심혈관 질환에서의 흉수
Pleural Effusion in Cardiovascular Disease
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초록
흉수는 일차 진료 시에 접하게 되는 매우 흔한 질환으로, 다양한 원인에 의해 발생할 수 있다. 심부전은 흉수의 가장 흔한 원인 중의 하나로, 환자의 증상과 임상양상에 근거하여 진단적 흉수 천자 없이도 진단 및 치료가 가능하다. 진단되지 않은 흉수의 원인으로 폐 혈전 색전증과 관상동맥 우회술, 심손상 후 증후군 등도 고려해 볼 수 있겠다. 심혈관 질환으로 인한 흉수를 다른 원인들로부터 구별해 내는 것은 불필요한 검사를 피하고 조기에 적절한 치료를 할 수 있게 하므로, 흉수의 가능한 원인으로 반드시 고려하여야 한다.
Abstract
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. (Korean J Med 2011;81:161-166)
참고문헌 (19)
- Light RW, "Disorders of the pleura and mediastinum. In Harrison’'s principles of internal medicine. 17th ed. Vol. 2", pp.1658~1660 (2008), McGraw-Hill
- Kinasewitz GT, "Effusions from cardiac diseases. In Textbook of Pleural Diseases. 2nd ed", pp.315~332 (2008), Hodder Arnold
- Tang KJ, "Incidence of pleural effusions in idiopathic and familial pulmonary arterial hypertension patients", Chest, 136, pp.688~693 (2009)
- Kinasewitz GT, "Transudative effusions", Eur Respir J, 10, pp.714~718 (1997)
- Porcel JM, "Establishing a diagnosis of pleural effusion due to heart failure", Respirology, 14, pp.471~473 (2009)
- Porcel JM, "Pleural effusions from congestive heart failure", Semin Respir Crit Care Med, 31, pp.689~697 (2010)
- Zhou Q, "Diagnostic value of N-terminal pro-brain natriuretic peptide for pleural effusion due to heart failure: a meta-analysis", Heart, 96, pp.1207~1211 (2010)
- Light RW, "Pleural effusion in pulmonary embolism", Semin Respir Crit Care Med, 31, pp.716~722 (2010)
- Porcel JM, "Analysis of pleural effusions in acute pulmonary embolism: radiological and pleural fluid data from 230 patients", Respirology, 12, pp.234~239 (2007)
- Cheng D, "Vascular endothelial growth factor in pleural fluid", Chest, 116, pp.760~765 (1999)
- Stein PD, "Clinical, laboratory, roentgenographic, and electrocardiographic findings in patients with acute pulmonary embolism and no pre-existing cardiac or pulmonary disease", Chest, 100, pp.598~603 (1991)
- Romero Candeira S, "Biochemical and cytologic characteristics of pleural effusions secondary to pulmonary embolism", Chest, 121, pp.465~469 (2002)
- Light RW, "Pleural effusions after coronary artery bypass graft surgery", Curr Opin Pulm Med, 8, pp.308~311 (2002)
- Vargas FS, "Relationship between pleural effusion and pericardial involvement after myocardial revascularization", Chest, 105, pp.1748~1752 (1994)
- Light RW, "Large pleural effusions occurring after coronary artery bypass grafting: Cardiovascular Surgery Associates, PC", Ann Intern Med, 130, pp.891~896 (1999)
- Sadikot RT, "Pleural fluid characteristics of patients with symptomatic pleural effusion after coronary artery bypass graft surgery", Arch Intern Med, 160, pp.2665~2668 (2000)
- Khan AH, "The postcardiac injury syndromes", Clin Cardiol, 15, pp.67~72 (1992)
- Rice TW, "Prevalence and characteristics of pleural effusions in superior vena cava syndrome", Respirology, 11, pp.299~305 (2006)
- Rice TW, "Pleural effusions in superior vena cava syndrome: prevalence, characteristics, and proposed pathophysiology", Curr Opin Pulm Med, 13, pp.324~327 (2007)