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Pulmonary edema other diagnostic studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]


Overview

Overview

Pulmonary artery catheterization is the gold standard test for the diagnosis of pulmonary edema. Elevated pulmonary-artery pressure indicates cardiogenic pulmonary edema or pulmonary edema due to volume overload.

Other Diagnostic Studies

Other Diagnostic Studies

Pulmonary-Artery Catheterization

Pulmonary artery catheterization is the gold standard test for the diagnosis of pulmonary edema.[1][2]

  • Insertion of a pulmonary arterial catheter (a.k.a. a Swan-Ganz catheter) to distinguish between the two main forms of pulmonary edema and to help guide management
  • In patients with cardiogenic pulmonary edema the pulmonary artery pressure will be elevated
  • Among patients with non-cardiogenic pulmonary edema the wedge pressure will not be elevated
References

References

  1. Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D (August 1970). “Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter”. N. Engl. J. Med. 283 (9): 447–51. doi:10.1056/NEJM197008272830902. PMID 5434111.
  2. Ware LB, Matthay MA (December 2005). “Clinical practice. Acute pulmonary edema”. N. Engl. J. Med. 353 (26): 2788–96. doi:10.1056/NEJMcp052699. PMID 16382065.


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