Flash pulmonary edema

Rimoldi, Stefano F; Yuzefpolskaya, Melana; Allemann, Yves; Messerli, Franz (2009). Flash pulmonary edema. Progress in cardiovascular diseases, 52(3), pp. 249-59. Orlando, Fla.: Elsevier 10.1016/j.pcad.2009.10.002

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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.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Rimoldi, Stefano and Allemann, Yves

ISSN:

0033-0620

ISBN:

19917337

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:09

Last Modified:

04 May 2014 23:22

Publisher DOI:

10.1016/j.pcad.2009.10.002

PubMed ID:

19917337

Web of Science ID:

000272421800010

URI:

https://boris.unibe.ch/id/eprint/30209 (FactScience: 191444)

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