1,857 results match your criteria Pulmonary Edema Cardiogenic


Coughing in dogs: what is the evidence for and against a cardiac cough?

Authors:
L Ferasin C Linney

J Small Anim Pract 2019 Jan 16. Epub 2019 Jan 16.

Willows Veterinary Referral Service, Solihull, West Midlands B90 4NH, UK.

Cough has been historically reported as a major clinical sign of cardiogenic pulmonary oedema in dogs. However, recent evidence appears to contradict the traditional dogmatic approach that linked cough to congestive heart failure in dogs. Here we use a question-based format to introduce and discuss the modern evidence regarding "cardiac cough" and the interpretation of this important but often misleading clinical sign. Read More

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http://dx.doi.org/10.1111/jsap.12976DOI Listing
January 2019

Safe Exchange of a Transfemoral Impella Pump.

Cardiovasc Revasc Med 2018 Dec 19. Epub 2018 Dec 19.

Cardiac Arrest Center, Advanced Heart Failure Unit, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.

Mechanical circulatory support with the Impella pump is established in many centers treating patients with cardiogenic shock. While Impella pumps usually run very stable, it may still be possible that one needs to remove the pump for using the same vascular access for different reasons. Unfortunately, until now it had been nearly impossible to remove the pump while preserving arterial access without severe bleeding. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.12.006DOI Listing
December 2018

Clinical Pharmacokinetics, Safety, and Tolerability of a Novel, First-in-Class TRPV4 Ion Channel Inhibitor, GSK2798745, in Healthy and Heart Failure Subjects.

Am J Cardiovasc Drugs 2019 Jan 14. Epub 2019 Jan 14.

GlaxoSmithKline Clinical Unit Cambridge, Addenbrooke's Hospital, Cambridge, UK.

Introduction And Objective: Pulmonary capillary endothelial transient receptor potential vanilloid 4 (TRPV4) channel plays a critical role in mediating the development of cardiogenic pulmonary edema. GSK2798745 is a first-in-class, highly potent, selective, orally active TRPV4 channel blocker being evaluated in a first-time-in-humans study (NCT02119260).

Methods: GSK2798745 was administered in a randomized, placebo-controlled study design to healthy volunteers in three separate cohorts as single escalating doses, with and without food, and as once-daily repeat doses for up to 14 days, respectively. Read More

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http://dx.doi.org/10.1007/s40256-018-00320-6DOI Listing
January 2019

ST-Elevation Myocardial Infarction in Patients With Malignancies.

Kardiologiia 2018 Dec 25;58(12):5-12. Epub 2018 Dec 25.

Samara State Medical University.

Acute myocardial infarction (MI), the most severe complication of coronary artery disease, develops in 2-4% of patients with various malignancies.

Purpose: to explore the specific properties of ST-segment elevation myocardial infarction (STEMI) course in patients with cancer and its effect on short-term outcome.

Materials And Methods: We included in this study 45 patients with STEMI and history of cancer hospitalized in the period from 01. Read More

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http://dx.doi.org/10.18087/cardio.2018.12.10204DOI Listing
December 2018

Assessment of dyspneic patients in the emergency department using point-of-care lung and cardiac ultrasonography-a prospective observational study.

J Thorac Dis 2018 Nov;10(11):6221-6229

Emergency Medicine Department, National University Hospital, National University Health System, Singapore.

Background: Lung ultrasonography is increasingly used in the emergency department (ED) as a standard adjunct in the evaluation of the breathless patient. The study objective was to ascertain the diagnostic accuracy of lung and cardiac ultrasound in undifferentiated dyspneic ED patients.

Methods: We conducted this prospective observational study on patients presenting with dyspnea in the ED of a tertiary hospital. Read More

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http://dx.doi.org/10.21037/jtd.2018.10.30DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297429PMC
November 2018

Giant Negative T Waves and QT Prolongation in Non-cardiogenic Pulmonary Edema: A Case Report and Review of Literature.

Cureus 2018 Oct 8;10(10):e3423. Epub 2018 Oct 8.

Department of Internal Medicine, University of Missouri-Columbia, Columbia, USA.

