Leon Stein, M.D.; Jose M. Cavanilles, M.D.; Max Harry Weil, M.D., F.A.C.P.; Herbert Shubin, M.D., F.A.C.P.
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Pulmonary congestion or edema during volume loading may be caused by factors other than left ventricular failure. The present studies were based on measurements obtained on four critically ill patients who presented with clinical and hemodynamic signs of hypovolemia and shock. None of the patients had evidence of prior heart disease. Initial chest X rays showed clear lung fields. Pulmonary artery end-diastolic or wedged pulmonary artery pressures were in the normal range and averaged 10 mm Hg. After infusion of large volumes of fluid, unequivocal clinical and radiographic evidence of pulmonary congestion or edema, or both, appeared. Heart size and
Stein L, Cavanilles JM, Weil MH, et al. Pulmonary Congestion of Noncardiac Cause as a Feature of the "Shock Lung" Syndrome.. Ann Intern Med. 1972;76:868. doi: https://doi.org/10.7326/0003-4819-76-5-868_2
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Published: Ann Intern Med. 1972;76(5):868.
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