Øyvind Johannessen

• Johannessen, Øyvind; Reite, Fride Uthaug; Bhatnagar, Rahul; Øvrebotten, Tarjei; Einvik, Gunnar & Myhre, Peder Langeland (2023). Lung Ultrasound to Assess Pulmonary Congestion in Patients with Acute Exacerbation of COPD. The International Journal of Chronic Obstructive Pulmonary Disease. ISSN 1176-9106. 18, p. 693–703. doi: 10.2147/COPD.S396855. Full text in Research Archive
• Johannessen, Øyvind; Myhre, Peder Langeland; Claggett, Brian; Lindner, Moritz; Lewis, Eldrin F. & Rivero, Jose [Show all 8 contributors for this article] (2022). Left atrial inflow propagation velocity derived by color M-mode Doppler in acute heart failure. The International Journal of Cardiovascular Imaging. ISSN 1569-5794. 38(10), p. 2155–2165. doi: 10.1007/s10554-022-02614-y. Full text in Research Archive Show summary

  Left atrial (LA) inflow propagation velocity from the pulmonary vein (LAIF-PV) has been proposed as a novel measure of LA reservoir function and is associated with pulmonary capillary wedge pressure in critically ill patients. However, data on LAIF-PV in acute heart failure (AHF) are lacking. We sought to examine the feasibility of measuring LAIF-PV and evaluate clinical and echocardiographic correlates of LAIF-PV in AHF. In a prospective cohort study of adults hospitalized for AHF, we used color M-mode Doppler of the pulmonary veins to obtain LAIF-PV in systole. Among 142 patients with appropriate images and no more than moderate mitral regurgitation, LAIF-PV measures were feasible in 76 patients (54%) aged 71 ± 14 years, including 68% men with left ventricular ejection fraction (LVEF) 38% ± 13. Mean LAIF-PV was 24.2 ± 5.9 cm/s. In multivariable regression analysis adjusted for age, sex, systolic blood pressure, heart rate, body mass index, New York Heart Association class, LA volume and LVEF, the only independent echocardiographic predictors of LAIF-PV were right ventricular (RV) S’ [ß 0.46 cm/s per cm/s (95% CI 0.01–0.91), p = 0.045] and tricuspid annular plane systolic excursion (TAPSE) [ß 0.28 cm/s per mm (95% CI 0.02–0.54), p = 0.039]. Notably, LAIF-PV was not significantly correlated with measures of LV function, LA function or E/e’. In conclusion, LAIF-PV was measurable in 54% of patients with AHF, and lower values were associated with measures of impaired RV systolic function but not LV or LA function.

• Johannessen, Øyvind; Claggett, Brian; Lewis, Eldrin F.; Groarke, John D.; Swamy, Varsha & Lindner, Moritz [Show all 8 contributors for this article] (2021). A-lines and B-lines in patients with acute heart failure. European Heart Journal: Acute Cardiovascular Care. ISSN 2048-8726. 10(8), p. 909–917. doi: 10.1093/ehjacc/zuab046. Show summary

  Aims Lung ultrasound (LUS) relies on detecting artefacts, including A-lines and B-lines, when assessing dyspnoeic patients. A-lines are horizontal artefacts and characterize normal lung, whereas multiple vertical B-lines are associated with increased lung density. We sought to assess the prevalence of A-lines and B-lines in patients with acute heart failure (AHF) and examine their clinical correlates and their relationship with outcomes. ................................................................................................................................................................................................... Methods and results In a prospective cohort study of adults with AHF, eight-zone LUS and echocardiography were performed early during the hospitalization and pre-discharge at an imaging depth of 18 cm. A- and B-lines were analysed separately off-line, blinded to clinical and outcome data. Of 164 patients [median age 71 years, 61% men, mean ejection fraction (EF) 40%], the sum of A-lines at baseline ranged from 0 to 19 and B-line number from 0 to 36. One hundred and fifty-six patients (95%) had co-existing A-lines and B-lines at baseline. Lower body mass index and lower chest wall thickness were associated with a higher number of A-lines (P trend

• Johannessen, Øyvind; Myhre, Peder Langeland & Omland, Torbjørn (2021). Assessing congestion in acute heart failure using cardiac and lung ultrasound - a review. Expert Review of Cardiovascular Therapy. ISSN 1477-9072. 19(2), p. 165–176. doi: 10.1080/14779072.2021.1865155.

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