Key result
VExUS outperforms traditional markers in predicting elevated filling pressures and AKI in CHF and CRS.
Why the study?
Traditional approaches have notable limitations in reliably detecting venous congestion in patients with congestive heart failure, particularly those with cardiorenal syndrome.
Does the VExUS score improve volume status assessment and prediction of acute kidney injury in patients with acute decompensated heart failure and cardiorenal syndrome compared to traditional approaches?
Design
Narrative review
Authors
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VExUS may aid congestion assessment in heart failure; leaves open prospective validation before clinical adoption.
Does the VExUS score improve volume status assessment and prediction of acute kidney injury in patients with acute decompensated heart failure and cardiorenal syndrome compared to traditional approaches?
The VExUS score is a promising noninvasive tool that integrates multiple Doppler assessments to accurately evaluate systemic congestion and predict acute kidney injury in patients with heart failure and cardiorenal syndrome.
Soliman et al. (2026) studied this question. VExUS correlates strongly with right atrium pressure and outperforms traditional markers in predicting elevated filling pressures and acute kidney injury in CHF and CRS patients.
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