Bilateral pleural effusions in congestive heart failure.
The salt-avid state that accounts for the clinical syndrome congestive heart failure (CHF) leads to an initial expansion of intra- and subsequent rise in extravascular volumes that can include the appearance of pleural effusion. Herein, we present a 54-year-old man with a dilated cardiomyopathy who was hospitalized because of his CHF, which included bilateral pleural effusions, right hydrothorax greater than left. The pathophysiology of pleural fluid formation in CHF, previously debated, has now reached consensus, albeit not frequently reviewed. This index case offers such an opportunity.
Department of Medicine, University of Tennessee Health Sciences Center, Memphis, Tennessee 38163, USA.
Khurram
K
Ahmad
Malay S
MS
Gandhi
W Chapman
WC
Smith
Karl T
KT
Weber
D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000000981:diagnostic imaging; D004232:Diuretics / Q000627:therapeutic use; D005665:Furosemide / Q000627:therapeutic use; D006333:Heart Failure / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D011859:Radiography; D016896:Treatment Outcome
D004232:Diuretics; D005665:Furosemide