Giant negative T-waves have been linked to several cardiac and non-cardiac conditions. However, the presence of giant negative T-waves with QT prolongation in the setting of non-cardiogenic pulmonary edema is a rarely reported, female predominant, and poorly understood electrocardiographic phenomenon. We report a case of a 28-year-old white female who presented with acute diarrhea and was admitted due to acute kidney injury caused by a hemolytic uremic syndrome (HUS). Read More

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http://dx.doi.org/10.7759/cureus.3423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314535PMC
October 2018

Papillary Muscle Dysfunction Due to Coronary Slow-Flow Phenomenon Presenting with Acute Mitral Regurgitation and Unilateral Pulmonary Edema.

Indian J Crit Care Med 2018 Nov;22(11):806-808

Department of Critical Care Medicine, Narayana Multispecialty Hospital, Bengaluru, Karnataka, India.

Cardiogenic pulmonary edema usually presents with characteristic clinical features and bilateral infiltrates on the chest radiograph. Rarely, pulmonary edema may manifest unilaterally, leading to a mistaken diagnosis of a primary lung pathology. We present a 30-year-old man who developed acute coronary syndrome following an overdose of alprazolam. Read More

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http://dx.doi.org/10.4103/ijccm.IJCCM_343_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259443PMC
November 2018
1 Read

A real life evaluation of non invasive ventilation in acute cardiogenic pulmonary edema: a multicenter, perspective, observational study for the ACPE SIMEU study group.

BMC Emerg Med 2018 Dec 29;18(1):61. Epub 2018 Dec 29.

Emergency Medicine Department, ASST Papa Giovanni XIII, Bergamo, Italy.

Background: During the past three decades conflicting evidences have been published on the use of non-invasive ventilation (NIV) in patients with acute cardiogenic pulmonary edema (ACPE). The aim of this study is to describe the management of acute respiratory failure (ARF) due to ACPE in twelve Italian emergency departments (EDs). We evaluated prevalence, characteristics and outcomes of ACPE patients treated with oxygen therapy, continuous positive airway pressure (CPAP) or Bi-level positive airway pressure (BiPAP) on admission to the EDs. Read More

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http://dx.doi.org/10.1186/s12873-018-0216-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310941PMC
December 2018
1 Read

Thrombo-embolic complications in takotsubo syndrome: Review and demonstration of an illustrative case.

Clin Cardiol 2018 Dec 18. Epub 2018 Dec 18.

Coronary Artery Disease Area, Heart and Vascular Theme, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.

Thrombo-embolism is one of the serious complications of takotsubo syndrome (TS) in addition to heart failure, pulmonary edema, cardiogenic shock, cardiac arrest, life-threatening arrhythmias, left ventricular outlet tract obstruction, mitral regurgitation, cardiac rupture, and death. The most common cardio-embolic events in TS are cerebral, renal, and peripheral embolism. Approximately, one-third of patients with left ventricular thrombus (LVT) in TS develop embolic complications. Read More

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http://dx.doi.org/10.1002/clc.23137DOI Listing
December 2018
2 Reads

Pulmonary Production of Soluble ST2 in Heart Failure.

Circ Heart Fail 2018 Dec;11(12):e005488

IMIB-Arrixaca, University of Murcia, Spain (M.T.P.-M., M.C.A.-L., C.M.M., A.L.).

Background: Serum concentrations of ST2 (interleukin-1 receptor-like 1) represent a meaningful prognostic marker in cardiac diseases. Production of soluble ST2 (sST2) may be partially extracardiac. Identification of sST2 sources is relevant to design strategies for modulating its signaling. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCHEARTFAILURE.118
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http://dx.doi.org/10.1161/CIRCHEARTFAILURE.118.005488DOI Listing
December 2018
4 Reads

Etiology and prognosis of acute respiratory failure in patients with primary malignant brain tumors admitted to the intensive care unit.

J Neurooncol 2018 Dec 7. Epub 2018 Dec 7.

Sorbonne Universités, UPMC Univ Paris 06, INSERM, UMRS_1158 Neurophysiologie respiratoire expérimentale et clinique, Paris, France.

Purpose: Acute respiratory failure (ARF) is common and potentially fatal in patients with primary malignant brain tumors (PMBT). However, few data are available regarding its precipitating factors and prognosis. We sought to: (1) compare the causes of ARF and the outcome between patients with PMBT and patients with other peripheral solid tumors (PST), (2) identify the factors influencing ICU survival in PMBT patients. Read More

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http://dx.doi.org/10.1007/s11060-018-03074-yDOI Listing
December 2018
2 Reads

Polish recommendations for lung ultrasound in internal medicine (POLLUS-IM).

