{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:29:29Z","timestamp":1740169769409,"version":"3.37.3"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81571683","Z141107002514074","2014-2-1061"],"award-info":[{"award-number":["81571683","Z141107002514074","2014-2-1061"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Fund of Clinical Application of Capital Project","award":["81571683","Z141107002514074","2014-2-1061"],"award-info":[{"award-number":["81571683","Z141107002514074","2014-2-1061"]}]},{"name":"Fund of Health Development and Scientific Research of Capital Projects","award":["81571683","Z141107002514074","2014-2-1061"],"award-info":[{"award-number":["81571683","Z141107002514074","2014-2-1061"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>Ultrasound lung comets (ULCs) are a nonionizing bedside approach to assess extravascular lung water. We evaluated a protocol for grading ULC score to estimate pulmonary congestion in heart failure patients and investigated clinical and echocardiographic correlates of the ULC score. Ninety-three patients with congestive heart failure, admitted to the emergency department, underwent pulmonary ultrasound and echocardiography. A ULC score was obtained by summing the ULC scores of 7 zones of anterolateral chest scans. The results of ULC score were compared with echocardiographic results, the New York Heart Association (NYHA) functional classification, radiologic score, and N-terminal pro-b-type natriuretic peptide (NT-proBNP). Positive linear correlations were found between the 7-zone ULC score and the following:<jats:italic> E<\/jats:italic>\/<jats:italic>e<\/jats:italic>\u2032, systolic pulmonary artery pressure, severity of mitral regurgitation, left ventricular global longitudinal strain, NYHA functional classification, radiologic score, and NT-proBNP. However, there was no significant correlation between ULC score and left ventricular ejection fraction, left ventricle diameter, left ventricular volume, or left atrial volume. A multivariate analysis identified the<jats:italic> E<\/jats:italic>\/<jats:italic>e<\/jats:italic>\u2032, systolic pulmonary artery pressure, and radiologic score as the only independent variables associated with ULC score increase. The simplified 7-zone ULC score is a rapid and noninvasive method to assess lung congestion. Diastolic rather than systolic performance may be the most important determinant of the degree of lung congestion in patients with heart failure.<\/jats:p>","DOI":"10.1155\/2018\/8474839","type":"journal-article","created":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T18:39:37Z","timestamp":1514918377000},"page":"1-10","source":"Crossref","is-referenced-by-count":8,"title":["A Simplified Ultrasound Comet Tail Grading Scoring to Assess Pulmonary Congestion in Patients with Heart Failure"],"prefix":"10.1155","volume":"2018","author":[{"given":"Hong","family":"Li","sequence":"first","affiliation":[{"name":"Department of Ultrasound, Shanxi Provincial People\u2019s Hospital, Taiyuan 030012, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Dan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Echocardiography, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, 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