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MINERVA CARDIOANGIOLOGICA

Rivista sulle Malattie del Cuore e dei Vasi


Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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REVIEW  CARDIAC IMAGING IN CLINICAL PRACTICE


Minerva Cardioangiologica 2017 December;65(6):616-20

DOI: 10.23736/S0026-4725.17.04475-9

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Cardiac imaging in patients with dyspnea

Pierfranco DELLAVESA 1 , Federico NARDI 2

1 Department of Cardiology, ASL Novara, Novara, Italy; 2 Cardiology Unit, Castelli Hospital, Verbania, Italy


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Acute dyspnea is a frequent cause of access to the Emergency Department. Differentiation between cardiogenic and respiratory causes does not always seem simple and certain, causing a delay in initiating targeted therapies and prolonging the patient’s stay in the emergency department. The basic elements for the diagnosis remain the history and the objective examination, supplemented by the execution of an electrocardiogram, a determination of blood parameters and the execution of a chest X-ray. The limits of radiological semeiotics, related to a low sensitivity to high specificity, promote other methods available to the first aid physician. Specifically, the determination of the natriuretic B-type peptide and transthoracic ultrasound is proposed as a method, recognized and validated by the recent letter on the patient bed, relatively easy to execute, fast learning, fast execution and non-invasive (referring to “ultrasound”). The sensitivity and specificity of both methods are high (86.7% and 93%, respectively) in the diagnosis of alveolus-interstitial syndrome, simplifying and accelerating the differential diagnosis of acute dyspnea.


KEY WORDS: Dyspnea - Cardiac imaging techniques - Brain natriuretic peptide

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Publication History

Issue published online: September 25, 2017
Article first published online: July 27, 2017
Manuscript accepted: July 18, 2017
Manuscript received: July 17, 2017

Per citare questo articolo

Dellavesa P, Nardi F. Cardiac imaging in patients with dyspnea. Minerva Cardioangiol 2017;65:616-20. DOI: 10.23736/S0026-4725.17.04475-9

Corresponding author e-mail

dellavesa@libero.it