@prefix pubblicazioni: . @prefix unitaDiPersonaleInterno: . @prefix prodotto: . unitaDiPersonaleInterno:MATRICOLA42109 pubblicazioni:autoreCNRDi prodotto:ID23913 . @prefix prodottidellaricerca: . @prefix istituto: . istituto:CDS035 prodottidellaricerca:prodotto prodotto:ID23913 . @prefix modulo: . modulo:ID6306 prodottidellaricerca:prodotto prodotto:ID23913 . unitaDiPersonaleInterno:MATRICOLA18289 pubblicazioni:autoreCNRDi prodotto:ID23913 . @prefix rdf: . prodotto:ID23913 rdf:type prodotto:TIPO1101 . @prefix retescientifica: . prodotto:ID23913 rdf:type retescientifica:ProdottoDellaRicerca . @prefix rdfs: . prodotto:ID23913 rdfs:label "Prognostic value of extravascular lung water assessed with ultrasound lung comets by chest sonography in patients with dyspnea and/or chest pain (Articolo in rivista)"@en . @prefix xsd: . prodotto:ID23913 pubblicazioni:anno "2007-01-01T00:00:00+01:00"^^xsd:gYear . @prefix skos: . prodotto:ID23913 skos:altLabel "
Frassi F.; Gargani L.; Tesorio P.; Raciti M.; Mottola G.; Picano E. (2007)
Prognostic value of extravascular lung water assessed with ultrasound lung comets by chest sonography in patients with dyspnea and/or chest pain
in Journal of cardiac failure (Print)
"^^rdf:HTML ; pubblicazioni:autori "Frassi F.; Gargani L.; Tesorio P.; Raciti M.; Mottola G.; Picano E."^^xsd:string ; pubblicazioni:paginaInizio "836"^^xsd:string ; pubblicazioni:paginaFine "842"^^xsd:string ; pubblicazioni:numeroVolume "13"^^xsd:string . @prefix ns11: . prodotto:ID23913 pubblicazioni:rivista ns11:ID225798 ; pubblicazioni:note "In: Journal of Cardiac Failure, vol. 13 (10) pp. 836 - 842. 10.1016/j.cardfail.2007.07.003. Elsevier, 2007."^^xsd:string ; skos:note "ISI Web of Science (WOS)"^^xsd:string ; pubblicazioni:titolo "Prognostic value of extravascular lung water assessed with ultrasound lung comets by chest sonography in patients with dyspnea and/or chest pain"^^xsd:string ; prodottidellaricerca:abstract "BACKGROUND: Ultrasound lung comets (ULCs) consist of multiple comet tails originating from water-thickened interlobular septa. They are a new echographic tool to assess the pathologic increase in extravascular lung water, which is a possible harbinger of impending acute heart failure. The objective was to assess the prognostic value of ULCs in patients with dyspnea and/or chest pain syndrome at hospital admission. METHODS AND RESULTS: A total of 290 consecutive in-hospital patients (aged 68 +/- 13 years) admitted for dyspnea and/or chest pain syndrome were evaluated on admission with a comprehensive two-dimensional and Doppler echocardiographic evaluation and chest sonography with ULC assessment. A patient ULC score was obtained by summing the number of comets from each of the scanning spaces in the anterior right and left hemithoraxes, from the second to fifth intercostal spaces. All patients were followed up for a median period of 16 months (interquartile range: 2.8-29.1 months). During the follow-up, 62 events occurred: 19 cardiac deaths, 3 nonfatal myocardial infarctions, 20 acute heart failures requiring hospitalization, and 20 noncardiac deaths. The 16-month event-free survival was highest in patients with no ULCs and lowest in patients with severe (30) ULCs at entry (70% vs 19%, P = .0007). At univariate analysis, ULCs (hazard ratio [HR] 2.349; confidence interval [CI] 1.364-4.044) were more powerful predictors than other echocardiographic variables of recognized prognostic value, including ejection fraction (HR 0.974; 95% CI 0.958-0.99) and wall motion score index (HR 1.628; CI 1.15-2.304). On multivariable analysis, ULCs provided additional prognostic information (HR 1.9; 95% CI 1.1-3.4) on diabetes (HR 2.05; 95% CI 1.2-3.5) and New York Heart Association class (HR 1.3; 95% CI 1.0-1.6). CONCLUSION: ULCs are a simple user-friendly, radiation-free bedside sign of extravascular lung water. They provide useful information for the prognostic stratification of patients with dyspnea and/or chest pain syndrome." ; prodottidellaricerca:prodottoDi modulo:ID6306 , istituto:CDS035 ; pubblicazioni:autoreCNR unitaDiPersonaleInterno:MATRICOLA18289 , unitaDiPersonaleInterno:MATRICOLA42109 . @prefix parolechiave: . prodotto:ID23913 parolechiave:insiemeDiParoleChiave . ns11:ID225798 pubblicazioni:rivistaDi prodotto:ID23913 . parolechiave:insiemeDiParoleChiaveDi prodotto:ID23913 .