Erratum to: P95 B-lines on chest ultrasound predicts elevated left ventricular diastolic pressures

Erratum

After publication of this supplement abstract below in [1], it was brought to our attention that for abstract P95 all the authors should have the following affiliation: Internal Medicine, Ahmadi Hospital, Kuwait Oil Company, Ahmadi, Kuwait.

P95 B-lines on chest ultrasound predicts elevated left ventricular diastolic pressures

Z. Bitar¹, O. Maadarani², R. Al Hamdan²

¹Hôpitaux universitaires Paris-Sud, Hôpital de Bicêtre, Inserm UMR S_999, Univ Paris-Sud, Le Kremlin-Bicêtre, France; ²zouheir bitar, Fahahil, Kuwait

Introduction: We investigated the relationship between the ultrasonic B profiles and Spectral tissue Doppler echocardiography (E/E’ ratio), a non-invasive surrogate for left ventricular diastolic pressures, in patients presenting with suspicion of acute pulmonary edema.

Methods: This is a prospective observational study of 61 consecutive patients presenting with acute pulmonary edema and B - profile detected by echocardiography with a 5 MHz curvilinear probe. The Filling pressure of the left ventricle considered high when E/E’ is equal or > 15 or when value between 9 and 14 with ultrasound chest B pattern. The filling pressure is considered normal if E/E’ is equal or below 8 or the value between 9 and 14 with A-line pattern (1).

Results: Sixty-one participants were included (49.2% male, with a mean age 66.8). The mean E/E’ level in the patients with B-profile was (20.8), compared with the mean level in the patients with an A-profile of (8.2) (p = 0.003). Based on the value of E/E’, the sensitivity and specificity (including the 95% confidence interval) were determined and are shown in Table 13. The systolic function in the subjects with a B-profile was below 50% in 74.3% of the subjects. All the subjects with B profile and systolic function > 50% had elevated NT-proBNP and E/E’ > 15.

Table 13 Chest ultrasound profiles based Spectral tissue Doppler echocardiography E/E’

Conclusions: Detecting the B-profile in lung ultrasound is highly sensitive and specific for elevated left ventricular diastolic pressures in patients with acute pulmonary oedema.