This is an exploratory study to evaluate lung ultrasound as a method for measuring extravascular lung water in stabilized patients during hospitalization for ADHF. Subjects who have been stabilized following admission for ADHF and capable of lying supine will be evaluated by lung ultrasound to determine the degree of lung congestion as measured by the total B-line score. Since different patients may require different degrees of postural change and/or other maneuvers (e.g., leg elevation or exercise) to induce B-line increments, a tailored sequential protocol will be employed to define which maneuvers are sufficient for each patient. Control patients, age-matched, will be recruited to provide a comparison group for data analysis.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
15
No intervention will be performed. Study is designed to test methodology of lung ultrasound in accessing b lines (2 phases)
University of Pennsylvania
Philadelphia, Pennsylvania, United States
Change in B-line score
Measured by lung ultrasound
Time frame: Day 1
Change in B-line score
Change in B-line score with leg elevation (in those subjects undergoing assessment)
Time frame: Day 1
Change in B-line score
Change in B-line score with the transition to a Trendelenberg position where the head is 10 degrees lower than the feet (in those subjects undergoing assessment)
Time frame: Day 1
Change in B-line score
Change in B-line score with exercise (in those subjects undergoing assessment)
Time frame: Day 1
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