ISSN 1671-5411 CN 11-5329/R
Gideon Charach, Michael Shochat, Alexander Rabinovich, Oded Ayzenberg, Jacob George, Lior Charach, Pavel Rabinovich. Preventive treatment of alveolar pulmonary edema of cardiogenic origin[J]. Journal of Geriatric Cardiology, 2012, 9(4): 321-327. DOI: 10.3724/SP.J.1263.2012.07231
Citation: Gideon Charach, Michael Shochat, Alexander Rabinovich, Oded Ayzenberg, Jacob George, Lior Charach, Pavel Rabinovich. Preventive treatment of alveolar pulmonary edema of cardiogenic origin[J]. Journal of Geriatric Cardiology, 2012, 9(4): 321-327. DOI: 10.3724/SP.J.1263.2012.07231

Preventive treatment of alveolar pulmonary edema of cardiogenic origin

More Information
  • Received Date: July 22, 2012
  • Objective To evaluate the efficacy of preventive treatment (PT) on alveolar pulmonary edema (APE) of cardiogenic origin using a monitor based on principles of internal thoracic impedance (ITI) measurements. Methods We conducted blinded clinical trials on patients with ST-elevation myocardial infarction (STEMI) and monitored whether the condition would progress to APE. ITI was measured non- invasively by the Edema Guard Monitor (EGM, model RS-207) every 30 min. The measurement threshold for the diagnosis of APE was fixed at > 12% decrease in ITI from baseline as described in our methodology. The patients were divided into one group that received standard treatment after the appearance of clinical signs of APE without considering the prediction of APE by EGM devise (Group 1), and another group of asymptomatic patients in whom development of APE was predicted by using only EGM measurements (Group 2). The latter participants’ PT consisted of furosemide, intravenous nitroglycerine and supplemental oxygen. Results One-hundred and fifty patients with acute STEMI were enrolled into this study. Group 1 included 100 patients (53% males, age 64.1 ± 12.6 years). Treatment was started after the clinical appearance of overt signs of APE. Group 2 included 50 patients (54% males, age 65.2 ± 11.9 years) who received PT based on EGM measurements. Group 2 had significantly fewer cases of APE (n = 4, 8%) than Group 1 (n = 100, 100%) (P > 0.001). While APE was lethal in six (6%) Group 1 patients, PT resulted in prompt resolution of APE in all four (8%) Group 2 patients. Conclusion ITI is a useful modality for early diagnosis and PT of pulmonary edema of cardiogenic origin.
  • Related Articles

    [1]Qian-Yun GUO, Xun-Xun FENG, Zhi-Jian WANG, Yue-Ping LI, Jing QI, Yu-Jie ZHOU. Is it better to choose immediate dialysis treatment for renal transplant patients after PCI?[J]. Journal of Geriatric Cardiology, 2020, 17(2): 116-119. DOI: 10.11909/j.issn.1671-5411.2020.02.004
    [2]Giulio Cesar Gequelim, Djanira Aparecida da Luz Veronez, Gustavo Lenci Marques, Camila Harumi Tabushi, Ronaldo da Rocha Loures Bueno. Thoracic aorta thickness and histological changes with aging: an experimental rat model[J]. Journal of Geriatric Cardiology, 2019, 16(7): 580-584. DOI: 10.11909/j.issn.1671-5411.2019.07.001
    [3]Li–Sheng LIU;Joint Committee for Guideline Revision. 2018 Chinese Guidelines for Prevention and Treatment of Hypertension—A report of the Revision Committee of Chinese Guidelines for Prevention and Treatment of Hypertension[J]. Journal of Geriatric Cardiology, 2019, 16(3): 182-241. DOI: 10.11909/j.issn.1671-5411.2019.03.014
    [4]Wei-Zhong ZHANG. Intensified, optimized and standardized management of Chinese patients with hypertension: Comments on “2018 Chinese Guidelines for Prevention and Treatment of Hypertension”[J]. Journal of Geriatric Cardiology, 2019, 16(3): 178-181. DOI: 10.11909/j.issn.1671-5411.2019.03.013
    [5]Akihiro Endo, Taiji Okada, Misun Pak, Yuzo Kagawa, Shimpei Ito, Hirotomo Sato, Kenji Kageshima, Yasuyuki Yoshida, Kazuaki Tanabe. Comparison of the low-density lipoprotein cholesterol target value and the preventive effect of statins in elderly patients and younger patients[J]. Journal of Geriatric Cardiology, 2017, 14(6): 383-391. DOI: 10.11909/j.issn.1671-5411.2017.06.004
    [6]Gabrielle Turner-McGrievy, Trisha Mandes, Anthony Crimarco. A plant-based diet for overweight and obesity prevention and treatment[J]. Journal of Geriatric Cardiology, 2017, 14(5): 369-374. DOI: 10.11909/j.issn.1671-5411.2017.05.002
    [7]Michelle McMacken, Sapana Shah. A plant-based diet for the prevention and treatment of type 2 diabetes[J]. Journal of Geriatric Cardiology, 2017, 14(5): 342-354. DOI: 10.11909/j.issn.1671-5411.2017.05.009
    [8]Hui-Chun YU, Xiao-Bing MA, Zhen-Qing WANG, Hui-Jun XU, Ping WANG, Feng-Ping AN, Yu-Chuan HU, Guang-Bin CUI, Xu-Fang BAI, He LI. Non-cardiogenic acute pulmonary edema in elderly patient with Dressler syndrome associated pulmonary embolism[J]. Journal of Geriatric Cardiology, 2016, 13(12): 998-1001. DOI: 10.11909/j.issn.1671-5411.2016.12.009
    [9]Yong Hoon Kim, Ae-Young Her. Concomitant acute myocardial infarction and descending thoracic aorta pen-etrating ulcer[J]. Journal of Geriatric Cardiology, 2016, 13(11): 935-937. DOI: 10.11909/j.issn.1671-5411.2016.11.011
    [10]Hong-Mei REN, Xiao WANG, Chun-Yan HU, Bin QUE, Hui AI, Chun-Mei WANG, Li-Zhong SUN, Shao-Ping NIE. Relationship between acute kidney injury before thoracic endovascular aneurysm repair and in-hospital outcomes in patients with type B acute aortic dissection[J]. Journal of Geriatric Cardiology, 2015, 12(3): 232-238. DOI: 10.11909/j.issn.1671-5411.2015.03.002

Catalog

    Article views (1780) PDF downloads (3781) Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return