Clinical Study
Detection of pulmonary edema in acute myocardial infarction*

https://doi.org/10.1016/S0002-9149(77)80183-5Get rights and content

To evaluate methods for detecting pulmonary edema, pulmonary extravascular water volume was measured at 24 hour intervals (total 72 hours) in 25 patients with acute myocardial infarction. Measured lung water was compared with results of clinical, blood gas, X-ray and hemodynamic methods for detecting pulmonary edema. Increased pulmonary extravascular water volume on one or more measurements was observed in 18 of the 25 patients and was associated with an abnormal chest radiograph and increased pulmonary arterial wedge, pulmonary arterial diastolic and right atrial pressures. It was associated less well with clinical, blood gas and other hemodynamic measurements.

Pulmonary arterial diastolic or pulmonary wedge pressure was a significant predictor of lung water 24 hours later. Both “preclinical pulmonary edema” and the “therapeutic phase lag” could be predicted from the pulmonary wedge pressure. Clinical, blood gas, radiographic and other hemodynamic measurements were not predictive.

References (28)

  • McHughTJ et al.

    Acute myocardial infarction: radiologic, clinical, and hemodynamic correlations (abstr)

    Circulation

    (1970)
  • GoldmanRH et al.

    The use of central venous oxygen saturation measurements in a coronary care unit

    Ann Intern Med

    (1968)
  • TattersfieldAE et al.

    Chest x-ray film in acute myocardial infarction

    Br Med J

    (1969)
  • ChiatA

    Interstitial pulmonary edema

    Circulation

    (1972)
  • Cited by (18)

    • The measurement of lung water

      1990, Journal of Critical Care
    View all citing articles on Scopus
    *

    This study was supported in part by Grant AY 72-9 from the U. S. Public Health Service, Baltimore, Maryland.

    View full text