J Ultrason 2018 ;18(74):198-206

Department of Econometrics at the Faculty of Management, University of Gdansk, Gdansk, Poland.

The aim of this study was to establish recommendations for the use of lung ultrasound in internal medicine, based on reliable data and expert opinions. Methods: The bibliography from the databases (Pubmed, Medline, OVID, Embase) has been fully reviewed up to August 2017. Members of the expert group assessed the credibility of the literature data. Read More

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http://jultrason.pl/index.php/issues/volume-18-no-74/polish-
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http://dx.doi.org/10.15557/JoU.2018.0030DOI Listing
January 2018
8 Reads

Cardiogenic Shock after Nifedipine Administration in a Pregnant Patient: A Case Report and Review of the Literature.

J Transl Int Med 2018 09 9;6(3):152-156. Epub 2018 Oct 9.

Department of Intensive Care Medicine, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

We present a case of a 21-year-old Caucasian woman at 27 weeks of pregnancy who was admitted to the obstetric department for pre-term labor. She received 10 mg of nifedipine 4 times in 1 h, according to the internal protocol. Shortly after, she brutally deteriorated with pulmonary edema and hypoxemia requiring transfer to the intensive care unit (ICU) for mechanical ventilation. Read More

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http://content.sciendo.com/view/journals/jtim/6/3/article-p1
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http://dx.doi.org/10.2478/jtim-2018-0029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231299PMC
September 2018
11 Reads

[Use of noninvasive ventilation in critically ill patients].

Orv Hetil 2018 11;159(45):1831-1837

Aneszteziológiai és Intenzív Terápiás Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 78., 1085.

Introduction: The use of noninvasive ventilation has increased worldwide. Its mortality reducing benefit has been shown in several different conditions compared to invasive ventilation. Common counterarguments against the technique are its increased technical and caregiver requirements and increased mortality associated with treatment failure. Read More

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http://dx.doi.org/10.1556/650.2018.31052DOI Listing
November 2018
1 Read

Acute severe mitral regurgitation with cardiogenic shock following balloon mitral valvuloplasty: echocardiographic findings and outcomes following surgery.

Cardiovasc Interv Ther 2018 Nov 9. Epub 2018 Nov 9.

Department of Cardiology, JIPMER, Puducherry, 605006, India.

Acute severe mitral regurgitation (MR) is the commonest indication for emergency surgery following a balloon mitral valvuloplasty (BMV). It results in hemodynamic compromise with cardiogenic shock and or acute pulmonary edema. These patients deteriorate fast and often require respiratory and critical care support, followed by urgent mitral valve replacement (MVR). Read More

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http://link.springer.com/10.1007/s12928-018-0555-4
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http://dx.doi.org/10.1007/s12928-018-0555-4DOI Listing
November 2018
9 Reads

A case of pulmonary edema: The critical role of lung-heart integrated ultrasound examination.

Monaldi Arch Chest Dis 2018 Oct 1;88(3):982. Epub 2018 Oct 1.

CTO Hospital, Emergency Department.

Cardiogenic pulmonary edema is a common presentation of acute heart failure normally treated with continuous positive airway pressure (CPAP), diuretics and nitrates. This therapy is contraindicated in case of cardiac tamponade. We describe a case of pulmonary edema due to cardiac tamponade in which integrated lung-heart ultrasound examination allowed prompt diagnosis and pericardiocentesis before administration of CPAP thus avoiding circulatory collapse. Read More

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http://dx.doi.org/10.4081/monaldi.2018.982DOI Listing
October 2018
2 Reads

Non-invasive ventilation in cardiogenic pulmonary edema.

Ann Transl Med 2018 Sep;6(18):355

Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.

Cardiogenic pulmonary edema (CPE) is among the most common causes of acute respiratory failure (ARF) in the acute care setting and often requires ventilatory assistance. In patients with ARF due to CPE, use of non-invasive positive airway pressure can decrease the systemic venous return and the left ventricular (LV) afterload, thus reducing LV filling pressure and limiting pulmonary edema. In these patients, either non-invasive ventilation (NIV) or continuous positive airway pressure (CPAP) can improve vital signs and physiological parameters, decreasing the need for endotracheal intubation (ETI) and hospital mortality when compared to conventional oxygen therapy. Read More

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http://atm.amegroups.com/article/view/19394/20876
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http://dx.doi.org/10.21037/atm.2018.04.39DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186545PMC
September 2018
6 Reads

The neutrophil chemoattractant peptide proline-glycine-proline is associated with acute respiratory distress syndrome.

