{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T18:12:42Z","timestamp":1778695962227,"version":"3.51.4"},"reference-count":22,"publisher":"Sociedade Brasileira de Cardiologia","issue":"3","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  O edema pulmonar \u00e9 uma complica\u00e7\u00e3o clinicamente significativa em crian\u00e7as com cardiopatia cong\u00eanita (CC). Ocorre com maior frequ\u00eancia em casos complexos e est\u00e1 associado a interna\u00e7\u00f5es prolongadas. A identifica\u00e7\u00e3o precoce \u00e9 essencial devido ao seu impacto direto nos desfechos cl\u00ednicos.  Objetivos  Avaliar a ultrassonografia pulmonar (USP) como ferramenta diagn\u00f3stica para edema pulmonar e identificar fatores cl\u00ednicos e laboratoriais associados em crian\u00e7as com CC.  M\u00e9todos  Foram inclu\u00eddas crian\u00e7as com CC submetidas \u00e0 USP entre setembro de 2020 e setembro de 2023. Os achados da USP foram comparados com dados cl\u00ednicos, resultados de radiografia de t\u00f3rax e n\u00edveis de pept\u00eddeo natriur\u00e9tico tipo B (BNP). Os pacientes foram classificados de acordo com a categoria fisiopatol\u00f3gica (hiperfluxo pulmonar, hipertens\u00e3o pulmonar ou outras).  Resultados  Foram avaliadas 62 crian\u00e7as, com mediana de idade de 5,5 meses (intervalo interquartil, 4-10,1 meses). Hiperfluxo pulmonar foi identificado em 49 pacientes (79%), hipertens\u00e3o pulmonar em sete (11,3%) e outras condi\u00e7\u00f5es fisiopatol\u00f3gicas em seis (9,7%). O n\u00edvel mediano de BNP foi 815,5 pg\/mL. O edema pulmonar foi detectado em 36 pacientes (58%) pela radiografia de t\u00f3rax e em 33 pacientes (53%) pela USP. Observou-se sobreposi\u00e7\u00e3o significativa, uma vez que 79% dos pacientes com USP positiva tamb\u00e9m apresentaram edema na radiografia de t\u00f3rax (p &lt; 0,001). Em contraste, apenas 34,5% dos pacientes com USP negativa apresentaram evid\u00eancia radiogr\u00e1fica de edema. O edema pulmonar esteve significativamente associado a infec\u00e7\u00f5es recorrentes do trato respirat\u00f3rio inferior, baixo peso, \u00edndice de massa corporal abaixo de \u20132 desvios-padr\u00e3o e n\u00edveis elevados de BNP. A an\u00e1lise de regress\u00e3o log\u00edstica multivariada identificou falha no crescimento como preditor independente de edema pulmonar. Os achados da radiografia de t\u00f3rax permaneceram como o principal fator associado ao edema pulmonar.  Conclus\u00e3o  A USP \u00e9 um m\u00e9todo confi\u00e1vel e livre de radia\u00e7\u00e3o para a detec\u00e7\u00e3o de edema pulmonar em crian\u00e7as com CC. A identifica\u00e7\u00e3o de fatores de risco associados pode facilitar o reconhecimento precoce de pacientes vulner\u00e1veis e apoiar interven\u00e7\u00f5es cl\u00ednicas oportunas e adequadas.<\/jats:p>","DOI":"10.36660\/abc.20250322","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T17:26:52Z","timestamp":1778693212000},"source":"Crossref","is-referenced-by-count":0,"title":["Aprimorando a Avalia\u00e7\u00e3o do Edema Pulmonar na Cardiopatia Cong\u00eanita Pedi\u00e1trica: O Papel da Ultrassonografia Pulmonar"],"prefix":"10.36660","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4689-5888","authenticated-orcid":false,"given":"Yasemin Nuran","family":"Donmez","sequence":"first","affiliation":[{"name":"Van Training and Research Hospital,  Turquia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derya","family":"Bako","sequence":"additional","affiliation":[{"name":"Van Training and Research Hospital,  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Cardiol"},{"issue":"7","key":"ref11","article-title":"Pulmonary Hypertension in Congenital Heart Disease: A Scientific Statement from the American Heart Association","volume":"16","author":"Jone PN","year":"2023","journal-title":"Circ Heart Fail"},{"issue":"8","key":"ref12","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1007\/s00246-016-1461-0","article-title":"Usefulness of Lung Ultrasound in Neonatal Congenital Heart Disease (LUSNEHDI): Lung Ultrasound to Assess Pulmonary Overflow in Neonatal Congenital Heart Disease","volume":"37","author":"Rodr\u00edguez-Fanjul J","year":"2016","journal-title":"Pediatr Cardiol"},{"issue":"12","key":"ref13","doi-asserted-by":"crossref","first-page":"E147","DOI":"10.1002\/ppul.23059","article-title":"Sonographic Dynamic Assessment of Lung Injury in a Child with Hypoplastic Left Heart Syndrome Undergoing Extracorporeal Membrane Oxygenation","volume":"49","author":"Biasucci DG","year":"2014","journal-title":"Pediatr Pulmonol"},{"issue":"11","key":"ref14","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.1002\/ppul.24169","article-title":"Feasibility of Lung Ultrasound to Assess Pulmonary Overflow in Congenital Heart Disease Children","volume":"53","author":"Wu L","year":"2018","journal-title":"Pediatr Pulmonol"},{"issue":"4","key":"ref15","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1017\/S1047951120004333","article-title":"Acute Respiratory Infections in Hospitalised Infants with Congenital Heart Disease","volume":"31","author":"Ahuja N","year":"2021","journal-title":"Cardiol Young"},{"key":"ref16","doi-asserted-by":"crossref","DOI":"10.1155\/2012\/646780","article-title":"Managing the Morbidity Associated with Respiratory Viral Infections in Children with Congenital Heart Disease","volume":"2012","author":"Geskey JM","year":"2012","journal-title":"Int J Pediatr"},{"issue":"11","key":"ref17","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1136\/adc.88.11.1005","article-title":"Subclinical Hypothyroidism and Down's Syndrome; Studies on Myocardial Structure and Function","volume":"88","author":"Toscano E","year":"2003","journal-title":"Arch Dis Child"},{"issue":"7","key":"ref18","doi-asserted-by":"crossref","first-page":"E1115","DOI":"10.1210\/jc.2011-0057","article-title":"Increased Risk for Non-Autoimmune Hypothyroidism in Young Patients with Congenital Heart Defects","volume":"96","author":"Passeri E","year":"2011","journal-title":"J Clin Endocrinol Metab"},{"issue":"4","key":"ref19","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1055\/s-0036-1583543","article-title":"B-Type Cardiac Natriuretic Peptides in the Neonatal and Pediatric Intensive Care Units","volume":"5","author":"Cantinotti M","year":"2016","journal-title":"J Pediatr Intensive 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