Utility of Inferior Vena Cava and Internal Jugular Vein Ultrasonography for Evaluation of Treatment Efficiency in Patients with Acute Heart Failure

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Year-Number: 2023-Vol: 2 Issue: 2 PP: 26-62
Yayımlanma Tarihi: 2023-06-27 20:37:52.0
Language : English
Konu : Emergency Medicine
Number of pages: 26-31
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Abstract

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Abstract

Aim: The aim of this study was to evaluate the usability of ultrasonographic assessment of inferior vena cava (IVC) diameter and internal jugular vein (IJV) ultrasonography for detection of treatment efficiency after acute decompensate heart failure (ADHF) treatment in patients presented to the emergency department with decompensate heart failure symptoms.
Materials and Methods: This prospective cohort study was conducted with the patients presented with the ADHF symptoms  IJV inspiration-anteroposterior and area measures, M Mod inspiration-expiration, IVC inspiration-expiration and IJV-İVC collapse index values of the patients were measured before the treatment of heart failure.
Results: There was a statistically significant decrease values of IJV anterior posterior inspiratory diameter, IJV area inspiratory diameter, IJV M-Mod inspiratory, IJV M-Mod expiratory, IVC expiratory and inspiratory diameter measurements before and after treatment (p<0.001 for all values).There was a statistically significant positive correlation was seen for all measurement between before and after treatment (p<0.001 for all values).
Conclusion: We think that in patients with heart failure, ultrasonographic measurements of IVC and IJV can be used to evaluate the efficacy of the treatment.

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