Pulmonary edema echocardiography

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Overview

Echocardiography is useful in confirming a cardiac or no-cardiac cause of pulmonary edema. Among cardiac causes, echocardiography can identify if systolic or diastolic dysfunction is present. Echocardiography is useful in identify if focal segment wall motion abnormalities are present which would suggest ischemia or myocardial infarction as an underlying cause. If there is a global impairment of left ventricular function, then this suggests a cardiomyopathy may be present. Echocardiography may identify the presence and severity of valvular causes of pulmonary edema including aortic stenosis, aortic insufficiency, mitral stenosis. mitral insufficiency, and hypertrophic cardiomyopathy.

Echocardiography

  • Echocardiography is helpful in the diagnosis of cardiogenic causes of pulmonary edema.[1]
  • Echocardiography may identify the presence and severity of valvular causes of pulmonary edema including:
  • Echocardiography is useful in identify ischemia or myocardial infarction as an underlying cause of pulmonary edema if focal segment wall motion abnormalities are present.
  • If there is a global impairment of left ventricular function, then this suggests a cardiomyopathy may be present
  • Echocardiography is less sensitive in identifying diastolic dysfunction. Thus, a normal echocardiogram by standard methods does not rule out cardiogenic pulmonary edema.

References

  1. 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.


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