Pulmonary edema classification: Difference between revisions
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==Overview== | ==Overview== | ||
Pulmonary edema can be classified on the basis of etiology into 2 subtypes, including cardiogenic pulmonary edema(LV failure,[[Myocardial Infarction]],[[LV hypertrophy]] cardiomyopathy, | Pulmonary edema can be classified on the basis of etiology into 2 subtypes, including cardiogenic pulmonary edema (LV failure, [[Myocardial Infarction|myocardial infarction]], [[LV hypertrophy|left ventricle hypertrophy]] cardiomyopathy, etc) and | ||
, noncardiogenic pulmonary edema([[pneumonia]],[[pulmonary embolism]],chest trauma, | , noncardiogenic pulmonary edema ([[pneumonia]], [[pulmonary embolism]], chest trauma, etc). | ||
==Classification== | ==Classification== | ||
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** [[Dysrhythmia]] | ** [[Dysrhythmia]] | ||
** [[LV hypertrophy]] [[cardiomyopathy]] | ** [[LV hypertrophy]] [[cardiomyopathy]] | ||
** Volume | ** Volume overload | ||
** [[Myocardial Infarction]] | ** [[Myocardial Infarction]] | ||
** LV outflow obstruction | ** LV outflow obstruction | ||
* Non-cardiogenic pulmonary edema may be classified into 3 subtypes based on etiology:<ref name="pmid619405">{{cite journal |vauthors=Calenoff L, Kruglik GD, Woodruff A |title=Unilateral pulmonary edema |journal=Radiology |volume=126 |issue=1 |pages=19–24 |year=1978 |pmid=619405 |doi=10.1148/126.1.19 |url=}}</ref> | * Non-cardiogenic pulmonary edema may be classified into 3 subtypes based on etiology:<ref name="pmid619405">{{cite journal |vauthors=Calenoff L, Kruglik GD, Woodruff A |title=Unilateral pulmonary edema |journal=Radiology |volume=126 |issue=1 |pages=19–24 |year=1978 |pmid=619405 |doi=10.1148/126.1.19 |url=}}</ref> | ||
** Direct injury to lung | ** Direct injury to lung: | ||
*** Chest trauma,pulmonary contusion | *** Chest trauma,pulmonary contusion | ||
*** [[Aspiration]] | *** [[Aspiration]] | ||
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*** Oxygen toxicity | *** Oxygen toxicity | ||
*** [[Pulmonary embolism]],[[reperfusion]] | *** [[Pulmonary embolism]],[[reperfusion]] | ||
** Hematogenous injury to lung | ** Hematogenous injury to lung: | ||
*** Sepsis | *** Sepsis | ||
*** [[Pancreatitis]] | *** [[Pancreatitis]] | ||
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*** Intravenous drug use. e.g. heroin | *** Intravenous drug use. e.g. heroin | ||
*** Cardiopulmonary bypass | *** Cardiopulmonary bypass | ||
** Lung injury plus elevated hydrostatic pressure | ** Lung injury plus elevated hydrostatic pressure: | ||
*** High altitude pulmonary edema | *** High altitude pulmonary edema | ||
*** Neurogenic pulmonary edema | *** Neurogenic pulmonary edema | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pulmonary edema can be classified on the basis of etiology into 2 subtypes, including cardiogenic pulmonary edema (LV failure, myocardial infarction, left ventricle hypertrophy cardiomyopathy, etc) and
, noncardiogenic pulmonary edema (pneumonia, pulmonary embolism, chest trauma, etc).
Classification
- Pulmonary edema may be classified according to etiology into 2 groups:
- Cardiogenic pulmonary edema
- Noncardiogenic pulmonary edema
- Cardiogenic pulmonary edema may be classified into:[1]
- LV failure
- Dysrhythmia
- LV hypertrophy cardiomyopathy
- Volume overload
- Myocardial Infarction
- LV outflow obstruction
- Non-cardiogenic pulmonary edema may be classified into 3 subtypes based on etiology:[2]
- Direct injury to lung:
- Chest trauma,pulmonary contusion
- Aspiration
- Smoke inhalation
- Pneumonia
- Oxygen toxicity
- Pulmonary embolism,reperfusion
- Hematogenous injury to lung:
- Sepsis
- Pancreatitis
- Nonthoracic trauma
- Multiple transfusions
- Intravenous drug use. e.g. heroin
- Cardiopulmonary bypass
- Lung injury plus elevated hydrostatic pressure:
- High altitude pulmonary edema
- Neurogenic pulmonary edema
- Reexpansion pulmonary edema
- Direct injury to lung:
| Pulmonary edema | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Cardiogenic | Non-cardiogenic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| LV failure | Dysrhythmia | LV hypertrophy and cardiomyopathy | Volume Overload | Myocardial Infarction | LV outflow obstruction | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Direct injury to lung | Hematogenous injury to lung | Lung injury plus elevated hydrostatic pressure | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Chest trauma,pulmonary contusion | Aspiration | Smoke inhalation | Pneumonia | Oxygen toxicity | Pulmonary embolism,reperfusion | High altitude pulmonary edema | Neurogenic pulmonary edema | Reexpansion pulmonary edema | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Sepsis | Pancreatitis | Nonthoracic trauma | Multiple transfusions | Intravenous drug use. e.g. heroin | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
References
- ↑ Attias D, Mansencal N, Auvert B, Vieillard-Baron A, Delos A, Lacombe P, N'Guetta R, Jardin F, Dubourg O (2010). "Prevalence, characteristics, and outcomes of patients presenting with cardiogenic unilateral pulmonary edema". Circulation. 122 (11): 1109–15. doi:10.1161/CIRCULATIONAHA.109.934950. PMID 20805429.
- ↑ Calenoff L, Kruglik GD, Woodruff A (1978). "Unilateral pulmonary edema". Radiology. 126 (1): 19–24. doi:10.1148/126.1.19. PMID 619405.