https://doi.org/10.4081/monaldi.2024.2862
Pulmonary edema in a young male with severe uncontrolled cardiovascular risk factors and pan-vascular atherosclerosis: a case report
Submitted: December 3, 2023
Accepted: February 20, 2024
Published: March 12, 2024
Accepted: February 20, 2024
Abstract Views: 1136
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Cardiovascular risk factors are the cause of atherosclerotic disease, which can involve all the elastic and muscolo-elastic arteries. The etiopathogenesis of atherosclerosis is multifactorial since genetics, lifestyle, and comorbidities can be simultaneously involved. Clinical manifestations can be heterogeneous and include myocardial infarction, stroke, aortic aneurysms, renal artery stenosis, renal insufficiency, peripheral artery disease, etc. Currently, 70% of clinical events cannot be prevented with available drug therapy, statins included, and at least 10% of coronary events occur in apparently healthy individuals in the absence of major traditional risk factors. The case of a young male with a history of coronary artery disease and multiple atherosclerotic risk factors not properly treated who was admitted to the emergency department for pulmonary edema and high blood pressure is presented. During the diagnostic workup, a dramatic atherosclerotic involvement of all arterial trees emerged. Moreover, the patient presented with thrombosis of the right subclavian artery, which was treated with a heparin infusion and later complicated by cerebral hemorrhage with residual hemiplegia.
Klingenberg R, Hasun M, Corti R et al. Clinical manifestations of atherosclerosis. In: Wick G, Grundtman C (eds). Inflammation and atherosclerosis. Vienna: Springer; 2012.
DOI: https://doi.org/10.1007/978-3-7091-0338-8_3
Neifert RA, Su D, Chaar CIO, Sumpio BE. Premature atherosclerosis: a review of current literature. JVS-Vascular Insights 2023;1:100013.
DOI: https://doi.org/10.1016/j.jvsvi.2023.100013
Burini RC, Anderson E, Durstine JL, Carson JA. Inflammation, physical activity, and chronic disease: an evolutionary perspective. Sports Med Health Sci 2020;2:1-6.
DOI: https://doi.org/10.1016/j.smhs.2020.03.004
Lechner K et al, Lifestyle factors and high-risk atherosclerosis: pathways and mechanisms beyond traditional risk factors. Eur J Prev Cardiol 2020;27:394-406.
DOI: https://doi.org/10.1177/2047487319869400
Bhatt DL, Steg PG, Ohman EM, et al. REACH registry investigators. International prevalence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis. J Am Med Assoc 2006;295:180-9.
DOI: https://doi.org/10.1001/jama.295.2.180
Stone JN, Smith SC Jr, Orringer CE, et al. Managing atherosclerotic cardiovascular risk in young adults JACC state-of-the-art review. J Am Coll Cardiol 2022;79:819-36.
DOI: https://doi.org/10.1016/j.jacc.2021.12.016
Mancia G., Kreutz R, Brunstroem M, et al. 2023 ESH guidelines for the management of arterial hypertension the Task Force for the management of arterial hypertension of the European Society of Hypertension: endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens 2023;41:1874-2071.
DOI: https://doi.org/10.1097/HJH.0000000000003480
Miedema MD. Assessment of subclinical atherosclerosis in smokers: does lower risk mean low risk?. JACC Cardiovasc Imag 2019;12:1818-20.
DOI: https://doi.org/10.1016/j.jcmg.2018.12.004
Visseren FLJ, Mach F, Smulders YM, et al. 2021 ESC guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 2021;42:3227-37.
DOI: https://doi.org/10.1093/eurheartj/ehab484
Ivey S, Rees Hanley H, Taylor C, et al. Early identification and treatment of women's cardiovascular risk factors prevents cardiovascular disease, saves lives, and protects future generations: policy recommendations and take action plan utilizing policy levers. Clin Cardiol 2022;45:1100-6.
DOI: https://doi.org/10.1002/clc.23921
How to Cite
Palomba, Andrea, Francesco Pelizzo, Mattia Canevari, and Olga Vriz. 2024. “Pulmonary Edema in a Young Male With Severe Uncontrolled Cardiovascular Risk Factors and Pan-Vascular Atherosclerosis: A Case Report”. Monaldi Archives for Chest Disease, March. https://doi.org/10.4081/monaldi.2024.2862.
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