| Increased extravascular lung water in patients with low pulmonary artery occlusion pressure after acute myocardial infarction. | |
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MedLine Citation:
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PMID: 1986886 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the clinical characteristics of increased extravascular lung water (EVLW) in patients with low pulmonary artery occlusion pressure (PAOP) in the early phase of acute myocardial infarction. DESIGN: Consecutive sample for descriptions of the clinical features of medical disorders. SETTING: A general medicine group practice in a university hospital. PATIENTS: Sixteen patients with low PAOP (less than 18 mm Hg) on the initial measurement obtained within 12 hr of chest pain onset. MEASUREMENTS AND MAIN RESULTS: EVLW was measured by the thermal indocyanine green dye double-indicator dilution method. QRS score was obtained on hospital day 7 from the Selvester's QRS Scoring System. Eleven (69%) patients had increased EVLW greater than 7 mL/kg despite low PAOP. EVLW had no significant correlation with PAOP and the difference between plasma colloid osmotic pressure and PAOP, but did have a significant correlation with pulmonary vascular resistance index (r2 = .31, p less than .05), and QRS score (r2 = .45, p less than .005). CONCLUSIONS: Larger infarcts led to increased EVLW even with low PAOP, and the accumulation of increased EVLW around the small arterioles might have led to increased pulmonary vascular resistance. |
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Authors:
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Y Takayama; T Iwasaka; T Sugiura; T Sumimoto; M Takeuchi; H Tsuji; H Takashima; H Taniguchi; M Inada |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Critical care medicine Volume: 19 ISSN: 0090-3493 ISO Abbreviation: Crit. Care Med. Publication Date: 1991 Jan |
Date Detail:
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Created Date: 1991-02-20 Completed Date: 1991-02-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0355501 Medline TA: Crit Care Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 21-5 Citation Subset: AIM; IM |
Affiliation:
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Second Department of Internal Medicine, Kansai Medical University, Osaka, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Pressure* Extravascular Lung Water / physiology* Humans Indicator Dilution Techniques Middle Aged Myocardial Infarction / blood, complications, physiopathology* Osmotic Pressure Pulmonary Artery / physiopathology* Pulmonary Edema / etiology, physiopathology Vascular Resistance |
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