Am J Physiol Lung Cell Mol Physiol 2018 Nov 9;315(5):L653-L661. Epub 2018 Aug 9.

Division of Pulmonary, Allergy and Critical Care Medicine, University of Alabama at Birmingham , Birmingham, Alabama.

Acute respiratory distress syndrome (ARDS) is characterized by unrelenting polymorphonuclear neutrophil (PMN) inflammation and vascular permeability. The matrikine proline-glycine-proline (PGP) and acetylated PGP (Ac-PGP) have been shown to induce PMN inflammation and endothelial permeability in vitro and in vivo. In this study, we investigated the presence and role of airway PGP peptides in acute lung injury (ALI)/ARDS. Read More

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https://www.physiology.org/doi/10.1152/ajplung.00308.2017
Publisher Site
http://dx.doi.org/10.1152/ajplung.00308.2017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295514PMC
November 2018
7 Reads

Acute pancreatitis-induced takotsubo cardiomyopathy and cardiogenic shock treated with a percutaneous left ventricular assist device.

BMJ Case Rep 2018 Oct 12;2018. Epub 2018 Oct 12.

Department of Critical Care Medicine, Mayo Clinic's Campus in Florida, Jacksonville, Florida, USA.

A 63-year-old man was admitted for severe acute pancreatitis. On day 3 of hospitalisation, he developed shortness of breath and acute pulmonary oedema. Echocardiogram revealed global hypokinesis with a left ventricular ejection fraction of 20%, and he was diagnosed with takotsubo cardiomyopathy. Read More

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http://dx.doi.org/10.1136/bcr-2018-225877DOI Listing
October 2018
16 Reads

Unilateral cardiogenic pulmonary edema.

J Cardiol Cases 2018 Mar 27;17(3):85-88. Epub 2017 Nov 27.

The Department of Medicine & Cardiology, Chikamori Hospital, Kochi, Japan.

A 45-year-old man presented with fatigue for the previous two days. Because of severe hypoxemia and chest radiograph showing severe consolidation only in the right lung field, he was admitted to a near-by district hospital under the diagnosis of acute pneumonia. Since his respiratory condition rapidly deteriorated, he was transferred to our hospital. Read More

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http://dx.doi.org/10.1016/j.jccase.2017.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149651PMC
March 2018
3 Reads

Positive Pressure Ventilation in the Cardiac Intensive Care Unit.

J Am Coll Cardiol 2018 Sep;72(13):1532-1553

Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address:

Contemporary cardiac intensive care units (CICUs) provide care for an aging and increasingly complex patient population. The medical complexity of this population is partly driven by an increased proportion of patients with respiratory failure needing noninvasive or invasive positive pressure ventilation (PPV). PPV often plays an important role in the management of patients with cardiogenic pulmonary edema, cardiogenic shock, or cardiac arrest, and those undergoing mechanical circulatory support. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07351097183572
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http://dx.doi.org/10.1016/j.jacc.2018.06.074DOI Listing
September 2018
4 Reads
16.503 Impact Factor

Oral Dipyridamole-Associated Circulatory Collapse.

J Stroke Cerebrovasc Dis 2018 Dec 2;27(12):3460-3462. Epub 2018 Sep 2.

Department of Surgery, Division of Vascular Surgery, Tampere University Hospital, Tampere, Finland.

Extended-release dipyridamole plus aspirin is widely used for secondary prevention of ischemic stroke, although the molecular pharmacodynamics of dipyridamole are not completely determined. Adverse effects of fixed-dose combination of aspirin and dipyridamole include headache, bleeding, and gastrointestinal events. Previously, intravenous infusion of dipyridamole in cardiac stress testing has been associated with cardiogenic shock and pulmonary edema. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.08.009DOI Listing
December 2018
2 Reads

Evaluation of thrombotic left main coronary artery occlusions; old problem, different treatment approaches.

Authors:
Murat Akcay

Indian Heart J 2018 Jul - Aug;70(4):573-574. Epub 2017 Sep 14.

