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Purpose of Review <p>Both cardiac and renal dysfunction can lead to water overload - commonly referred to as “congestion”. Identification of congestion is difficult, especially when clinical signs are subtle.</p> Recent Findings <p>As an extension of an echocardiographic examination, ultrasound can be used to identify intravascular (inferior vena cava diameter dilation, internal jugular vein distension or discontinuous venous renal flow) and tissue congestion (pulmonary B-lines). Combining assessment of cardiac structure, cardiac and renal function and measures of congestion informs the management of heart and kidney disease, which should improve patient outcomes.</p> Summary <p>In this manuscript, we describe imaging techniques to identify and quantify congestion, clarify its origin, and potentially guide the management of patients with cardio-renal syndrome.</p>

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Imaging of Congestion in Cardio-renal Syndrome

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年2月25日

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  • Htet Htet Ei Khin,
  • Joe J. Cuthbert,
  • Abhilash Koratala,
  • Giovanni Donato Aquaro,
  • Nicola Riccardo Pugliese,
  • Luna Gargani,
  • Sokratis Stoumpos,
  • John G. F. Cleland,
  • Pierpaolo Pellicori

摘要

Purpose of Review

Both cardiac and renal dysfunction can lead to water overload - commonly referred to as “congestion”. Identification of congestion is difficult, especially when clinical signs are subtle.

Recent Findings

As an extension of an echocardiographic examination, ultrasound can be used to identify intravascular (inferior vena cava diameter dilation, internal jugular vein distension or discontinuous venous renal flow) and tissue congestion (pulmonary B-lines). Combining assessment of cardiac structure, cardiac and renal function and measures of congestion informs the management of heart and kidney disease, which should improve patient outcomes.

Summary

In this manuscript, we describe imaging techniques to identify and quantify congestion, clarify its origin, and potentially guide the management of patients with cardio-renal syndrome.