Pulmonary venous hypertension (PVH) can develop as a result of left-sided heart disease. Identifying the cause can help determine the most effective management strategy.


Physiologic factors leading to PVH:

(1) significant decrease in left atrial compliance

(2) left ventricular systolic dysfunction (see below)

(3) left ventricular diastolic dysfunction


Conditions associated with left ventricular systolic dysfunction:

(1) mitral regurgitation

(2) mitral stenosis

(3) aortic regurgitation

(4) aortic stenosis

(5) ischemic heart disease

(6) dilated cardiomyopathy (familial or idiopathic)


Conditions associated with left ventricular diastolic dysfunction:

(1) restrictive cardiomyopathy

(2) constrictive cardiomyopathy

(3) hypertensive cardiomyopathy

(4) hypertrophic cardiomyopathy

(5) idiopathic


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