Pulmonary edema diagnostic study of choice: Difference between revisions
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==Diagnostic study of choice== | ==Diagnostic study of choice== | ||
===Pulmonary-Artery Catheterization=== | |||
Pulmonary artery [[catheterization]] is the [[Gold standard (test)|gold standard]] test for the diagnosis of pulmonary edema.<ref name="pmid5434111">{{cite journal |vauthors=Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D |title=Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter |journal=N. Engl. J. Med. |volume=283 |issue=9 |pages=447–51 |date=August 1970 |pmid=5434111 |doi=10.1056/NEJM197008272830902 |url=}}</ref><ref name="pmid16382065">{{cite journal |vauthors=Ware LB, Matthay MA |title=Clinical practice. Acute pulmonary edema |journal=N. Engl. J. Med. |volume=353 |issue=26 |pages=2788–96 |date=December 2005 |pmid=16382065 |doi=10.1056/NEJMcp052699 |url=}}</ref> | |||
* Insertion of a pulmonary arterial catheter (a.k.a. a [[Swan-Ganz catheter]]) to distinguish between the two main forms of pulmonary edema and to help guide management. | |||
* In patients with cardiogenic pulmonary edema the pulmonary artery pressure will be elevated. | |||
* Among patients with non-cardiogenic pulmonary edema the wedge pressure will not be elevated. | |||
Pulmonary-artery catheterization is the gold standard test for the diagnosis of pulmonary edema.<ref name="pmid5434111">{{cite journal |vauthors=Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D |title=Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter |journal=N. Engl. J. Med. |volume=283 |issue=9 |pages=447–51 |date=August 1970 |pmid=5434111 |doi=10.1056/NEJM197008272830902 |url=}}</ref> | Pulmonary-artery catheterization is the gold standard test for the diagnosis of pulmonary edema.<ref name="pmid5434111">{{cite journal |vauthors=Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D |title=Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter |journal=N. Engl. J. Med. |volume=283 |issue=9 |pages=447–51 |date=August 1970 |pmid=5434111 |doi=10.1056/NEJM197008272830902 |url=}}</ref> |
Revision as of 14:39, 6 March 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]
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Overview
Diagnostic study of choice
Pulmonary-Artery Catheterization
Pulmonary artery catheterization is the gold standard test for the diagnosis of pulmonary edema.[1][2]
- Insertion of a pulmonary arterial catheter (a.k.a. a Swan-Ganz catheter) to distinguish between the two main forms of pulmonary edema and to help guide management.
- In patients with cardiogenic pulmonary edema the pulmonary artery pressure will be elevated.
- Among patients with non-cardiogenic pulmonary edema the wedge pressure will not be elevated.
Pulmonary-artery catheterization is the gold standard test for the diagnosis of pulmonary edema.[1]
References
- ↑ 1.0 1.1 Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D (August 1970). "Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter". N. Engl. J. Med. 283 (9): 447–51. doi:10.1056/NEJM197008272830902. PMID 5434111.
- ↑ Ware LB, Matthay MA (December 2005). "Clinical practice. Acute pulmonary edema". N. Engl. J. Med. 353 (26): 2788–96. doi:10.1056/NEJMcp052699. PMID 16382065.