European heart journal
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European heart journal · Jul 2016
ReviewUltrasound of extravascular lung water: a new standard for pulmonary congestion.
Extravascular lung water (EVLW) is a key variable in heart failure management and prognosis, but its objective assessment remains elusive. Lung imaging has been traditionally considered off-limits for ultrasound techniques due to the acoustic barrier of high-impedance air wall. In pulmonary congestion however, the presence of both air and water creates a peculiar echo fingerprint. ⋯ Cardiologists can achieve much diagnostic gain with little investment of technology, training, and time. B-lines represent 'the shape of lung water'. They allow non-invasive detection, in real time, of even sub-clinical forms of pulmonary oedema with a low cost, radiation-free approach.
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European heart journal · Jul 2016
Randomized Controlled TrialPercutaneous closure of patent foramen ovale in migraine with aura, a randomized controlled trial.
Migraine with aura and patent foramen ovale (PFO) are associated. The Percutaneous Closure of PFO in Migraine with Aura (PRIMA) trial is a multicentre, randomized trial to investigate the effect of percutaneous PFO closure in patients refractory to medical treatment. ⋯ In patients with refractory migraine with aura and PFO, PFO closure did not reduce overall monthly migraine days.