Prognostic Factors in Acute Pulmonary Edema

doi:10.1001/archinte.1986.00360150095011

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Vol. 146 No. 3, March 1986

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Prognostic Factors in Acute Pulmonary Edema

Jeffrey J. Goldberger, MD; Harry B. Peled, MD; Jack A. Stroh, MD; Martin N. Cohen, MD; William H. Frishman, MD

Arch Intern Med. 1986;146(3):489-493.

Abstract

• Over a six-month period, 106 admissions of 94 patientsfor acute pulmonary edema were identified and their charts werereviewed. Precipitating factors for acute pulmonary edema includedprogressively worsening congestive heart failure in 25.5% ofcases, coronary insufficiency in 20.8%, subendocardial myocardialinfarction in 16.0%, acute transmural myocardial infarctionin 10.4%, arrhythmia in 8.5%, medical noncompliance in 6.6%,and other causes in 12.6%. In-hospital mortality was 17.0% (16patients). Of those patients discharged from the hospital, anadditional 27 (39.7%) were dead at one year, giving an overallone-year mortality of 51.2%. We found that patients with progressivelyworsening congestive heart failure have a better prognosis thanpatients with other precipitants. Also, patients with an initialsystolic blood pressure in the emergency room of 160 mm Hg orhigher had an improved survival over patients with an initialsystolic blood pressure under 160 mm Hg. No other in-hospitalor long-term prognostic factors were identified.

(Arch Intern Med 1986;146:489-493)

Author Affiliations

From the Department of Medicine, Bronx Municipal Hospital Center, and Albert Einstein College of Medicine, Bronx, NY.

Footnotes

Accepted for publication June 10, 1985.

Read before the Eastern Section Meetings of the American Federationfor Clinical Research, Philadelphia, Oct 18, 1984.

Reprint requests to Department of Medicine, Bronx MunicipalHospital Center, Eastchester Road and Pelham Parkway South,Bronx, NY 10461 (Dr Goldberger).

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