Lung Ultrasound Versus Chest Radiography for Acute Heart Failure: Impact of Heart Failure History and Pleural Effusion.

ABSTRACT: Background/Objectives: This is the first prospective, same-day, multi-modality comparison of lung ultrasound (LUS) and chest radiography (CXR) for detecting acute heart failure (AHF) in non-critical patients with dyspnoea, examining the impact of chronic heart failure and pleural effusion, using low-dose chest CT (LDCT) as an objective comparator, and cardiologists-adjudicated AHF as reference standard. Methods: An observational study of 240 consecutive non-critical patients ≥50 years admitted with dyspnoea was conducted. Unstable AHF cases were deemed ineligible. Each modality was evaluated at the population level with area under the curve (AUC), sensitivity, and specificity, and compared at the patient level using conditional odds ratio for the association to AHF adjudicate

SUBMITTER: Miger KC 

PROVIDER: S-EPMC12691748 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature