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Titolo:
Flash pulmonary edema: Association with hypertension and reoccurrence despite coronary revascularization
Autore:
Kramer, K; Kirkman, P; Kitzman, D; Little, WC;
Indirizzi:
Wake Forest Univ, Bowman Gray Sch Med, Cardiol Sect, Winston Salem, NC 27157 USA Wake Forest Univ Winston Salem NC USA 27157 , Winston Salem, NC 27157 USA
Titolo Testata:
AMERICAN HEART JOURNAL
fascicolo: 3, volume: 140, anno: 2000,
pagine: 451 - 455
SICI:
0002-8703(200009)140:3<451:FPEAWH>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONGESTIVE-HEART-FAILURE; SYSTOLIC FUNCTION; ANGIOGRAPHY; DISEASE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Little, WC Wake Forest Univ, Bowman Gray Sch Med, Cardiol Sect, Med Ctr Blvd, WinstonSalem, NC 27157 USA Wake Forest Univ Med Ctr Blvd Winston Salem NC USA 27157 57 USA
Citazione:
K. Kramer et al., "Flash pulmonary edema: Association with hypertension and reoccurrence despite coronary revascularization", AM HEART J, 140(3), 2000, pp. 451-455

Abstract

Background The sudden development of acute (flash) pulmonary edema may be on indication for coronary angiography and revascularization. However, the prevalence of coronary artery disease in these patients and the outcome after revascularization are not known. Methods and Results we evaluated 46 patients with on initial presentation of flash pulmonary edema requiring hospitalization and obtained up to 3 years of follow-up in 45 patients, There were 22 men and 24 women, 44 to 84 years of age (67 +/- 10 years, mean +/- SD). Systolic blood pressure on admission was 194 +/- 38 mm Hg. Twenty-four patients required intubation and mechanical ventilation, Left ventricular ejection fraction was >40% in 27 of 46 patients. Thirty-eight patients underwent coronary angiography; 33 had obstructive coronary artery disease. One other patient had regional wall motion abnormalities. Nineteen patients underwent coronary revascularization surgically and 8 percutaneously. Overall, flesh pulmonary edema reoccurred inone half of the patients. Of the 19 patients who underwent coronary revascularization, by 6 months there was 1 death and 9 patients had been hospitalized with recurrent pulmonary edema,Conclusions Many patients with flash pulmonary edema have preserved systolic left ventricular function and coronary artery disease, Flesh pulmonary edema frequently reoccurs in association with marked systolic hypertension, even after coronary revascularization. This suggests that control of hypertension is important and that coronary revascularization may not be adequateto prevent reoccurrence of flash pulmonary edema.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 13:41:35