The Korean Journal of Medicine

  • 제81권2호
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  • Pages.161-166
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  • 2011
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지

심혈관 질환에서의 흉수

Pleural Effusion in Cardiovascular Disease

  • 이주희 (서울대학교 의과대학 내과학교실, 서울대학교병원 심혈관센터) ;
  • 구본권 (서울대학교 의과대학 내과학교실, 서울대학교병원 심혈관센터)
  • Lee, Ju-Hee (Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Koo, Bon-Kwon (Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine)
  • 발행 : 2011.08.01
⟨ 이전 논문 다음 논문 ⟩

초록

There are many different diseases that can be associated with pleural effusion and cardiovascular disease is one of them. As the management of secondary pleural effusion is guided mainly by its etiology, it is important to identify the cause of pleural effusion. Major cause of pleural effusion due to cardiovascular disease is congestive heart failure, and diagnosis can be easily made by clinical features without diagnostic thoracentesis. Pulmonary thromboembolism, post-coronary artery bypass surgery, post-cardiac injury syndrome and superior vena cava obstruction are also considered as possible causes of pleural effusion in undiagnosed cases. Knowing certain characteristics of these pleural effusions in cardiovascular disease is helpful to identify the underlying causes and also helpful in the management of these conditions.

키워드

참고문헌

  1. Light RW. Disorders of the pleura and mediastinum. In: Fauci AS, Braunwald E, Kasper DL, et al., eds. Harrison's principles of internal medicine. 17th ed. Vol. 2. New York: McGraw-Hill, 2008:1658-1660.
  2. Kinasewitz GT, Jones KR. Effusions from cardiac diseases. In: Light RW, Gray Lee YC, eds. Textbook of Pleural Diseases. 2nd ed. London: Hodder Arnold, 2008:315-321.
  3. Tang KJ, Robbins IM, Light RW. Incidence of pleural effusions in idiopathic and familial pulmonary arterial hypertension patients. Chest 2009;136:688-693. https://doi.org/10.1378/chest.08-0659
  4. Kinasewitz GT. Transudative effusions. Eur Respir J 1997;10:714-718.
  5. Porcel JM. Establishing a diagnosis of pleural effusion due to heart failure. Respirology 2009;14:471-473. https://doi.org/10.1111/j.1440-1843.2009.01532.x
  6. Porcel JM. Pleural effusions from congestive heart failure. Semin Respir Crit Care Med 2010;31:689-697. https://doi.org/10.1055/s-0030-1269828
  7. Zhou Q, Ye ZJ, Su Y, Zhang JC, Shi HZ. Diagnostic value of N-terminal pro-brain natriuretic peptide for pleural effusion due to heart failure: a meta-analysis. Heart 2010;96:1207-1211. https://doi.org/10.1136/hrt.2009.188474
  8. Light RW. Pleural effusion in pulmonary embolism. Semin Respir Crit Care Med 2010;31:716-722. https://doi.org/10.1055/s-0030-1269832
  9. Porcel JM, Madronero AB, Pardina M, Vives M, Esquerda A, Light RW. Analysis of pleural effusions in acute pulmonary embolism: radiological and pleural fluid data from 230 patients. Respirology 2007;12:234-239. https://doi.org/10.1111/j.1440-1843.2006.01026.x
  10. Cheng D, Rodriguez RM, Perkett EA, et al. Vascular endothelial growth factor in pleural fluid. Chest 1999;116:760-765. https://doi.org/10.1378/chest.116.3.760
  11. Stein PD, Terrin ML, Hales CA, et al. Clinical, laboratory, roentgenographic, and electrocardiographic findings in patients with acute pulmonary embolism and no pre-existing cardiac or pulmonary disease. Chest 1991;100:598-603. https://doi.org/10.1378/chest.100.3.598
  12. Romero Candeira S, Hernandez Blasco L, Soler MJ, Munoz A, Aranda I. Biochemical and cytologic characteristics of pleural effusions secondary to pulmonary embolism. Chest 2002;121:465-469. https://doi.org/10.1378/chest.121.2.465
  13. Light RW. Pleural effusions after coronary artery bypass graft surgery. Curr Opin Pulm Med 2002;8:308-311. https://doi.org/10.1097/00063198-200207000-00011
  14. Vargas FS, Cukier A, Hueb W, Teixeira LR, Light RW. Relationship between pleural effusion and pericardial involvement after myocardial revascularization. Chest 1994;105:1748-1752. https://doi.org/10.1378/chest.105.6.1748
  15. Light RW, Rogers JT, Cheng D, Rodriguez RM. Large pleural effusions occurring after coronary artery bypass grafting: Cardiovascular Surgery Associates, PC. Ann Intern Med 1999;130:891-896. https://doi.org/10.7326/0003-4819-130-11-199906010-00004
  16. Sadikot RT, Rogers JT, Cheng DS, Moyers P, Rodriguez M, Light RW. Pleural fluid characteristics of patients with symptomatic pleural effusion after coronary artery bypass graft surgery. Arch Intern Med 2000;160:2665-2668. https://doi.org/10.1001/archinte.160.17.2665
  17. Khan AH. The postcardiac injury syndromes. Clin Cardiol 1992;15:67-72. https://doi.org/10.1002/clc.4960150203
  18. Rice TW, Rodriguez RM, Barnette R, Light RW. Prevalence and characteristics of pleural effusions in superior vena cava syndrome. Respirology 2006;11:299-305. https://doi.org/10.1111/j.1440-1843.2006.00841.x
  19. Rice TW. Pleural effusions in superior vena cava syndrome: prevalence, characteristics, and proposed pathophysiology. Curr Opin Pulm Med 2007;13:324-327. https://doi.org/10.1097/MCP.0b013e32812144aa