Document Detail

Clinical images. Pulmonary edema without an obvious cause: handgrip-induced large dynamic changes in ischemic mitral regurgitation in the cath lab.
MedLine Citation:
PMID:  20516513     Owner:  NLM     Status:  MEDLINE    
We report a case of pulmonary edema experienced in a patient with severe left ventricular dysfunction without an obvious cause. Thus, we tested the hypothesis of a dynamic increase in the severity of (ischemic) mitral regurgitation. Right- and left-heart cardiac catheterization was performed before and after 2 minutes of maximal handgrip. We observed an increase in the patient's left ventricular systolic and end-diastolic pressures, his pulmonary and wedge capillary pressures, his heart rate and severe mitral regurgitation.
Enrico Favaretto; Giuseppe Tarantini
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  22     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  298-9     Citation Subset:  IM    
Division of Cardiology, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy.
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MeSH Terms
Acute Disease
Hand Strength
Heart Catheterization*
Middle Aged
Mitral Valve Insufficiency / complications,  physiopathology,  radiography*
Pulmonary Edema / etiology,  physiopathology,  radiography*
Pulmonary Wedge Pressure
Ventricular Dysfunction, Left / etiology,  physiopathology,  radiography*
Ventricular Pressure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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