Diagnostic Value of Electrical Cardiometry Versus Pulmonary Ultrasound in Monitoring Congestion of Heart Failure Patients

Authors

Ahmed Elsayed Soliman, Cardiovascular Medicine Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Menoufia, Egypt
Mohamed Ashraf Helmy, Cardiology Department, ElMogae ElTeeby - Tanta Insurance Hospital, Tanta, Gharbia, EgyptFollow
Mohammad Mahmoud Torayah, Critical Care Medicine Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Menoufia, Egypt
Abdalla Mostafa Kamal, Cardiovascular Medicine Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Menoufia, Egypt
Wessam El Din El Shafey, Cardiovascular Medicine Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Menoufia, Egypt

Abstract

Objectives: to assess the value of Electrical Cardiometry (EC) versus Lung Ultrasound (LUS) in monitoring of congestion status in decompensated HF patients. Background: Heart failure (HF) is a clinical syndrome that results from either functional or structural cardiac dysfunction and can lead to systemic or pulmonary congestion. Methods: a prospective study performed on 30 individuals with HF with reduced ejection fraction (HFrEF; EF%) hospitalized for decompensated HF. EC and LUS assessment were performed at admission before discharge and results had been correlated. EC was done using FDA approved Osypka Medical ICON® device. Each lung was divided into 4 areas; anterior and lateral zones separated by anterior axillary line and each zone splited into upper and lower areas by line passing through the nipples horizontally representing level of 4th rib. Results: The number of B lines in every lung zone as well as whole right and left lung separately were substantially reduced in discharge than admission. Thoracic fluid content (TFC) measured by EC was significantly reduced at discharge contrasted to admission. A statistically significant strong positive correlation was existed among total number of B lines by LUS and TFC at admission and discharge. Conclusion: TFC measured by EC allows rapid, non-invasive, objective assessment of pulmonary congestion status in HF patients and showed significant correlation with LUS findings. This can help guide treatment decisions and improve patient outcomes by optimizing management to avoid residual congestion at discharge.

Subject Area

Cardiology

Article Type

Original Study

Recommended Citation

Soliman, Ahmed Elsayed; Helmy, Mohamed Ashraf; Torayah, Mohammad Mahmoud; Kamal, Abdalla Mostafa; and Shafey, Wessam El Din El (2025) "Diagnostic Value of Electrical Cardiometry Versus Pulmonary Ultrasound in Monitoring Congestion of Heart Failure Patients," Menoufia Medical Journal: Vol. 38: Iss. 1, Article 21.
DOI: https://doi.org/10.59204/2314-6788.3335

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