Department of Cardiology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey. Electronic address:

Thrombotic left main coronary artery (LMCA) occlusions usually manifest as acute coronary syndrome (ACS) with cardiogenic shock, acute pulmonary edema, cardiac arrest, fatal arrhythmias or sudden cardiac death. There is no clinically predictor for LMCA thrombosis and no consensus regarding the optimal treatment. In the current literature, treatment options include emergency coronary artery bypass grafting (CABG), stent implantation, intracoronary thrombolysis, anticoagulation with heparin or glycoprotein IIb/IIIa inhibitors, thrombus aspiration as reperfusion strategies. Read More

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http://dx.doi.org/10.1016/j.ihj.2017.09.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117801PMC
October 2018
3 Reads

Pressure support ventilation vs continuous positive airway pressure for treating of acute cardiogenic pulmonary edema. Comment.

Respir Physiol Neurobiol 2019 Jan 27;259:176-177. Epub 2018 Aug 27.

School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador. Electronic address:

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http://dx.doi.org/10.1016/j.resp.2018.08.004DOI Listing
January 2019
2 Reads

Hypocapnia and mental stress can trigger vicious circles in critically ill patients due to energy imbalance: a hypothesis presented through cardiogenic pulmonary oedema.

Authors:
Andras Sikter

Neuropsychopharmacol Hung 2018 Jun;20(2):65-74

Municipal Clinic of Szentendre, Internal Medicine, Szentendre, Hungary.

The pathophysiologic significance of hypocapnia is strongly underestimated both in functional and organic diseases. Alterations of carbon dioxide levels immediately appear in the cytoplasm, causing abrupt pH changes. Compensatory mechanisms develop with latency, so intracellular alkalosis or acidosis can affect metabolism for hours/days. Read More

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June 2018
2 Reads

Successful multidisciplinary treatment of uterine serous carcinoma in a patient who had previously undergone renal transplantation.

Taiwan J Obstet Gynecol 2018 Aug;57(4):601-604

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan; Gynecologic Cancer Research Center, Chang Gung Memorial Hospital, Taiwan. Electronic address:

Objective: Renal transplantation is a risk factor for premalignant and malignant changes of the endometrium. Thus, prompt and aggressive treatment of postoperative complications remains a major issue. We report the case of an asymptomatic postmenopausal woman with a history of renal transplantation who underwent surgery for uterine serous carcinoma (USC). Read More

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http://dx.doi.org/10.1016/j.tjog.2018.06.023DOI Listing
August 2018
2 Reads

Radiologic evaluation of pulmonary injury following carmustine- and cyclophosphamide-based preparative regimen for autologous peripheral blood stem cell transplantation in children.

Pediatr Radiol 2018 Dec 18;48(13):1875-1883. Epub 2018 Aug 18.

Department of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.

Background: Toxicity of carmustine and cyclophosphamide can cause pulmonary injury after hematopoietic stem cell transplantation.

Objective: To evaluate the radiologic findings of pulmonary injuries following carmustine- and cyclophosphamide-based preparative regimens in children.

Materials And Methods: From 2010 to 2014, 35 children received carmustine- and cyclophosphamide-based preparative regimens. Read More

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http://dx.doi.org/10.1007/s00247-018-4223-8DOI Listing
December 2018
2 Reads

Platelet to Lymphocyte Ratio on Admission and Prognosis in Patients with Acute Cardiogenic Pulmonary Edema.

J Emerg Med 2018 10 14;55(4):465-471. Epub 2018 Aug 14.

Department of Cardiology, Numune Education and Training Hospital, Ankara, Turkey.

Background: Acute heart failure is a heterogenous syndrome defined by a number of factors, such as its physiopathology, clinical picture, time of onset, and relation to acute coronary syndrome. Acute cardiogenic pulmonary edema (ACPE) constitutes approximately 10-20% of acute heart failure syndromes, and it is the most dramatic symptom of left heart failure. Platelet to lymphocyte ratio (PLR) is a relatively novel inflammatory marker that can be utilized for prognosis in various disease processes. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.06.021DOI Listing
October 2018
29 Reads

Left ventricular unloading during veno-arterial ECMO: a review of percutaneous and surgical unloading interventions.

Perfusion 2018 Aug 16:267659118794112. Epub 2018 Aug 16.

