Cardiac-pulmonary edema and low pulmonary capillary wedge pressure

D. Gann, P. H. Segall, P. Samet, D. Korn

Research output: Contribution to journalArticle

Abstract

We describe a patient who presented with acute massive pulmonary edema, clinicall and on chest roentgenogram. Two hours later the patient became hypotensive and was found to have a low pulmonary capillary wedge pressure (PCWP). The blood pressure returned to normal after administration of fluids. Acute pulmonary edema develops if PCWP rises higher than 25 to 30 mm Hg. In our patient, the elevated PCWP fell to low normal within two hours, when chest roentgenogram and clinical examination still suggested severe pulmonary edema. A phase lag existed between lowering of the pulmonalry capillary wedge pressure and clearing of fluid from the alveolar and interstitial spaces in the lungs. At least three different pathogenetic mechanisms in patienjts with coronary artery disease can produce this phase lag. Transient global ischemia of the left ventricle was thought to be the responsible mechanism in our patient.

Original languageEnglish
Pages (from-to)1413-1415
Number of pages3
JournalSouthern Medical Journal
Volume72
Issue number11
StatePublished - Dec 1 1979
Externally publishedYes

Fingerprint

Cardiac Edema
Pulmonary Wedge Pressure
Pulmonary Edema
Thorax
Extracellular Fluid
Heart Ventricles
Coronary Artery Disease
Ischemia
Blood Pressure
Lung

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gann, D., Segall, P. H., Samet, P., & Korn, D. (1979). Cardiac-pulmonary edema and low pulmonary capillary wedge pressure. Southern Medical Journal, 72(11), 1413-1415.

Cardiac-pulmonary edema and low pulmonary capillary wedge pressure. / Gann, D.; Segall, P. H.; Samet, P.; Korn, D.

In: Southern Medical Journal, Vol. 72, No. 11, 01.12.1979, p. 1413-1415.

Research output: Contribution to journalArticle

Gann, D, Segall, PH, Samet, P & Korn, D 1979, 'Cardiac-pulmonary edema and low pulmonary capillary wedge pressure', Southern Medical Journal, vol. 72, no. 11, pp. 1413-1415.
Gann D, Segall PH, Samet P, Korn D. Cardiac-pulmonary edema and low pulmonary capillary wedge pressure. Southern Medical Journal. 1979 Dec 1;72(11):1413-1415.
Gann, D. ; Segall, P. H. ; Samet, P. ; Korn, D. / Cardiac-pulmonary edema and low pulmonary capillary wedge pressure. In: Southern Medical Journal. 1979 ; Vol. 72, No. 11. pp. 1413-1415.
@article{b3820584aefa4075bcf132229cfae46c,
title = "Cardiac-pulmonary edema and low pulmonary capillary wedge pressure",
abstract = "We describe a patient who presented with acute massive pulmonary edema, clinicall and on chest roentgenogram. Two hours later the patient became hypotensive and was found to have a low pulmonary capillary wedge pressure (PCWP). The blood pressure returned to normal after administration of fluids. Acute pulmonary edema develops if PCWP rises higher than 25 to 30 mm Hg. In our patient, the elevated PCWP fell to low normal within two hours, when chest roentgenogram and clinical examination still suggested severe pulmonary edema. A phase lag existed between lowering of the pulmonalry capillary wedge pressure and clearing of fluid from the alveolar and interstitial spaces in the lungs. At least three different pathogenetic mechanisms in patienjts with coronary artery disease can produce this phase lag. Transient global ischemia of the left ventricle was thought to be the responsible mechanism in our patient.",
author = "D. Gann and Segall, {P. H.} and P. Samet and D. Korn",
year = "1979",
month = "12",
day = "1",
language = "English",
volume = "72",
pages = "1413--1415",
journal = "Southern Medical Journal",
issn = "0038-4348",
publisher = "Lippincott Williams and Wilkins",
number = "11",

}

TY - JOUR

T1 - Cardiac-pulmonary edema and low pulmonary capillary wedge pressure

AU - Gann, D.

AU - Segall, P. H.

AU - Samet, P.

AU - Korn, D.

PY - 1979/12/1

Y1 - 1979/12/1

N2 - We describe a patient who presented with acute massive pulmonary edema, clinicall and on chest roentgenogram. Two hours later the patient became hypotensive and was found to have a low pulmonary capillary wedge pressure (PCWP). The blood pressure returned to normal after administration of fluids. Acute pulmonary edema develops if PCWP rises higher than 25 to 30 mm Hg. In our patient, the elevated PCWP fell to low normal within two hours, when chest roentgenogram and clinical examination still suggested severe pulmonary edema. A phase lag existed between lowering of the pulmonalry capillary wedge pressure and clearing of fluid from the alveolar and interstitial spaces in the lungs. At least three different pathogenetic mechanisms in patienjts with coronary artery disease can produce this phase lag. Transient global ischemia of the left ventricle was thought to be the responsible mechanism in our patient.

AB - We describe a patient who presented with acute massive pulmonary edema, clinicall and on chest roentgenogram. Two hours later the patient became hypotensive and was found to have a low pulmonary capillary wedge pressure (PCWP). The blood pressure returned to normal after administration of fluids. Acute pulmonary edema develops if PCWP rises higher than 25 to 30 mm Hg. In our patient, the elevated PCWP fell to low normal within two hours, when chest roentgenogram and clinical examination still suggested severe pulmonary edema. A phase lag existed between lowering of the pulmonalry capillary wedge pressure and clearing of fluid from the alveolar and interstitial spaces in the lungs. At least three different pathogenetic mechanisms in patienjts with coronary artery disease can produce this phase lag. Transient global ischemia of the left ventricle was thought to be the responsible mechanism in our patient.

UR - http://www.scopus.com/inward/record.url?scp=0018593118&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018593118&partnerID=8YFLogxK

M3 - Article

C2 - 505073

AN - SCOPUS:0018593118

VL - 72

SP - 1413

EP - 1415

JO - Southern Medical Journal

JF - Southern Medical Journal

SN - 0038-4348

IS - 11

ER -