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A case of pulmonary edema: The critical role of lung-heart integrated ultrasound examination

Alfonso Sforza, Maria Viviana Carlino, Mario Guarino, Salvatore Russo, Giovanni Albano, Fiorella Paladino, Costantino Mancusi
  • Maria Viviana Carlino
    CTO Hospital, Emergency Department, Italy
  • Mario Guarino
    CTO Hospital, Emergency Department, Italy
  • Salvatore Russo
    CTO Hospital, Emergency Department, Italy
  • Giovanni Albano
    Federico II University Hospital, Hypertension Research Center, UOC Emergency Medicine, Italy
  • Fiorella Paladino
    Cardarelli Hospital, Emergency Department, Italy
  • Costantino Mancusi
    Federico II University Hospital, Hypertension Research Center, UOC Emergency Medicine, Italy

Abstract

Cardiogenic pulmonary edema is a common presentation of acute heart failure normally treated with continuous positive airway pressure (CPAP), diuretics and nitrates. This therapy is contraindicated in case of cardiac tamponade. We describe a case of pulmonary edema due to cardiac tamponade in which integrated lung-heart ultrasound examination allowed prompt diagnosis and pericardiocentesis before administration of CPAP thus avoiding circulatory collapse.

Keywords

Multi-organ ultrasound; point-of-care ultrasound; acute dyspnea; heart failure; cardiac tamponade.

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Submitted: 2018-07-18 12:07:19
Published: 2018-10-01 15:23:57
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Copyright (c) 2018 Alfonso Sforza, Maria Viviana Carlino, Mario Guarino, Salvatore Russo, Giovanni Albano, Fiorella Paladino, Costantino Mancusi

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