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Chest, Vol 67, 8-13, Copyright © 1975 by American College of Chest Physicians

ARTICLES

Detection of left ventricular failure in patients with adult respiratory distress syndrome

KM Unger, EM Shibel and KM Moser

Fourteen patients with adult respiratory distress syndrome were admitted to the medical intensive care unit and received bedside heart catheterization with the use of a balloon-tipped, flow directed catheter. Four of the 14 (29 percent) were found to have left ventricular failure (LVF), defined as a pulmonary artery wedge pressure greater than 12 mm Hg. Analysis of the standard clinical and laboratory data demonstrated no criteria which could differentiate those patients with LVF from those without. Three of the four patients indentified as having LVF responded to therapy directed toward LVF with substantial clinical improvement.


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Appraising Pulmonary Edema Using Supine Chest Roentgenograms in Ventilated Patients
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Copyright © 1975 by the American College of Chest Physicians.