TITLE

Acute Cardiogenic Pulmonary Edema: Clinical and Noninvasive Evaluation

AUTHOR(S)
Bier, Alan J.; Eichacker, Peter Q.; Sinoway, Lawrence I.; Terribile, Sachiko M.; Strom, Joel A.; Keefe, Deborah L.
PUB. DATE
March 1988
SOURCE
Angiology;Mar1988 Part 1, Vol. 39 Issue 3, p211
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Left ventricular echocardiograms performed within ninety-six hours of admission were prospectively correlated with the clinical course in 87 consecutive patients admitted with acute pulmonary edema. Patients were stratified into four groups based on their two-dimensional echocardiogram: hyperdynamic, normal, mildly reduced, and severely reduced. Echocardiographic estimates of left ventricular function were compared with their ejection fraction measured by the gated radioisotope technique. The authors found that 48% of the patients were either normal or hyperdynamic (38% and 10% respectively). Patients in these two groups had a greater incidence of left ventricular hypertrophy (wall thickness > 13mm) (66% vs 39%, p<.05), hypertension on admission (BP> 160/100) (66% vs 41%, p=.05), and smaller end-diastolic dimension (p < .05) than those with decreased left ventricular function. The authors conclude that echocardiography is a good screening test of left ventricular function in patients presenting with pulmonary edema. Patients with normal or increased left ventricular systolic function should be evaluated for correctable or treatable causes of acute pulmonary edema.
ACCESSION #
16344745

 

Related Articles

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics