open access

Vol 84, No 1 (2016)
REVIEWS
Published online: 2015-11-24
Submitted: 2015-04-23
Accepted: 2015-11-12
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Usefulness of lung ultrasound in diagnosing causes of exacerbation in patients with chronic dyspnea

Katarzyna Rogoza, Wojciech Kosiak
DOI: 10.5603/PiAP.a2015.0083
·
Pneumonol Alergol Pol 2016;84(1):38-46.

open access

Vol 84, No 1 (2016)
REVIEWS
Published online: 2015-11-24
Submitted: 2015-04-23
Accepted: 2015-11-12

Abstract

Dyspnea is a non-specific symptom that requires fast diagnostics, accurate diagnosis and proper treatment. The most common causes of dyspnea include exacerbation of chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). Distinction between these two medical conditions seems to be critical in diagnostics of emergencies. At the same time, basic diagnostic tools available in emergency room, such as classic radiography (X-ray) of the chest, electrocardiography (ECG) or b-type natriuretic peptide test, are sometimes ambiguous. Therefore looking for additional diagnostic tool seems to be justified and necessary. Transthoracic lung ultrasound assessment is a simple and easily accessible examination, enabling the early and explicit diagnostics of pulmonary oedema and its distinction from other, non-cardiac causes of dyspnea. This review outlines the current knowledge on the subject of transthoracic lung ultrasound (TLUS), particularly in respect of its clinical usefulness in distinction of causes of dyspnea exacerbation.

Abstract

Dyspnea is a non-specific symptom that requires fast diagnostics, accurate diagnosis and proper treatment. The most common causes of dyspnea include exacerbation of chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). Distinction between these two medical conditions seems to be critical in diagnostics of emergencies. At the same time, basic diagnostic tools available in emergency room, such as classic radiography (X-ray) of the chest, electrocardiography (ECG) or b-type natriuretic peptide test, are sometimes ambiguous. Therefore looking for additional diagnostic tool seems to be justified and necessary. Transthoracic lung ultrasound assessment is a simple and easily accessible examination, enabling the early and explicit diagnostics of pulmonary oedema and its distinction from other, non-cardiac causes of dyspnea. This review outlines the current knowledge on the subject of transthoracic lung ultrasound (TLUS), particularly in respect of its clinical usefulness in distinction of causes of dyspnea exacerbation.

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Keywords

transthoracic lung ultrasound, dyspnea, cardiogenic pulmonary oedema

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About this article
Title

Usefulness of lung ultrasound in diagnosing causes of exacerbation in patients with chronic dyspnea

Journal

Advances in Respiratory Medicine

Issue

Vol 84, No 1 (2016)

Pages

38-46

Published online

2015-11-24

DOI

10.5603/PiAP.a2015.0083

Bibliographic record

Pneumonol Alergol Pol 2016;84(1):38-46.

Keywords

transthoracic lung ultrasound
dyspnea
cardiogenic pulmonary oedema

Authors

Katarzyna Rogoza
Wojciech Kosiak

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