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By providing immediate, physiologically grounded, and non-invasive information, POCUS enhances diagnostic accuracy, risk stratification, and therapeutic guidance in real time. Among its core applications, lung ultrasound enables reliable detection and monitoring of pulmonary congestion, outperforming traditional methods such as chest X-ray and physical examination. The Venous Excess Ultrasound Score offers a structured assessment of systemic venous congestion through abdominal venous Doppler patterns. The left ventricular outflow tract velocity\u2013time integral serves as a reproducible surrogate of forward flow and cardiac output, while focused cardiac ultrasound provides rapid structural and functional evaluation of the heart. The reliability and prognostic value of these modalities have been supported by growing evidence across diverse clinical contexts, though standardization of training and acquisition protocols remains crucial for widespread implementation. Integration of POCUS into daily workflows\u2014through structured, serial assessments of pulmonary, venous, and haemodynamic status\u2014holds promise to refine decision-making, individualize treatment strategies, and improve outcomes. This review summarizes current evidence, methodological considerations, and practical implications of POCUS in acute cardiovascular medicine, emphasizing its complementarity to, rather than replacement of, traditional diagnostic tools.<\/jats:p>","DOI":"10.1093\/ehjimp\/qyaf147","type":"journal-article","created":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T12:41:35Z","timestamp":1766839295000},"source":"Crossref","is-referenced-by-count":5,"title":["The rise of point-of-care ultrasound in cardiopulmonary diagnostics"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6409-2109","authenticated-orcid":false,"given":"Marina Petersen","family":"Saadi","sequence":"first","affiliation":[{"name":"Department of Cardiology, Hospital de Cl\u00ednicas de Porto Alegre , Ramiro Barcelos 2350, 90035-003 Porto Alegre\/RS ,","place":["Brazil"]},{"name":"Department of Cardiology, University of Rennes, Pontchaillou Hospital - CHU Rennes, Inserm, LTSI\u2014UMR 1099 , Rennes F-35000 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2414-9453","authenticated-orcid":false,"given":"Guilherme Heiden","family":"Telo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital de Cl\u00ednicas de Porto Alegre , Ramiro Barcelos 2350, 90035-003 Porto Alegre\/RS ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5478-4610","authenticated-orcid":false,"given":"Prayuth","family":"Rasmeehirun","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Rennes, Pontchaillou Hospital - CHU Rennes, Inserm, LTSI\u2014UMR 1099 , Rennes F-35000 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2677-3389","authenticated-orcid":false,"given":"Erwan","family":"Donal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Rennes, Pontchaillou Hospital - CHU Rennes, Inserm, LTSI\u2014UMR 1099 , Rennes F-35000 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,1,1]]},"reference":[{"key":"2026010100301161900_qyaf147-B1","doi-asserted-by":"crossref","first-page":"1627396","DOI":"10.3389\/fcvm.2025.1627396","article-title":"Point-of-care ultrasound in the evaluation of STEMI patients","volume":"12","author":"Wainstein","year":"2025","journal-title":"Front Cardiovasc Med"},{"key":"2026010100301161900_qyaf147-B2","doi-asserted-by":"crossref","first-page":"230","DOI":"10.4329\/wjr.v6.i6.230","article-title":"Effectiveness of chest radiography, lung ultrasound and thoracic computed tomography in the diagnosis of congestive heart failure","volume":"6","author":"Cardinale","year":"2014","journal-title":"World J Radiol"},{"key":"2026010100301161900_qyaf147-B3","doi-asserted-by":"crossref","first-page":"e190703","DOI":"10.1001\/jamanetworkopen.2019.0703","article-title":"Diagnostic accuracy of point-of-care lung ultrasonography and chest radiography in adults with symptoms suggestive of acute decompensated heart failure: a systematic review and meta-analysis","volume":"2","author":"Maw","year":"2019","journal-title":"JAMA Netw Open"},{"key":"2026010100301161900_qyaf147-B4","first-page":"e20240010","article-title":"Contribution of lung ultrasound and VExUS in the diagnosis and monitoring of patients with heart failure","volume":"4","author":"Telo","year":"2024","journal-title":"ABC Heart Fail Cardiomyop"},{"key":"2026010100301161900_qyaf147-B5","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.1093\/ehjci\/jeaf246","article-title":"Cardiac ultrasound in cardiovascular emergency and critical care. 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