PMC9552100_01
Chest radiograph on admission.
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PMC9552100_01_gr1.jpg
fig1
Chest radiograph on admission showed diffuse bilateral airspace opacities (Fig. 1).
Ultrasound of IVC prior to fluid removal.
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PMC9552100_01_gr2.jpg
fig2
POCUS showed IVC was larger than 2 cm without respiratory variability (Fig. 2).
Before ultrafiltration. (a) Mitral inflow doppler measuring early diastolic transmitral flow velocity (E). (b) Tissue doppler measuring early diastolic mitral annular velocity (e').
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PMC9552100_01_gr3.jpg
fig3
Mitral inflow doppler was used to measure early diastolic transmitral flow velocity (E) and tissue doppler was used to measure early diastolic mitral annular velocity (e') (Fig. 3).
After ultrafiltration. (a) Mitral inflow doppler measuring E. (b) Tissue doppler measuring e'.
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PMC9552100_01_gr4.jpg
fig4
Repeat measurement of E/e' following UF showed reduced ratio to 7.5 (Fig. 4), which is consistent with a normal filling pressure.