Document Detail

Non-cardiogenic pulmonary edema complicating electroconvulsive therapy: short review of the pathophysiology and diagnostic approach.
MedLine Citation:
PMID:  22031475     Owner:  NLM     Status:  MEDLINE    
Acute pulmonary edema complicating electroconvulsive therapy is an extremely uncommon event that has rarely been described in the literature. Different theories, including one suggesting a cardiogenic component, have been proposed to explain its genesis. The present report describes a classic presentation of this condition with review of its potential mechanisms and diagnostic approach. After successful completion of a session of electroconvulsive therapy, a 42-year-old woman with major depressive disorder developed acute systemic high blood pressure, shortness of breath, and hemoptysis. A chest radiograph demonstrated diffuse bilateral pulmonary infiltrates. Initially cardiogenic pulmonary edema was presumed, but an extensive diagnostic work-up demonstrated normal systolic and diastolic left ventricular function, and with only supportive measures, a complete clinical and radiographic recovery was achieved within 48 hours. The present case does not support any cardiogenic mechanism in the genesis of this condition.
Janaki R Manne; Yusuf Kasirye; Narendranath Epperla; Romel J Garcia-Montilla
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2011-10-26
Journal Detail:
Title:  Clinical medicine & research     Volume:  10     ISSN:  1554-6179     ISO Abbreviation:  Clin Med Res     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-20     Completed Date:  2012-12-27     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  101175887     Medline TA:  Clin Med Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-6     Citation Subset:  IM    
Department of Hospital Medicine, Marshfield Clinic, Marshfield, WI 54449, USA.
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MeSH Terms
Depressive Disorder, Major* / metabolism,  physiopathology,  radiography,  therapy
Electroconvulsive Therapy / adverse effects*
Pulmonary Edema* / etiology,  metabolism,  physiopathology,  radiography

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