Extravascular lung water in patients with congestive heart failure. Difference between patients with acute and chronic myocardial disease.

Abstract
Extravascular lung water was assessed using a double-indicator dilution technique (thermal-green dye) in 15 men who had radiographic and clinical evidence of cardiogenic interstitial and alveolar pulmonary edema. Patients (8) had suffered an acute myocardial infarction and 7 had a history of chronic congestive cardiomyopathy and worsening of previous clinical signs and symptoms. At the same level of pulmonary capillary wedge pressure and similar arterial O2 tensions extravascular lung water was significantly greater in the group with chronic congestive cardiomyopathy (P < 0.05). The 2 groups did not differ with respect to systemic arterial pressure, resistance or cardiac index.

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