Mediastinal lymphadenopathy in congestive heart failure: a sequential CT evaluation with clinical and echocardiographic correlations

The aim of this study was to evaluate the frequency and evolution after treatment of mediastinal lymphadenopathy associated with congestive left heart failure on CT scans in correlation with clinical and echocardiographic findings. Thirty-one consecutive patients with subacute left heart failure und...

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Bibliographic Details
Published in:European radiology 2004-05, Vol.14 (5), p.881-889
Main Authors: Chabbert, Valérie, Canevet, Guillaume, Baixas, Cécile, Galinier, Michel, Deken, Valérie, Duhamel, Alain, Otal, Philippe, Joffre, Francis, Remy, Jacques, Remy-Jardin, Martine
Format: Article
Language:English
Subjects:
Aged
Chi-Square Distribution
Disease Progression
Dyspnea - etiology
Echocardiography
Female
Heart failure
Heart Failure - complications
Humans
Lymph Nodes - diagnostic imaging
Lymphatic Diseases - complications
Lymphatic Diseases - diagnosis
Lymphatic Diseases - therapy
Male
Mediastinum - diagnostic imaging
Prospective Studies
Pulmonary Veins - diagnostic imaging
Severity of Illness Index
Signal Processing, Computer-Assisted
Statistics, Nonparametric
Tomography, X-Ray Computed - methods
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Summary:The aim of this study was to evaluate the frequency and evolution after treatment of mediastinal lymphadenopathy associated with congestive left heart failure on CT scans in correlation with clinical and echocardiographic findings. Thirty-one consecutive patients with subacute left heart failure underwent a clinical evaluation using the NYHA classification, a CT examination, and transthoracic echocardiography at the time of initial presentation (T1). After initiation of medical treatment (T2), follow-up CT scans were systematically obtained together with a clinical evaluation. At T1, all patients showed severe (type III: n=12, 39%; type IV: n=12, 39%) to moderate (type I, n=1, 3%; type II, n=6, 19%) dyspnea with a mean ejection fraction of 39% (range 22-74%). On initial CT scans, enlarged mediastinal lymph nodes were seen in 13 patients (42%) with blurred contours in 5 patients (16%) and hazy mediastinal fat in 1 patient (3%). Significant decrease in the size of lymphadenopathy was observed between T1 and T2 (T1, n=13, 42% vs T2, n=10, 32%; p
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-003-2168-1