Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jun 26, 2024; 16(6): 306-309
Published online Jun 26, 2024. doi: 10.4330/wjc.v16.i6.306
Ultrasound unveiling: Decoding venous congestion in heart failure for precision management of fluid status
Davide Ramoni, Federico Carbone, Fabrizio Montecucco
Davide Ramoni, Federico Carbone, Fabrizio Montecucco, Department of Internal Medicine, University of Genoa, Genoa 16132, Italy
Federico Carbone, Fabrizio Montecucco, Department of Internal Medicine, IRCCS Ospedale Policlinico San Martino, Genoa 16132, Italy
Author contributions: Ramoni D conceptualization and writing the original draft; Carbone F and Montecucco F supervised and edited the entire work; All authors have read and approved the final manuscript.
Conflict-of-interest statement: The authors have no conflict of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fabrizio Montecucco, MD, PhD, Full Professor, Department of Internal Medicine, University of Genoa, 6 Viale Benedetto 15, Genoa 16132, Italy. fabrizio.montecucco@unige.it
Received: January 31, 2024
Revised: May 13, 2024
Accepted: June 11, 2024
Published online: June 26, 2024
Processing time: 146 Days and 1.5 Hours
Core Tip

Core Tip: While conventional approaches of managing fluid overload in heart failure have long relied on clinical examination, there is room to incorporate patient phenotyping and predict the development of cardio-renal syndrome. We here discuss implementation of the multi-parameter Venous Excess Ultrasound scoring system, which is helpful in avoiding missteps in the assessment and therapeutic decision-making processes. Our aim is to emphasize the emerging role of these feasible, safe and low-cost tools that are easy to implement in clinical practice. Integrating echocardiographic parameters with thorough clinical assessments could provide a comprehensive approach to managing cardio-renal syndrome.