Prognostic factors in acute pulmonary edema

J. J. Goldberger, H. B. Peled, J. A. Stroh, M. N. Cohen, W. H. Frishman

Research output: Contribution to journalArticle

Abstract

Over a six-month period, 106 admissions of 94 patients for acute pulmonary edema were identified and their charts were reviewed. Precipitating factors for acute pulmonary edema included progressively worsening congestive heart failure in 25.5% of cases, coronary insufficiency in 20.8%, subendocardial myocardial infarction in 16.0%, acute transmural myocardial infarction in 10.4%, arrhythmia in 8.5%, medical noncompliance in 6.6%, and other causes in 12.5%. In-hospital mortality was 17.0% (16 patients). Of those patients discharged from the hospital, an additional 27 (39.7%) were dead at one year, giving an overall one-year mortality of 51.2%. We found that patients with progressively worsening congestive heart failure have a better prognosis than patients with other precipitants. Also, patients with an initial systolic blood pressure in the emergency room of 160 mm Hg or higher had an improved survival over patients with an initial systolic blood pressure under 160 mm Hg. No other in-hospital or long-term prognostic factors were identified.

Original languageEnglish (US)
Pages (from-to)489-493
Number of pages5
JournalArchives of Internal Medicine
Volume146
Issue number3
DOIs
Publication statusPublished - 1986
Externally publishedYes

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ASJC Scopus subject areas

  • Internal Medicine

Cite this

Goldberger, J. J., Peled, H. B., Stroh, J. A., Cohen, M. N., & Frishman, W. H. (1986). Prognostic factors in acute pulmonary edema. Archives of Internal Medicine, 146(3), 489-493. https://doi.org/10.1001/archinte.146.3.489