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Cardiac
Diagnosis
Heart Failure and Cardiomyopathies
PVH/Pulmonary Edema (Cardiogenic)
PVH/Pulmonary Edema (Cardiogenic)
Emily Tsai, MD
;
Carol C. Wu, MD
;
Melissa L. Rosado de Christenson, MD, FACR
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Hydrostatic pulmonary edema
Definitions
Pulmonary venous hypertension (PVH) = elevated left atrial and ventricular filling pressures → increased pulmonary venous pressure
Cardiogenic pulmonary edema = PVH → elevated pulmonary capillary pressure → increased transudation of fluid into interstitial and alveolar spaces of lung
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Microscopic Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Assaad S et al: Assessment of pulmonary edema: principles and practice. J Cardiothorac Vasc Anesth. 32(2):901-14, 2018
Bentz MR et al: Intensive care unit imaging. Clin Chest Med. 36(2):219-34, 2015
Morrissey RP et al: Chronic heart failure: current evidence, challenges to therapy, and future directions. Am J Cardiovasc Drugs. 11(3):153-71, 2011
Myrianthefs P et al: Rare roentgenologic manifestations of pulmonary edema. Curr Opin Crit Care. 17(5):449-53, 2011
Chatterjee K: The Swan-Ganz catheters: past, present, and future. A viewpoint. Circulation. 119(1):147-52. Erratum in: Circulation. 119(21):e548, 2009
Evans DC et al: Complications associated with pulmonary artery catheters: a comprehensive clinical review. Scand J Surg. 98(4):199-208, 2009
Wang CS et al: Does this dyspneic patient in the emergency department have congestive heart failure? JAMA. 294(15):1944-56, 2005
Ware LB et al: Clinical practice. Acute pulmonary edema. N Engl J Med. 353(26):2788-96, 2005
Gehlbach BK et al: The pulmonary manifestations of left heart failure. Chest. 125(2):669-82, 2004
Woolley K et al: Pulmonary parenchymal manifestations of mitral valve disease. Radiographics. 19(4):965-72, 1999
Ketai LH et al: A new view of pulmonary edema and acute respiratory distress syndrome. J Thorac Imaging. 13(3):147-71, 1998
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Hydrostatic pulmonary edema
Definitions
Pulmonary venous hypertension (PVH) = elevated left atrial and ventricular filling pressures → increased pulmonary venous pressure
Cardiogenic pulmonary edema = PVH → elevated pulmonary capillary pressure → increased transudation of fluid into interstitial and alveolar spaces of lung
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Microscopic Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Assaad S et al: Assessment of pulmonary edema: principles and practice. J Cardiothorac Vasc Anesth. 32(2):901-14, 2018
Bentz MR et al: Intensive care unit imaging. Clin Chest Med. 36(2):219-34, 2015
Morrissey RP et al: Chronic heart failure: current evidence, challenges to therapy, and future directions. Am J Cardiovasc Drugs. 11(3):153-71, 2011
Myrianthefs P et al: Rare roentgenologic manifestations of pulmonary edema. Curr Opin Crit Care. 17(5):449-53, 2011
Chatterjee K: The Swan-Ganz catheters: past, present, and future. A viewpoint. Circulation. 119(1):147-52. Erratum in: Circulation. 119(21):e548, 2009
Evans DC et al: Complications associated with pulmonary artery catheters: a comprehensive clinical review. Scand J Surg. 98(4):199-208, 2009
Wang CS et al: Does this dyspneic patient in the emergency department have congestive heart failure? JAMA. 294(15):1944-56, 2005
Ware LB et al: Clinical practice. Acute pulmonary edema. N Engl J Med. 353(26):2788-96, 2005
Gehlbach BK et al: The pulmonary manifestations of left heart failure. Chest. 125(2):669-82, 2004
Woolley K et al: Pulmonary parenchymal manifestations of mitral valve disease. Radiographics. 19(4):965-72, 1999
Ketai LH et al: A new view of pulmonary edema and acute respiratory distress syndrome. J Thorac Imaging. 13(3):147-71, 1998
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