Ultrasound of jugular veins for assessment of acute dyspnea in emergency departments and for the assessment of acute heart failure

Batsheva Tzadok, Shay Shapira, Eran Tal-Or

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Background: When a patient arrives at the emergency department (ED), presenting with symptoms of acute decompensated heart failure (ADHF), it is possible to reach a definitive diagnosis through many different venues, including medical history, physical examination, echocardiography, chest X-ray, and B-type natriuretic peptide (BNP) levels. Point-of-care ultrasound (POCUS) has become a mainstream tool for diagnosis and treatment in the field of emergency medicine, as well as in various other departments in the hospital setting. Currently, the main methods of diagnosis of ADHF using POCUS are pleural B-lines and inferior vena cava (IVC) width and respiratory variation. Objectives: To examine the potential use and benefits of bedside ultrasound of the jugular veins in the evaluation of dyspneic patients for identification of ADHF. Methods: A blood BNP level was drawn from each participant at time of recruitment. The area and size of the internal jugular vein (IJV) during inspiration and expiration were examined. Results: Our results showed that the respiratory area change of the IJVs had a specificity and sensitivity of nearly 70% accuracy rate in indentifying ADHF in our ED. Conclusions: Ultrasound of the IJV may be a useful tool for the diagnosis of ADHF because it is easy to measure and requires little skill. It is also not affected by patient body habitus.

Original languageEnglish
Pages (from-to)308-310
Number of pages3
JournalIsrael Medical Association Journal
Volume20
Issue number5
StatePublished - May 2018

Bibliographical note

Publisher Copyright:
© 2018, Israel Medical Association. All rights reserved.

Keywords

  • B-type natriuretic peptide (BNP)
  • Dyspnea
  • Heart failure
  • Internal jugular vein (IJV)
  • Point-of-care ultrasound (POCUS)

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