VExUS and Lung Ultrasound in Acute Heart Failure

Q: What does this research mean for the field?

VExUS and lung ultrasound serve as applicable clinical tools for the evaluation and management of acute heart failure. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

Abhilash Koratala; Amir Kazory

doi:10.1002/jum.70441

September 1, 2026Journal of Ultrasound in MedicineOpen Access

VExUS and Lung Ultrasound in Acute Heart Failure

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Key Points

Examine the integrated clinical utility of lung ultrasound and the Venous Excess Ultrasound (VExUS) grading score for assessing systemic and pulmonary congestion in acute heart failure.
Narrative clinical review evaluating multiorgan point-of-care sonographic protocols in heart failure without primary empirical dataset generation.
Lung ultrasound detects pulmonary interstitial fluid accumulation, while Doppler assessment of the inferior vena cava, hepatic, portal, and intrarenal veins via VExUS quantifies systemic venous congestion.
Combining both noninvasive ultrasound modalities allows clinicians to differentiate isolated pulmonary edema from severe systemic fluid overload to guide targeted decongestion therapy.

Implication

Clinical review examines venous excess ultrasound and lung ultrasound in acute heart failure, highlighting multiorgan point-of-care assessment for systemic congestion.

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Cite This Study

Koratala et al. (2026) studied this question.

synapsesocial.com/papers/6a993586636c6408cfa7dbfa https://doi.org/10.1002/jum.70441

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VExUS and Lung Ultrasound in Acute Heart Failure

Key Points

Implication

Abstract

Discussion

Cite This Study

VExUS and Lung Ultrasound in Acute Heart Failure

Key Points

Implication

Abstract

Discussion

Cite This Study

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