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Nephrol Dial Transplant (2001) 16: 1311-1313
© 2001 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

‘Flash pulmonary oedema’—a diagnosis for both the cardiologist and the nephrologist?

S. Mansoor, A. Shah and John E. Scoble

Renal Unit, Guy's and St Thomas' Hospital, London, UK

Introduction

The reason for the title is that since Pickering et al. [1] first described this condition in 1988, there have been a number of papers confirming this as a distinct clinical entity [2–6]. However, it is unclear as to how often it is recognized. This is probably because it falls into a watershed between cardiology and nephrology. These patients have pulmonary oedema but neither severely impaired left ventricular function nor severely impaired renal function.

Case description

The following case description illustrates the problem. A 56-year-old female smoker with a 10 year history of difficult to control hypertension presented to hospital with acute shortness of breath and chest tightness. On the following day her breathlessness worsened with further chest discomfort. There were some anterior lead electrocardiogram alterations suggestive of an anterior myocardial infarction and she was treated with thrombolysis. There was no change in . . . [Full Text of this Article]

Discussion

Conclusion

Notes

References


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