Radiographic pulmonary congestion in end-stage congestive heart failure

Hooman Mahdyoon; Roger Klein; William Eyler; Jeffrey B. Lakier; S. C. Chakko; Mihai Gheorghiade

doi:10.1016/0002-9149(89)90912-0

Radiographic pulmonary congestion in end-stage congestive heart failure

Hooman Mahdyoon^*, Roger Klein, William Eyler, Jeffrey B. Lakier, S. C. Chakko, Mihai Gheorghiade

^*Corresponding author for this work

Medicine, Cardiology Division

Research output: Contribution to journal › Article › peer-review

103 Scopus citations

Abstract

Chest radiography is considered an accurate technique for evaluating the presence and degree of congestive heart failure¹ (CHF). Radiographic evidence of redistribution of pulmonary blood flow and interstitial and alveolar edema is an established indicator of pulmonary artery wedge pressure in both acute and chronic forms of CHF.² It is believed that the absence of these radiographic findings is inconsistent with severe CHF and, specifically, elevations of pulmonary artery wedge pressure.^3-5 Much work describing the utility of chest radiography in the diagnosis and management of patients with CHF was carried out before the advent of potent diuretics and vasodilator agents.⁶ Currently, many treated patients with end-stage CHF do not have clinical congestion and may die suddenly despite apparent hemodynamic compensation.^7,8 This report examines the chest radiographic abnormalities observed in patients with chronic severe CHF and marked elevation of pulmonary artery wedge pressure.

Original language	English (US)
Pages (from-to)	625-627
Number of pages	3
Journal	The American journal of cardiology
Volume	63
Issue number	9
DOIs	https://doi.org/10.1016/0002-9149(89)90912-0
State	Published - Mar 1 1989

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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title = "Radiographic pulmonary congestion in end-stage congestive heart failure",

abstract = "Chest radiography is considered an accurate technique for evaluating the presence and degree of congestive heart failure1 (CHF). Radiographic evidence of redistribution of pulmonary blood flow and interstitial and alveolar edema is an established indicator of pulmonary artery wedge pressure in both acute and chronic forms of CHF.2 It is believed that the absence of these radiographic findings is inconsistent with severe CHF and, specifically, elevations of pulmonary artery wedge pressure.3-5 Much work describing the utility of chest radiography in the diagnosis and management of patients with CHF was carried out before the advent of potent diuretics and vasodilator agents.6 Currently, many treated patients with end-stage CHF do not have clinical congestion and may die suddenly despite apparent hemodynamic compensation.7,8 This report examines the chest radiographic abnormalities observed in patients with chronic severe CHF and marked elevation of pulmonary artery wedge pressure.",

author = "Hooman Mahdyoon and Roger Klein and William Eyler and Lakier, {Jeffrey B.} and Chakko, {S. C.} and Mihai Gheorghiade",

note = "Funding Information: From the Department of Cardiology, Escola Paul&a De Medicina, Rua Escobar Ortiz-699, Sao Paulo-SP 04512, Brazil, and the Division of Cardiology, Department of Medicine, Mount Sinai Hospital, New York, New York. Dr. Venturi was the reciprent of grant no. 86/0550-l from Fundacao de Amparo a Pesquisa de Estado de Sao Paula (FA-PESP). Dr. AIexopoulos is an Annenberg Scholar in Cardiology. Manuscript received August 4,1988; revised manuscript received November 14, 1988, and accepted November 16.",

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AU - Lakier, Jeffrey B.

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AU - Gheorghiade, Mihai

N1 - Funding Information: From the Department of Cardiology, Escola Paul&a De Medicina, Rua Escobar Ortiz-699, Sao Paulo-SP 04512, Brazil, and the Division of Cardiology, Department of Medicine, Mount Sinai Hospital, New York, New York. Dr. Venturi was the reciprent of grant no. 86/0550-l from Fundacao de Amparo a Pesquisa de Estado de Sao Paula (FA-PESP). Dr. AIexopoulos is an Annenberg Scholar in Cardiology. Manuscript received August 4,1988; revised manuscript received November 14, 1988, and accepted November 16.

PY - 1989/3/1

Y1 - 1989/3/1

N2 - Chest radiography is considered an accurate technique for evaluating the presence and degree of congestive heart failure1 (CHF). Radiographic evidence of redistribution of pulmonary blood flow and interstitial and alveolar edema is an established indicator of pulmonary artery wedge pressure in both acute and chronic forms of CHF.2 It is believed that the absence of these radiographic findings is inconsistent with severe CHF and, specifically, elevations of pulmonary artery wedge pressure.3-5 Much work describing the utility of chest radiography in the diagnosis and management of patients with CHF was carried out before the advent of potent diuretics and vasodilator agents.6 Currently, many treated patients with end-stage CHF do not have clinical congestion and may die suddenly despite apparent hemodynamic compensation.7,8 This report examines the chest radiographic abnormalities observed in patients with chronic severe CHF and marked elevation of pulmonary artery wedge pressure.

AB - Chest radiography is considered an accurate technique for evaluating the presence and degree of congestive heart failure1 (CHF). Radiographic evidence of redistribution of pulmonary blood flow and interstitial and alveolar edema is an established indicator of pulmonary artery wedge pressure in both acute and chronic forms of CHF.2 It is believed that the absence of these radiographic findings is inconsistent with severe CHF and, specifically, elevations of pulmonary artery wedge pressure.3-5 Much work describing the utility of chest radiography in the diagnosis and management of patients with CHF was carried out before the advent of potent diuretics and vasodilator agents.6 Currently, many treated patients with end-stage CHF do not have clinical congestion and may die suddenly despite apparent hemodynamic compensation.7,8 This report examines the chest radiographic abnormalities observed in patients with chronic severe CHF and marked elevation of pulmonary artery wedge pressure.

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Radiographic pulmonary congestion in end-stage congestive heart failure

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