4 ECMO Department, Karolinska University Hospital, Stockholm, Sweden.

Short-term mechanical support by veno-arterial extracorporeal membrane oxygenation (VA ECMO) is more and more applied in patients with severe cardiogenic shock. A major shortcoming of VA ECMO is its variable, but inherent increase of left ventricular (LV) mechanical load, which may aggravate pulmonary edema and hamper cardiac recovery. In order to mitigate these negative sequelae of VA ECMO, different adjunct LV unloading interventions have gained a broad interest in recent years. Read More

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http://dx.doi.org/10.1177/0267659118794112DOI Listing
August 2018
19 Reads

Non-Invasive Mechanical Ventilation Versus Continuous Positive Airway Pressure in Cardiogenic Pulmonary Edema in an Intensive Care Unit.

Arch Bronconeumol 2019 Jan 11;55(1):63-64. Epub 2018 Aug 11.

Servicio de Medicina Intensiva, Hospital General Universitario de Castellón, Castellón de la Plana, Castellón, España. Electronic address:

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http://dx.doi.org/10.1016/j.arbres.2018.07.007DOI Listing
January 2019
3 Reads

Unilateral pulmonary edema: a case report and review of the literature.

J Med Case Rep 2018 Aug 14;12(1):219. Epub 2018 Aug 14.

Teaching Hospital, Peradeniya, Sri Lanka.

Background: Unilateral pulmonary edema is an uncommon condition and is a rare clinical entity that is often misdiagnosed at the initial stages. In a majority of patients it occurs in the upper lobe of the right lung. There are many causes of unilateral pulmonary edema, but the commonest is the presence of a grade 3 mitral regurgitation. Read More

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http://dx.doi.org/10.1186/s13256-018-1739-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090641PMC
August 2018
15 Reads

The Neutrophil Chemoattractant Peptide Proline-Glycine-Proline Is Associated With Acute Respiratory Distress Syndrome (ARDS).

Am J Physiol Lung Cell Mol Physiol 2018 Aug 9. Epub 2018 Aug 9.

Medicine, University Of Alabama at Birmingahm, United States.

ARDS is characterized by unrelenting PMN inflammation and vascular permeability. The matrikine proline-glycine-proline (PGP) and acetylated PGP (Ac-PGP) have been shown to induce PMN inflammation and endothelial permeability in vitro and in vivo. In this study, we investigated the presence and role of airway PGP peptides in acute lung injury (ALI)/ARDS. Read More

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http://dx.doi.org/10.1152/ajplung.00308.2017DOI Listing
August 2018
5 Reads

Prehospital non-invasive ventilation in acute respiratory failure is justified even if the distance to hospital is short.

Am J Emerg Med 2018 Jul 2. Epub 2018 Jul 2.

Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Asklepios Klinikum Harburg, Eißendorfer Pferdeweg 52, 21075 Hamburg, Germany. Electronic address:

Aims: Evaluation of the efficacy of prehospital non-invasive ventilation (NIV) in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) and cardiogenic pulmonary edema (CPE).

Material And Methods: Consecutive patients who were prehospitally treated by Emergency Physicians using NIV were prospectively included. A step-by-step approach escalating NIV-application from continuous positive airway pressure (CPAP) to continuous positive airway pressure supplemented by pressure support (CPAP-ASB) and finally bilevel inspiratory positive airway pressure (BIPAP) was used. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.07.001DOI Listing
July 2018
10 Reads

ARDS Cannot Be Accurately Differentiated From Cardiogenic Pulmonary Edema Without Systematic Tissue Doppler Echocardiography.

Chest 2018 Jul;154(1):226-227

Department of Cardiology, Azienda Sanitaria Provinciale di Trapani, Trapani, Italy.

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http://dx.doi.org/10.1016/j.chest.2018.03.036DOI Listing
July 2018
2 Reads
7.483 Impact Factor

Adrenergic cardiomyopathy and cardiogenic shock as initial presentation of pheochromocytoma. A case report and review of the literature.

Int J Surg Case Rep 2018 27;49:145-148. Epub 2018 Jun 27.

General Surgery Department, Vall d'Hebron University Hospital, Barcelona, Spain; Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.

Introduction: Pheochromocytomas are infrequent tumors arised from the chromaphine cells of the adrenal sympathetic system. The excess of circulating catecholamines may lead to different cardiovascular disorders from silent alterations of the myocardial conduction to different forms of cardiomyopathy. The onset as cardiogenic shock is exceptional. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.06.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068086PMC
June 2018
3 Reads

Acute pulmonary edema in an obstetric intensive care unit: A case series study.

