| Flash pulmonary edema. | |
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MedLine Citation:
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PMID: 19917337 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Flash pulmonary edema (FPE) is a general clinical term used to describe a particularly dramatic form of acute decompensated heart failure. Well-established risk factors for heart failure such as hypertension, coronary ischemia, valvular heart disease, and diastolic dysfunction are associated with acute decompensated heart failure as well as with FPE. However, endothelial dysfunction possibly secondary to an excessive activity of renin-angiotensin-aldosterone system, impaired nitric oxide synthesis, increased endothelin levels, and/or excessive circulating catecholamines may cause excessive pulmonary capillary permeability and facilitate FPE formation. Renal artery stenosis particularly when bilateral has been identified has a common cause of FPE. Lack of diurnal variation in blood pressure and a widened pulse pressure have been identified as risk factors for FPE. This review is an attempt to delineate clinical and pathophysiological mechanisms responsible for FPE and to distinguish pathophysiologic, clinical, and therapeutic aspects of FPE from those of acute decompensated heart failure. |
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Authors:
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Stefano F Rimoldi; Melana Yuzefpolskaya; Yves Allemann; Franz Messerli |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Progress in cardiovascular diseases Volume: 52 ISSN: 1532-8643 ISO Abbreviation: Prog Cardiovasc Dis Publication Date: 2009 Nov-Dec |
Date Detail:
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Created Date: 2009-11-17 Completed Date: 2010-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376442 Medline TA: Prog Cardiovasc Dis Country: United States |
Other Details:
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Languages: eng Pagination: 249-59 Citation Subset: AIM; IM |
Affiliation:
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Swiss Cardiovascular Center Bern, University Hospital, Bern, Switzerland. stefano.rimoldi@insel.ch |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Diagnosis, Differential Heart Failure / diagnosis, etiology, physiopathology Humans Pulmonary Edema / diagnosis, etiology*, physiopathology* Renin-Angiotensin System / physiology Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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