ultrasound lung comets new diagnostic tool in hfpef? · ultrasound lung comets –new diagnostic...
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4ο Διεθνές Συνέδριο Καρδιαγγειακής Απεικόνισης στην Κλινική Πράξη
Αθήνα, 02-04/05/2019
Ultrasound lung comets – new diagnostic tool in HFpEF?
Σταύρος Δημόπουλος,
Παθολόγος-Εντατικολόγος,
Διδάκτωρ Ιατρικής Σχολής ΕΚΠΑ
Επιμελητής Α`, Καρδιοχειρουργική ΜΕΘ,
Ωνάσειο ΚΡΧ Κέντρο
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Nothing to disclose
No conflict of interest
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Εισαγωγικά δεδομένα
Μεθοδολογία Υπερηχογραφίας πνεύμονα
Εφαρμογές Υπερηχογραφίας πνεύμονα στη Καρδιακή
Ανεπάρκεια (HF-pEF)
Συμπεράσματα
ΚΥΡΙΑ ΣΗΜΕΙΑ ΠΑΡΟΥΣΙΑΣΗΣ
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ΕΞΕΛΙΞΗ ΥΠΕΡΗΧΟΓΡΑΦΙΑΣ ΠΝΕΥΜΟΝΑ
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ΜΕΘΟΔΟΛΟΓIΑ ΥΠΕΡΗΧΟΓΡΑΦIΑΣ ΠΝΕΥΜΟΝΑ
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B-LINES SIMPLIFIED SCANNING IN 4-SITES
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• Multicenter study
• 60 cardiologists
• Web-based 2h learning module
• 20 lung US video-clips
• Scored B-lines (0-10)
Υψηλή διαγνωστική ακρίβεια
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Υπερηχογραφία πνεύμονα-Διαθωρακική Ανατομία
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ΣΗΜΕΙΟ ΔΙΟΛΗΣΘΙΣΗΣ- «SLIDING SIGN»
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Γραμμές Β δίκην ουράς κομήτη-
B-lines «comet-tail artifacts»
Β3 lines :<3mm
Εικόνα θαμβής υάλου
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Cardiogenic pulmonary edema
▪ 100% Presence B-lines
COPD exacerbation
▪ 92% Absence of B-lines
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Composite end-point:Death or Rehospitalization (180 days)
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Submaximal exercise protocol
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Υποδόριο εμφύσημα
Σοβαρή παχυσαρκία
Θωρακικοί σωλήνες
Εκπαίδευση-Καταρτισμένο προσωπικό
ΠΕΡΙΟΡΙΣΜΟΙ
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B-Lines▪ Σημαντικό εργαλείο στη Καρδιακή Ανεπάρκεια με διατηρημένο κλάσμα εξωθήσεως
▪ Διάγνωση της πνευμονικής συμφόρησης
▪ Διαφορική Διάγνωση
▪ Παρακολούθηση νόσου
▪ Πρόγνωση
Υπερηχογραφία πνεύμονα▪ Εξέταση απλή, Γρήγορη, Χαμηλού κόστους
▪ Χωρίς ακτινοβολία, Παρακλίνια εξέταση
▪ Ταχεία εκπαίδευση-κατάρτιση
▪ Υψηλή διαγνωστική ακρίβεια συγκριτικά με Α/α θώρακος
▪ Ηρεμία και Άσκηση
ΣΥΜΠΕΡΑΣΜΑΤΑ
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ΕΥΧΑΡΙΣΤΩ ΠΟΛΥ
4ο Διεθνές Συνέδριο Καρδιαγγειακής Απεικόνισης στην Κλινική Πράξη
Αθήνα, 02-04/05/2019
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