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CIMA
PULMONARY EDEMA
Josep MASIP MD, PhD, FESC
Intensive Care Dept. Consorci Sanitari Integral
Cardiology Dept. Hospital Sanitas CIMA. Barcelona
Associate Professor Cardiology
University of Barcelona. SPAIN
NO CONFLICT OF INTEREST
LUNG DYSFUNCTION IN HEART FAILURE
Restrictive pattern
CHRONIC Cardiac asthma
Pulmonary hypertension
AHF SYNDROMES
ESC 2008
Starling forces involved in APE
ALVEOLUS
Alveolar Surface
Lymphatic pressure tension Lymphatic
INTERSTITIUM
drainage drainage
amiloride-inhibitable
epithelial Na+ channel
Defective NO synthesis
GREATER HYPOXIC
PULMONARY
VASOCONSTRICTION
IMPAIRMENT OF ALVEOLAR
FLUID CLEARANCE
Peripheral vasoconstriction
Increase in systemic blood pressure
x
REMODELING
Impaired endothelial permeability
Loss of active alveolar clearence capacity
Extracellular matrix thickening
VO2
Peak n FVC FEV-1 DLCO DM VC