| Causes and consequences of systemic venous hypertension. | |
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MedLine Citation:
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PMID: 19092322 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Basil M Paulus; Sheharyar Ali; Ayhan A Zia; Ahmad Munir; Richard C Davis; Charles M Mansbach; W Chapman Smith; Karl T Weber |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2008-12-18 Completed Date: 2009-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370506 Medline TA: Am J Med Sci Country: United States |
Other Details:
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Languages: eng Pagination: 489-97 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ascites
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etiology Edema / etiology Heart Failure / complications Hemodynamics Humans Hypertension / complications, etiology*, physiopathology*, therapy Lymphatic System / pathology, physiology Male Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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