Home Archive Vol.43, No.4, 2017 Echocardiographic Parameters in Acute Pulmonary Edema

Echocardiographic Parameters in Acute Pulmonary Edema

C. Militaru(1), RUXANDRA DELIU(2), I. Donoiu(3), D.O. ALEXANDRU(4), C.C. MILITARU(3)

(1)PhD Student, Cardiology Clinic, „Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, University of Medicine and Pharmacy of Craiova, (2)PhD Student, Cardiology Clinic, Emergency Clinical Hospital of Craiova, University of Medicine and Pharmacy of Craiova, (3)Department of Cardiology, University of Medicine and Pharmacy of Craiova, (4)Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy of Craiova

    Abstract: Purpose: The present study proposes the comprehensive ultrasound evaluation of a consecutive batch of patients with acute cardiogenic pulmonary edema. Method: The registry included all patients with acute pulmonary edema from 2 emergency hospitals between February and May 2016. During the first 3 days of admission, a transthoracic ultrasound was performed which included the parameters of systolic and diastolic function of the left ventricle, right ventricular systolic function, heart cavity dimensions, estimated pulmonary pressure, and the presence and severity of valvular disease. Results: A total of 70 patients were enrolled in the registry. The mean ejection fraction of the left ventricle was 39.5±11.4% and the average indexed end-diastolic volume was 77.7±29.5ml/m2, above the upper limit of normal. All patients in whom diastolic function could be evaluated had a degree of diastolic dysfunction. Functional parameters of the right ventricle were normalized as average, and the mean pulmonary artery pressure was increased: 40.9±16.7mmHg. The most common valvular heart disease were mitral and tricuspid insufficiency, with moderate or severe impairment in 82.8%, respectively 65.7% of the patients
    Keywords: acute pulmonary edema, echocardiography, sistolic function

DOI 10.12865/CHSJ.43.04.10 


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Volume 43 Issue 4 2017