Document Detail

Causes and consequences of systemic venous hypertension.
MedLine Citation:
PMID:  19092322     Owner:  NLM     Status:  MEDLINE    
The causes of systemic venous hypertension (SVHT) include cardiac- and circulatory-related factors, whereas its consequences include the congestion of hepatic, splanchnic, and peripheral circulations, which contribute significantly to the clinical congestive heart failure syndrome. Based on a disequilibrium in hydrostatic and oncotic pressures, the increased filtration and formation of interstitial fluid at these sites with an accompanying increase in lymph flow mandates an increment in lymphatic drainage to protect against such congestion and the appearance of edema and ascites. However, lymph flow via the thoracic duct into systemic veins is opposed by elevations in central venous pressure. Various management strategies have the potential to prevent and/or correct SVHT. The case of a 54-year-old man with a dilated cardiomyopathy who presented with decompensated biventricular failure, expressed as anasarca and ascites, is used to illustrate the importance of SVHT.
Basil M Paulus; Sheharyar Ali; Ayhan A Zia; Ahmad Munir; Richard C Davis; Charles M Mansbach; W Chapman Smith; Karl T Weber
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  336     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-18     Completed Date:  2009-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  489-97     Citation Subset:  AIM; IM    
Department of Radiology, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA.
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MeSH Terms
Ascites / etiology
Edema / etiology
Heart Failure / complications
Hypertension / complications,  etiology*,  physiopathology*,  therapy
Lymphatic System / pathology,  physiology
Middle Aged

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