Medicine (Baltimore) 2018 Jul;97(28):e11508

Postgraduate Program on Maternal and Child Health, Instituto de Medicina Integral Prof. Fernando Figueira.

Acute pulmonary edema (PE) affects 0.08% to 1.5% of women during pregnancy and in the postpartum. Read More

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http://dx.doi.org/10.1097/MD.0000000000011508DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076064PMC
July 2018
2 Reads

Oedème pulmonaire lésionnel par inhalation de vapeurs d’acide phosphorique traité par vni.

Authors:
S Siah I Nakkabi

Ann Burns Fire Disasters 2017 Dec;30(4):278-280

Service d'Oto-Rhino-Laryngologie, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc.

White phosphorus injuries are considered both thermal and chemical burns. They should be well known, especially in military and terrorism contexts. This type of burn causes a life-threatening systemic toxicity from hypocalcemia, cardiac arrhythmia and respiratory complications by inhalation of phosphoric acid vapours. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033480PMC
December 2017
4 Reads

Nonsteroidal anti-inflammatory drug-induced acute respiratory distress syndrome.

Am J Emerg Med 2018 Oct 3;36(10):1929.e1-1929.e2. Epub 2018 Jul 3.

Derince Training and Research Hospital, Department of Emergency Medicine, Kocaeli, Turkey.

Drug induced acute respiratory distress syndrome (ARDS) is a common clinical condition. Patients typically present with noncardiogenic pulmonary edema. Large number of ARDS cases reported induced by antineoplastic drugs and other drug intoxications. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.07.004DOI Listing
October 2018
6 Reads

Takotsubo cardiomyopathy: A discussion and case study.

J Am Assoc Nurse Pract 2018 Jul;30(7):392-397

College of Nursing, Houston Center, Texas Woman's University, Denton, Texas.

Background And Purpose: Takotsubo cardiomyopathy (TCM), first reported by Japanese doctors, has gained an overall acknowledgment as an independent malady of international attention. It resembles the presentation of an acute myocardial infarction but lacks ischemic myocardial tissue. The objective of this article is to review the physiology, diagnostics, treatment, and complications of TCM and report a case study of a patient who developed TCM. Read More

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http://dx.doi.org/10.1097/JXX.0000000000000078DOI Listing
July 2018
9 Reads

Double Culprits in a Patient with ST Elevation Myocardial Infarction: A Challenging But Rewarding Case.

Acta Med Indones 2018 Apr;50(2):165-167

Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Myocardial infarction simultaneously involving two or more culprit lesions is extremely rare and usually has a poor clinical outcomes including mortality. Management of this complicated condition is challenging and limited time. Nevertheless, autopsy studies revealed that thrombotic occlusion of more than one major epicardium coronary artery is not uncommon. Read More

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April 2018
6 Reads

Treating acute hypertensive cardiogenic pulmonary edema with high-dose nitroglycerin.

Turk J Emerg Med 2018 Mar 2;18(1):34-36. Epub 2018 Feb 2.

Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei City, Taiwan.

Acute pulmonary edema due to sympathetic surge and increased peripheral vascular resistance often present to the emergency department (ED) with markedly elevated blood pressure, severe dyspnea, and desaturation. This condition is known as "SCAPE" (sympathetic crashing acute pulmonary edema). We present three SCAPE patients who were successfully treated with high-dose nitroglycerin (NTG) and bilevel positive airway pressure (BiPAP) ventilation. Read More

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http://dx.doi.org/10.1016/j.tjem.2018.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009803PMC
March 2018
2 Reads

Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media.

Open Access Emerg Med 2018 14;10:75-79. Epub 2018 Jun 14.

Department of Internal Medicine, Riviera - Chablais Hospital, Monthey Site, Route de Morgins, Monthey, Switzerland.

Background: Non-cardiogenic pulmonary edema (NCPE) after intravenous (iv) administration of non-ionic radiocontrast media (RCM) is a rare but life-threatening complication. In a context of emergency, its diagnosis is difficult.

