Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Long-term prognosis of acute pulmonary oedema - an ominous outcome
Autore:
Roguin, A; Behar, DM; Ben Ami, H; Reisner, SA; Edelstein, S; Linn, S; Edoute, Y;
Indirizzi:
Rambam Med Ctr, Dept Cardiol, IL-31096 Haifa, Israel Rambam Med Ctr Haifa Israel IL-31096 ept Cardiol, IL-31096 Haifa, Israel Technion Israel Inst Technol, Dept Internal Med C, Haifa, Israel Technion Israel Inst Technol Haifa Israel Internal Med C, Haifa, Israel Technion Israel Inst Technol, Bruce Rappaport Fac Med, Haifa, Israel Technion Israel Inst Technol Haifa Israel paport Fac Med, Haifa, Israel Rambam Med Ctr, Dept Epidemiol, IL-31096 Haifa, Israel Rambam Med Ctr Haifa Israel IL-31096 t Epidemiol, IL-31096 Haifa, Israel
Titolo Testata:
EUROPEAN JOURNAL OF HEART FAILURE
fascicolo: 2, volume: 2, anno: 2000,
pagine: 137 - 144
SICI:
1388-9842(200006)2:2<137:LPOAPO>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONGESTIVE-HEART-FAILURE; ACUTE MYOCARDIAL-INFARCTION; LEFT-VENTRICULAR FUNCTION; EJECTION FRACTION; CARDIOGENIC-SHOCK; EDEMA; MORTALITY; SURVIVAL; THERAPY; DISEASE;
Keywords:
atrial fibrillation; diabetes; hypertension; ischaemic heart disease; mechanical ventilation; myocardial infarction; pulmonary oedema; shock;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Roguin, A Rambam Med Ctr, Dept Cardiol, POB 9602, IL-31096 Haifa, Israel Rambam Med Ctr POB 9602 Haifa Israel IL-31096 096 Haifa, Israel
Citazione:
A. Roguin et al., "Long-term prognosis of acute pulmonary oedema - an ominous outcome", EUR J HE FA, 2(2), 2000, pp. 137-144

Abstract

Background: Acute pulmonary oedema (APOE) is a major health problem, leading to poor hospital and long-term outcomes. There is a relative paucity of studies describing prognosis of consecutive unsolicited patients diagnosed with APOE and hospitalized in internal medicine departments. Aims: To describe the clinical profile and outcome (in hospital and 1-year prognosis) of successive unselected patients with APOE, in a prospective observational study. Methods and results: The study population included 150 consecutive unsolicited patients (90 men, 60 women; median age 75 years) with APOE all hospitalized in an internal medicine department, in a 900-bed care centre. Ischaemic heart disease (IHD), hypertension and diabetes were present in 85%, 70% and 52% of patients, respectively. The most common precipitating factors for APOE included high blood pressure (29%), rapid atrial fibrillation (29%), unstable angina pectoris (25%), infection (18%) and acute myocardial infarction (MI; 15%). Eighteen patients (12%) died in hospital, with 82% of these deaths attributed to cardiac pump failure. Predictors for an increased in-hospital mortality included: diabetes (P < 0.05), orthopnoea (P < 0.05), echocardiographic finding of depressed global left ventricular systolic function (P < 0.001), acute MI during hospital stay (P < 0.001), hypotension/shock (P < 0.05), and the need for mechanical ventilation (P < 0.001). After a median hospital stay of 10 days, 132 patients were discharged home. The 1-year mortality was 40%. Only the presence of pleural effusion was found as a predictor for 1-year mortality. Conclusion: Most patients with APOE in this study are elderly, and have IHD, hypertension, diabetes and a previous history of APOE, The overall mortality is high (in-hospital, 12%: 1-year, 40%). Left ventricular dysfunction was associated with high in-hospital mortality, but not with long-term prognosis. (C) 2000 European Society of Cardiology. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 22:15:52