Heart failure & cardiomyopathies
Computed Tomography or Chest X-Ray to Assess Pulmonary Congestion in Dyspnoeic Patients with Acute Heart Failure
Performance · Diagnosis of adjudicated AHFResult — go to the resultcOR 3.89 CI 2.15–7.06Authors' conclusion
In consecutive dyspnoeic patients admitted to the emergency department, LDCT is significantly better than chest radiographs in detecting pulmonary congestion.
Study context
- Population
- Dyspnoeic ED patients with suspected acute HF64 (28%) adjudicated acute heart failure (AHF)
- Participants
- 228 patients
- Comparison
- Low-dose chest computed tomography (CT) vs chest radiographs
- Outcome
- Adjudicated AHF (expert consensus); efficacy measure conditional OR
Methodological detailsprospective, observational, consecutive patients
- Prospective
- Observational
- Consecutive patients
Performance
Diagnosis of adjudicated AHF
Conditional odds ratio (cOR)
3.89
CI 2.15–7.06
LDCTvs Chest radiographs
cOR 3.89 (CI 2.15–7.06)
As reported in the abstract
Secondary outcomes
| Outcome | cOR (CI) | |
|---|---|---|
| Diagnosis of echo-bnp AHF79 (35%) had echo-bnp AHF | 2.52 (1.45–4.38) | |
| 0.20.5125Conditional odds ratio (log scale) |
| Outcome | LDCT | Chest radiographs |
|---|---|---|
| Interrater agreement | ||
| Kappa | 0.88 [95% CI: 0.81, 0.95] | 0.73 [95% CI: 0.63, 0.82] |
Individual radiologic signs of pulmonary congestion
- LDCT superior or equivalent to chest radiographs for each sign
Original publication
Computed Tomography or Chest X-Ray to Assess Pulmonary Congestion in Dyspnoeic Patients with Acute Heart Failure. ESC Heart Fail. Published 26 January 2024. doi:10.
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