Abstract Accurate detection of pulmonary congestion remains a challenge in cardiology, despite advances in diagnostic methods. Traditional approaches, such as physical examination and chest radiography, have limitations in real-time assessment and dynamic monitoring of volume status. Lung ultrasound (LUS) has emerged as a promising tool, offering a non-invasive, bedside approach to detect pulmonary congestion with greater diagnostic accuracy, providing valuable information about volume status. In patients with heart failure, LUS has demonstrated high sensitivity and specificity in detecting pulmonary congestion, […]

A 21-year-old-man presented to the Cardiology Department. He had a history of chronic cough and functional limitation New York Heart Association class II. Physical examination was notable for cervical and axillary lymphadenopathy […]

Abstract Despite advancements in the treatment of heart failure (HF), accurately assessing and monitoring fluid status and congestion remains a challenge. Traditional methods, including clinical evaluation, biomarker analysis, and imaging techniques, exhibit limitations in their capacity for real-time evaluation and monitoring of venous and pulmonary congestion. Lung ultrasound (LUS) detects B-lines and provides a rapid, sensitive assessment of pulmonary congestion, crucial for both acute and chronic HF management. Venous Excess Ultrasound Score (VExUS) provides a comprehensive assessment of systemic venous […]

Introduction Heart failure (HF) is a complex clinical syndrome that promotes a system of poor tissue perfusion in conditions of low cardiac output and elevated filling pressures, resulting in circulatory congestion and hypoperfusion. The exacerbation of this condition is responsible for 40% of consultations due to dyspnea in emergency rooms, and the main cause is worsening congestion due to poor medication adherence. In in-hospital clinical assessment, the most prevalent HF profiles are B (warm and wet) and C (cold and […]