HEMODYNAMIC STUDIES IN ACUTE PULMONARY EDEMA
Authors: J K FINLAYSON, M N LURIA, C A STANFIELD, P N YU
Journal: Annals of Internal Medicine (1961)

Article1 February 1961HEMODYNAMIC STUDIES IN ACUTE PULMONARY EDEMAJAMES K. FINLAYSON, M.B., M.R.C.P., MILTON N. LURIA, M.D., C. ALPHEUS STANFIELD, M.D., PAUL N. YU, M.D., F.A.C.P.JAMES K. FINLAYSON, M.B., M.R.C.P., MILTON N. LURIA, M.D., C. ALPHEUS STANFIELD, M.D., PAUL N. YU, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-2-244 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptData on the hemodynamic changes which occur during acute pulmonary edema in man are still relatively scanty although a few workers have published their findings in this condition.1-4 Recently in our laboratory we studied five patients who developed acute pulmonary edema during cardiac catheterization. In each patient the onset of pulmonary edema was evidenced by acute dyspnea, cough, mental distress, and the development of râles throughout the lung fields. In one patient frothy pink sputum was expectorated. We present our methods and our results below.METHODSThe patients were studied in the supine position and all pressure measurements were referred...Bibliography1. GorlinLewisHaynesSpieglDexter RBMFWRJL: Factors regulating pulmonary "capillary" pressure in mitral stenosis. IV. Amer. Heart J. 41: 834, 1951. CrossrefMedlineGoogle Scholar2. LenegreScebatBenchemontDamien JLFJ: Étude de la pression capillaire pulmonaire dans differents types de cardiopathies. Arch. Mal. Coeur. 46: 1, 1953. MedlineGoogle Scholar3. Hayward GW: Pulmonary oedema. Brit. Med. J. 1: 1361, 1955. CrossrefMedlineGoogle Scholar4. FejfarFejfarovaBergmannBrod ZMKJ: Haemodynamic changes during acute pulmonary oedema. Cardiologia 34: 233, 1959. CrossrefMedlineGoogle Scholar5. RoughtonForster FJRE: The relative importance of diffusion and chemical reaction rates in determining the rate of exchange of gases in the human lung, with special reference to the volume of blood in the lung capillaries and the true diffusing capacity of the pulmonary membrane. J. Appl. Physiol. 11: 290, 1957. CrossrefMedlineGoogle Scholar6. ParkerWeiss FS: The nature and significance of the structural changes in the lungs in mitral stenosis. Amer. J. Path. 12: 573, 1936. MedlineGoogle Scholar7. SarnoffSarnoff SJLC: Neurohemodynamics of pulmonary edema. I. Autonomic influence on pulmonary vascular pressures and the acute pulmonary edema state, a preliminary report. Dis. Chest. 22: 685, 1952. CrossrefMedlineGoogle Scholar8. YuNyeLovejoySchreinerYim PNREFWBFBJ: Studies of pulmonary hypertension. IX. The effects of intravenous hexamethonium on pulmonary circulation in patients with mitral stenosis. J. Clin. Invest. 37: 194, 1958. CrossrefMedlineGoogle Scholar9. Sarnoff SJ: Some physiologic considerations in the genesis of acute pulmonary edema. Pulmonary Circulation, p. 273, Grune & Stratton, New York, 1959. Google Scholar10. WerköFriskWadeEliasch LARGH: Effect of hexamethonium bromide in arterial hypertension. Lancet 2: 470, 1951. CrossrefMedlineGoogle Scholar11. KelleyFreisHiggins RTEDTF: The effects of hexamethonium on certain manifestations of congestive heart failure. Circulation 7: 169, 1953. CrossrefMedlineGoogle Scholar12. Bainbridge FA: The influence of venous filling upon the rate of the heart. J. Physiol. 50: 65, 1915. CrossrefMedlineGoogle Scholar13. BurchRomney GERB: Functional anatomy and "throttle valve" action of the pulmonary veins. Amer. Heart J. 47: 58, 1954. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Rochester, New York*Received July 19, 1960.Presented at the Forty-first Annual Meeting of The American College of Physicians, San Francisco, California, April 6, 1960.From the Cardiopulmonary Laboratory, Department of Medicine, University of Rochester School of Medicine and Dentistry, and Medical Clinics of Strong Memorial and Rochester Municipal Hospitals, Rochester, New York.†This study was supported in part by research grants-in-aid from the National Heart Institute (H-3966), the American Heart Association, the New York Assembly, and the Livingston, Cayuga, and Monroe County Heart Chapters.‡This work was done during the tenure of an Exchange Fellowship from the Board of Management for Aberdeen General Hospitals, Aberdeen, Scotland.Requests for reprints should be addressed to Paul N. Yu, M.D., Strong Memorial Hospital, 260 Crittenden Boulevard, Rochester 20, New York. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFlash Pulmonary Edema: An Unusual Presentation during Orthognathic SurgeryCIRCULATING SURFACTANT PROTEIN-B LEVELS INCREASE ACUTELY IN RESPONSE TO EXERCISE-INDUCED LEFT VENTRICULAR DYSFUNCTIONInfarct-induced chronic heart failure increases bidirectional protein movement across the alveolocapillary barrierProlonged alveolocapillary barrier damage after acute cardiogenic pulmonary edema*Emergency treatment of severe cardiogenic pulmonary edema with intravenous isosorbide-5-mononitrateHypovolemia and hypotension complicating management of acute cardiogenic pulmonary edemaVasodilator Therapy of Cardiac FailureIncreases in plasma oncotic pressure during acute cardiogenic pulmonary edema.The Metabolic and Respiratory Acidosis of Acute Pulmonary EdemaARNOLD ABERMAN, M.D., C.M., MILFORD FULOP, M.D., F.A.C.P.The pathophysiology of pulmonary congestionHAEMODYNAMICS IN ACUTE PULMONARY OEDEMA IN CORONARY PATIENTSParoxysmal pulmonary edema and the acute cardiac lung∗Hemodynamic findings in acuteglomerulonephritisHÆMODYNAMIC FACTORS IN THE DEVELOPMENT OF ACUTE PULMONARY ŒDEMA IN RENAL FAILUREACUTE PULMONARY EDEMAPulmonary venous (wedge) pressureSome Regulatory Mechanisms of the Human Pulmonary Vascular BedThe Hilum in Pulmonary Venous Hypertension 1 February 1961Volume 54, Issue 2Page: 244-252KeywordsDyspneaEdemaHeartHemodynamicsResearch grantsResearch laboratoriesSputumStenosisTachycardiaVasoconstriction ePublished: 1 December 2008 Issue Published: 1 February 1961 PDF downloadLoading ...