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Title: Celostna ultrazvočna ocena kongestije pri bolnikih s srčnim popuščanjem – kaj moramo vedeti? Authors: ID Ogorevc, Nace (Author) ID Cvijić, Marta (Author) Files: PDF - Presentation file, download (2,42 MB) MD5: 33C9DC395B9582BF97D50F7304CA31AD   URL - Source URL, visit https://vestnik.szd.si/index.php/ZdravVest/article/view/3528/4396   Language: Slovenian Typology: 1.02 - Review Article Organization: UKC LJ - Ljubljana University Medical Centre Abstract: Ocena kongestije pri bolnikih s srčnim popuščanjem v klinični praksi najpogosteje temelji na anamnezi, kliničnem pregle-du in rentgenogramu prsnih organov. Klinični simptomi in znaki kongestije oz. znaki zastoja na rentgenogramu se pokaže-jo šele pri zmerni ali hudi kongestiji, kar lahko vodi do zamude pri postavitvi diagnoze in ustreznem zdravljenju bolnikov s srčnim popuščanjem. Ultrazvočna (UZ) ocena pljučne in sistemske venske kongestije omogoča natančnejše in zgodnejše prepoznavanje kongestije ter boljše prilagajanje zdravljenja z diuretiki, zato gre za zelo pomembno oceno tveganja za na-poved izida zdravljenja bolnikov s srčnim popuščanjem. Za klinično uporabo se ocenjuje z UZ sistemska venska kongestija v spodnji votli veni, notranji jugularni veni, jetrni veni, portalni veni in interlobarni ledvični veni, medtem ko z UZ pljuč ocenimo kongestijo pljuč. Zaradi enostavnosti izvedbe in interpretiranja je UZ ocena kongestije dostopna tako začetnikom kot tudi tistim, ki niso vešči UZ srca. Odpira možnost uporabe metode širokemu krogu zdravnikov, ki se srečujejo z bolniki s srčnim popuščanjem. Članek predstavi posamezne UZ metode za oceno sistemske venske in pljučne kongestije, njihove prednosti in slabosti ter pojasnjuje interpretiranje pridobljenih vrednosti. Keywords: ultrazvočna preiskava, UZ, venska kongestija, pljučna kongestija, UZ pljuč, volemija, srčno popuščanje Publication status: Published Publication version: Version of Record Year of publishing: 2024 Number of pages: str. 400-409 Numbering: Letn. 93, št. 11/12 PID: 20.500.12556/DiRROS-25439  UDC: 616.12-008.46:616.24 ISSN on article: 1318-0347 DOI: 10.6016/ZdravVestn.3528  COBISS.SI-ID: 222578691  Note: Besedilo v slov.; Publication date in DiRROS: 20.01.2026 Views: 159 Downloads: 80 Metadata:    Cite this work Plain text BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Copy citation

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Record is a part of a journal

Title:	Zdravniški vestnik : glasilo Slovenskega zdravniškega društva
Publisher:	Slovensko zdravniško društvo
ISSN:	1318-0347
COBISS.SI-ID:	32893696

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License:	CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
Link:	http://creativecommons.org/licenses/by-nc/4.0/
Description:	A creative commons license that bans commercial use, but the users don’t have to license their derivative works on the same terms.

Secondary language

Language:	English
Title:	Assessment of congestion using ultrasound in patients with heart failure – what should we know?
Abstract:	In clinical practice, the assessment of congestion in patients with heart failure is most often based on history, clinical examination, and chest X-ray. Clinical symptoms and signs of congestion or signs of congestion on the radiograph appear only in moderate or severe congestion, which can lead to a delay in the diagnosis and appropriate treatment of patients with heart failure. Ultrasound assessment of pulmonary and systemic venous congestion enables more accurate and early identification of congestion, enables better adjustment of diuretic therapy, and represents an important risk assessment for predicting the treatment outcome in patients with heart failure. For clinical use, ultrasound evaluates systemic venous congestion in the inferior vena cava, internal jugular, hepatic, portal, and interlobar renal veins. In contrast, pulmonary congestion is evaluated with lung ultrasound. Due to the ease of implementation and interpretation, the ultrasound assessment of congestion is accessible to both beginners and those who are not skilled in ultrasound examination of the heart and opens the possibility of using the method to a wide range of doctors who encounter patients with heart failure. In the article, we present individual ultrasound methods for assessing systemic venous and pulmonary congestion, their advantages and disadvantages, and explain the interpretation of the obtained values.
Keywords:	ultrasound, venous congestion, pulmonary congestion, lung ultrasound, volemia

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