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The Egyptian Journal of Bronchology
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The role of chest ultrasound in detection of pulmonary congestion in hemodialysis patients

Egyptian Journal of Bronchology volume 12, pages 482–485 (2018)Cite this article

Abstract

Background

Volume overload is a risk factor for mortality in hemodialysis. Pulmonary congestion may be present and mostly asymptomatic between hemodialysis patients, but its outcomes are unknown.

Aim

The aim of this study was to assess the role of chest ultrasound (US) in detecting pulmonary congestion in hemodialysis patients.

Patients and methods

This study included 40 patients diagnosed with chronic renal failure on regular hemodialysis. The patients were selected from the Hemodialysis Unit, Dar El Shefa Hospital. Chest US was done predialysis and postdialysis.

Results

The study was conducted on 40 patients. The age of our patients ranged between 19 and 55 years old; history of hemodialysis ranged between 1 and 8 years; 35% were smokers; 26 (65%) patients were hypertensive; and 17 (42.5%) patients were diabetic. Lung congestion, detected by chest US predialysis, was mild in nine (22.5%) patients, moderate in 17 (42.5%) patients, and severe in 14 (35%) patients. The chest US Kerly’s B-line scores significantly reduced after dialysis, and were normal in seven (17.5%) patients, were mild in 19 (47%) patients, moderate in 12 (30%) patients, and severe in two (5%) patients.

Conclusion

Chest US can be used as a bedside test for the assessment of lung congestion in hemodialysis patients.

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Author information

Authors and Affiliations

  1. Department of Chest Diseases, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Emad El-Din Abdel-Wahab Koraa & Tamer Mohamed Aly

  2. Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Hussein Sayed Hussein

  3. Department of Chest Diseases, Dar Al-Shifa Hospital, 310 Teraat El Gabal St., El Zatoun, Cairo, Egypt

    Sally Kamil Beshara MSc

Authors
  1. Emad El-Din Abdel-Wahab Koraa
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  2. Tamer Mohamed Aly
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  3. Hussein Sayed Hussein
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  4. Sally Kamil Beshara MSc
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Corresponding author

Correspondence to Sally Kamil Beshara MSc.

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Koraa, E.ED.AW., Aly, T.M., Hussein, H.S. et al. The role of chest ultrasound in detection of pulmonary congestion in hemodialysis patients. Egypt J Bronchol 12, 482–485 (2018). https://doi.org/10.4103/ejb.ejb_77_17

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  • DOI: https://doi.org/10.4103/ejb.ejb_77_17

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