The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

High Cardiac Output Heart Failure Induced by Chronic Severe Anemia

만성 심한 빈혈에 의해 유발된 고박출성 심부전 1예

  • Seo, Seung-In (Division of Cardiology, Department of Internal Medicine, Kangdong Sacred Heart Hospital,Hallym University College of Medicine) ;
  • Park, Dae-Gyun (Division of Cardiology, Department of Internal Medicine, Kangdong Sacred Heart Hospital,Hallym University College of Medicine) ;
  • Kim, Min-Kwan (Division of Cardiology, Department of Internal Medicine, Kangdong Sacred Heart Hospital,Hallym University College of Medicine) ;
  • Kim, Sung-Eun (Division of Cardiology, Department of Internal Medicine, Kangdong Sacred Heart Hospital,Hallym University College of Medicine) ;
  • Lee, Jun-Hee (Division of Cardiology, Department of Internal Medicine, Kangdong Sacred Heart Hospital,Hallym University College of Medicine) ;
  • Han, Kyu-Rock (Division of Cardiology, Department of Internal Medicine, Kangdong Sacred Heart Hospital,Hallym University College of Medicine) ;
  • Oh, Dong-Jin (Division of Cardiology, Department of Internal Medicine, Kangdong Sacred Heart Hospital,Hallym University College of Medicine)
  • 서승인 (한림대학교 의과대학 강동성심병원 심장혈관내과) ;
  • 박대균 (한림대학교 의과대학 강동성심병원 심장혈관내과) ;
  • 김민관 (한림대학교 의과대학 강동성심병원 심장혈관내과) ;
  • 김성은 (한림대학교 의과대학 강동성심병원 심장혈관내과) ;
  • 이준희 (한림대학교 의과대학 강동성심병원 심장혈관내과) ;
  • 한규록 (한림대학교 의과대학 강동성심병원 심장혈관내과) ;
  • 오동진 (한림대학교 의과대학 강동성심병원 심장혈관내과)
  • Published : 2011.09.01
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Abstract

High cardiac output heart failure (HCOHF) occurs in the setting of increased cardiac output, such as with chronic anemia, hyperthyroidism, beriberi, pregnancy, and an arteriovenous (AV) fistula. Of these, chronic anemia is a rare cause of HCOHF and its pathophysiology remains unknown. This report is about a patient with chronic anemia who presented with heart failure and severe tricuspid regurgitation. The severity of the tricuspid regurgitation and the patient's symptoms and signs were improved on correcting the anemia.

저자들은 좌심실 기능이 정상이면서 우심실 비대와 삼첨판 폐쇄부전을 보인 환자에서 만성 빈혈의 교정만으로 우심실 비대와 삼첨판 폐쇄부전이 호전되는 것을 심초음파를 통하여 확인하였다. 또한 심도자 검사에서 심박출량의 증가를 확인하여 고박출성 심부전임을 알 수 있었고, 본 증례를 통해 만성 빈혈이 고박출성 심부전의 직접적인 원인이 될 수 있음을 확인할 수 있었다.

Keywords

References

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