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Radiology, Vol 147, 659-662, Copyright © 1983 by Radiological Society of North America

ARTICLES

Extravascular lung water in patients with congestive heart failure. Difference between patients with acute and chronic myocardial disease

M Grover, RA Slutsky, CB Higgins and R Shabetai

Extravascular lung water was assessed using a double-indicator dilution technique (thermal-green dye) in 15 men who had radiographic and clinical evidence of cardiogenic interstitial and alveolar pulmonary edema. Eight patients had suffered an acute myocardial infarction and seven had a history of chronic congestive cardiomyopathy and worsening of previous clinical signs and symptoms. At the same level of pulmonary capillary wedge pressure and similar arterial oxygen tensions extravascular lung water was significantly greater in the group with chronic congestive cardiomyopathy (p less than .05). The two groups did not differ with respect to systemic arterial pressure, resistance, or cardiac index.


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C S O'Dochartaigh, B Kelly, M S Riley, and D P Nicholls
Lung water content is not increased in chronic cardiac failure
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Task Force for the Diagnosis and Treatment of Chro, W. J. Remme, and K. Swedberg
Guidelines for the diagnosis and treatment of chronic heart failure
Eur. Heart J., September 1, 2001; 22(17): 1527 - 1560.
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