Mebazaa, Danielle M Gualandro, Mucio Tavares, Marco Metra, Andrew J S Coats, Frank Ruschitzka, Petar M Seferovic, Christian Mueller, Study Group on Acute Heart Failure of the Acute Cardiovascular Care Association and the Heart Failure Association of the European Society of Cardiology, Elke Platz, Pardeep S Jhund, Nicolas Girerd, Emanuele Pivetta, John J V McMurray, W Frank Peacock, Josep Masip, Francisco Javier Martin-Sanchez, Òscar Miró, Susanna Price, Louise Cullen, Alan S Maisel, Christiaan Vrints, Martin R Cowie, Salvatore DiSomma, Hector Bueno, Alexandre Mebazaa, Danielle M Gualandro, Mucio Tavares, Marco Metra, Andrew J S Coats, Frank Ruschitzka, Petar M Seferovic, Christian Mueller, Study Group on Acute Heart Failure of the Acute Cardiovascular Care Association and the Heart Failure Association of the European Society of Cardiology

Abstract

Lung ultrasound is a useful tool for the assessment of patients with both acute and chronic heart failure, but the use of different image acquisition methods, inconsistent reporting of the technique employed and variable quantification of 'B-lines,' have all made it difficult to compare published reports. We therefore need to ensure that future studies utilizing lung ultrasound in the assessment of heart failure adopt a standardized approach to reporting the quantification of pulmonary congestion. Strategies to improve patient care by use of lung ultrasound in the assessment of heart failure have been difficult to develop. In the present document, key aspects of standardization are discussed, including equipment used, number of chest zones assessed, the method of quantifying B-lines, the presence and timing of additional investigations (e.g. natriuretic peptides and echocardiography) and the impact of therapy. This consensus report includes a checklist to provide standardization in the preparation, review and analysis of manuscripts. This will serve as a guide for investigators and clinicians and enhance the quality and transparency of lung ultrasound research.

Keywords: Heart failure; Lung ultrasound; Methodology; Reporting checklist.

Figures

Figure 1.. Overview of important methodological aspects… — **Figure 1.. Overview of important methodological aspects in the quantification of pulmonary congestion by lung ultrasound in heart failure**
HF: heart failure, ED: emergency department, ESRD: end-stage renal disease * Outcome measures could represent B-line count/score, a diagnosis or prognostically important event(s).

Figure 2.. Practical aspects of lung ultrasound… — **Figure 2.. Practical aspects of lung ultrasound in heart failure cohorts**
HF: heart failure, LUS: lung ultrasound

Figure 3.. Example of 8 and 6… — **Figure 3.. Example of 8 and 6 chest zones for lung ultrasound imaging**
Adapted from: Platz E, Merz AA, Jhund PS, Vazir A, Campbell R, McMurray JJ. Dynamic changes and prognostic value of pulmonary congestion by lung ultrasound in acute and chronic heart failure: a systematic review. Eur J Heart Fail. 2017;19(9):1154–1163.

Source: PubMed

Expert consensus document: Reporting checklist for quantification of pulmonary congestion by lung ultrasound in heart failure

Abstract

Figures

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