Case Report: We report the case of a 55-year-old woman who developed an acute pulmonary edema following iv infusion of non-ionic, low-osmolar RCM during abdominal CT scan. Read More

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http://dx.doi.org/10.2147/OAEM.S154081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005305PMC
June 2018
2 Reads

Noninvasive Options.

Crit Care Clin 2018 Jul 4;34(3):395-412. Epub 2018 May 4.

Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario Agostino Gemelli, Università Cattolica del Sacro Cuore, Largo A. Gemelli 8, Rome 00168, Italy.

Noninvasive ventilation (NIV) has assumed a central role in the treatment of selected patients with acute respiratory failure due to exacerbated chronic obstructive pulmonary disease or acute cardiogenic pulmonary edema. Recent advances in the understanding of physiologic aspects of NIV application through different interfaces and ventilator settings have led to improved patient-machine interaction, enhancing favorable NIV outcome. In recent years, the growing role of NIV in the acute care setting has led to the development of technical innovations to overcome the problems related to gas leakage and dead space, improving the quality of the devices and optimizing ventilation modes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490704183068
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http://dx.doi.org/10.1016/j.ccc.2018.03.007DOI Listing
July 2018
12 Reads

Misconceptions in acute heart failure diagnosis and Management in the Emergency Department.

Am J Emerg Med 2018 Sep 1;36(9):1666-1673. Epub 2018 Jun 1.

Brooke Army Medical Center, Department of Emergency Medicine, 3841 Roger Brooke Dr, Fort Sam Houston, 78234, TX, United States. Electronic address:

Introduction: Acute heart failure (AHF) accounts for a significant number of emergency department (ED) visits, and the disease may present along a spectrum with a variety of syndromes.

Objective: This review evaluates several misconceptions concerning heart failure evaluation and management in the ED, followed by several pearls.

Discussion: AHF is a heterogeneous syndrome with a variety of presentations. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.05.077DOI Listing
September 2018
2 Reads

Non-Invasive Mechanical Ventilation Compared to Positive Airway Pressure in Cardiogenic Pulmonary Edema.

Arch Bronconeumol 2018 Nov 30;54(11):594. Epub 2018 May 30.

Servicio de Urgencias, Unidad de Corta Estancia, Hospital General de Alicante, Alicante, España. Electronic address:

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http://dx.doi.org/10.1016/j.arbres.2018.04.017DOI Listing
November 2018
4 Reads

Acute non-cardiogenic pulmonary oedema due to contralateral pulmonary re-expansion after thoracentesis: an uncommon complication.

BMJ Case Rep 2018 May 29;2018. Epub 2018 May 29.

Heart Failure Unit, Internal Medicine Department, Hospital de São Francisco Xavier, Lisboa, Portugal.

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http://dx.doi.org/10.1136/bcr-2018-224903DOI Listing
May 2018
5 Reads

Acute noncardiogenic pulmonary edema after neostigmine administration during the recovery period of general anesthesia: A case report.

Medicine (Baltimore) 2018 May;97(21):e10525

Department of Anesthesia, China-Japan Union Hospital of Jilin University.

Rationale: Acute non-cardiogenic pulmonary edema (ANPE) is a rare but challenging complication which occurs during the perioperative period, mainly before and after the extubation in the course of the recovery period of general anesthesia. It is characterized by increased fluid in extravascular pulmonary spaces, preventing gas exchange and further resulting in respiratory failure.

Patient Concerns: A 12-year-old boy who had undergone island skin flap in the right upper limb and who developed a unilateral pulmonary edema after the administration of neostigmine during the recovery period of general anesthesia. Read More

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http://dx.doi.org/10.1097/MD.0000000000010525DOI Listing
May 2018
2 Reads

In reply to: "Intra-aortic balloon pump protects against hydrostatic pulmonary oedema during peripheral venoarterial-extracorporeal membrane oxygenation".

Eur Heart J Acute Cardiovasc Care 2018 May 1:2048872618779772. Epub 2018 May 1.

3 Division of Cardiothoracic Surgery, Duke University Medical Center, Durham, USA.

Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is an increasingly utilized life-saving measure. However, left-ventricular distention from inadequate left-ventricular off-loading can lead to unwanted pulmonary and cardiac complications. We are writing to indicate our agreement with a recent article by Brechot et al. Read More

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http://journals.sagepub.com/doi/10.1177/2048872618779772
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http://dx.doi.org/10.1177/2048872618779772DOI Listing
May 2018
5 Reads