PDF(Pubmed)
Abstract：
Assessing for volume overload is a key component of both short and long-term management of heart failure patients. Physical examination findings are neither sensitive nor specific for detecting congestion, and subclinical congestion may not be evident at the time of examination. Point of care ultrasound (POCUS) is an efficient and non-invasive way to assess heart failure patients for volume overload. The aim of our narrative review is to summarize how each of the following ultrasound modalities can be used to assess for congestion in the heart failure population: 2D and Doppler echocardiography, lung ultrasound, inferior vena cava ultrasound, internal jugular vein ultrasound, and venous excess grading. While each of these modalities has their limitations, their use in the acute and outpatient space offers the potential to reduce heart failure readmissions and mortality.
摘要：
容量超负荷评估是心力衰竭患者短期和长期管理的关键组成部分。体格检查结果对检测充血既不敏感也不特异，亚临床充血在检查时可能不明显。护理点超声（POCUS）是评估心力衰竭患者容量超负荷的有效且无创的方法。我们的叙述回顾的目的是总结如何使用以下每种超声模式来评估心力衰竭人群的充血：2D和多普勒超声心动图，肺超声,下腔静脉超声,颈内静脉超声，和静脉过量分级。虽然这些模式都有其局限性，在急性和门诊使用它们有可能降低心力衰竭再入院率和死亡率.
