Dilemma of Lung Infection Associated with Acute Heart Failure

Öz

We read the article with great interest article titled “The Dilemma of the Pandemic: A Medication Side Effect? What if it's COVID-19?” prepared by Akça et al., and published in the second issue of your journal in 2022. We thank the authors and the editorial board for this interesting article discussing the clinical issue. In this article, we would like to mention acute heart failure, another entity that challenges clinicians to distinguish it from pneumonia and especially SARS-CoV-2 pneumonia.

Anahtar Kelimeler

• Pulmonary Edema
• Heart Failure
• Inflammation

Akut Kalp Yetmezliğinde Eşlik Eden Akciğer Enfeksiyonu Dilemması

Öz

Derginizin 2022 yılı ikinci sayısında yayınlanan Akça ve arkadaşları tarafından hazırlanan “Pandeminin Dilemması: İlaç Yan Etkisi mi? Ya COVID-19'sa?” isimli yazıyı büyük bir ilgi ile okuduk. Yazarlara ve editöriyel kurula klinik sorunu tartışan bu ilgi çekici yazıdan dolayı teşekkür ederiz (1). Biz de bu yazımızda pnömoni ve özellikle SARS-CoV-2 pnömonisi ile ayırt etmede klinisyenleri zorlayan bir diğer antite olan akut kalp yetmezliğine değinmek isteriz.

Anahtar Kelimeler

• Akciğer ödemi
• Kalp yatmezliği
• inflamasyon

Kaynakça

1. Akça A, Alkan S, Önder T, Güçlü Kayta SB, Vurucu S, Yüksel C. Pandeminin Dilemması: İlaç Yan Etkisi mi? Ya COVID-19’sa? Phnx Med J. 2022; 4(2): 90-91. DOI: 10.38175/phnx.1033918.
2. Özdemir S, Özkan A. RDW and pro-BNP in predicting short-term mortality in geriatric patients presenting to the emergency department with acute decompensated heart failure. Emergency Care Journal. 2022; 18(4): 10747. doi:10.4081/ecj.2022.10747
3. Mueller C, Laule-Kilian K, Christ A, Brunner-La Rocca HP, Perruchoud AP. Inflammation and long-term mortality in acute congestive heart failure. Am Heart J. 2006 Apr;151(4):845-50. doi: 10.1016/j.ahj.2005.06.046.
4. Thibodeau JT, Drazner MH. The Role of the Clinical Examination in Patients With Heart Failure. JACC Heart Fail. 2018 Jul;6(7):543-551. doi: 10.1016/j.jchf.2018.04.005.
5. Metlay JP, Kapoor WN, Fine MJ. Does this patient have community-acquired pneumonia? Diagnosing pneumonia by history and physical examination. JAMA. 1997 Nov 5;278(17):1440-5.
6. Hacquin A, Putot S, Barben J, Chagué F, Zeller M, Cottin Y, et al. Bedside chest ultrasound to distinguish heart failure from pneumonia-related dyspnoea in older COVID-19 patients. ESC Heart Fail. 2020 Dec;7(6):4424-4428. doi: 10.1002/ehf2.13017.
7. Milo O, Cotter G, Kaluski E, Brill A, Blatt A, Krakover R, et al. Comparison of inflammatory and neurohormonal activation in cardiogenic pulmonary edema secondary to ischemic versus nonischemic causes. Am J Cardiol. 2003 Jul 15;92(2):222-6. doi: 10.1016/s0002-9149(03)00545-9.
8. Peschel T, Schönauer M, Thiele H, Anker SD, Schuler G, Niebauer J. Invasive assessment of bacterial endotoxin and inflammatory cytokines in patients with acute heart failure. Eur J Heart Fail. 2003 Oct;5(5):609-14. doi: 10.1016/s1388-9842(03)00104-1.