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As the pulmonary venous pressure rises, these pressures overwhelm the barriers and fluid enters the alveoli when the pressure is above 25 mmHg. [14] Depending on whether the cause is acute or chronic determines how fast pulmonary edema develops and the severity of symptoms. [12] Some of the common causes of cardiogenic pulmonary edema include:
Lobar pneumonia usually has an acute progression. Classically, the disease has four stages: [1] Congestion in the first 24 hours: This stage is characterized histologically by vascular engorgement, intra-alveolar fluid, and small numbers of neutrophils, often numerous bacteria. Grossly, the lung is heavy and hyperemic.
Acute bronchitis can be defined as acute bacterial or viral infection of the larger airways in healthy patients with no history of recurrent disease. [8] It affects over 40 adults per 1000 each year and consists of transient inflammation of the major bronchi and trachea. [ 9 ]
An acute exacerbation of COPD is associated with increased frequency and severity of coughing. [5] It is often accompanied by worsened chest congestion and discomfort. Shortness of breath and wheezing are present in many cases. [5] Exacerbations may be accompanied by increased amount of cough and sputum productions, and a change in appearance ...
Orthopnea or orthopnoea [1] is shortness of breath (dyspnea) that occurs when lying flat, [2] causing the person to have to sleep propped up in bed or sitting in a chair. It is commonly seen as a late manifestation of heart failure, resulting from fluid redistribution into the central circulation, causing an increase in pulmonary capillary pressure and causing difficulty in breathing.
In persons requiring hospitalization, mortality may be as high as 10%, and in those requiring intensive care it may reach 30–50%. [24] Pneumonia is the most common hospital-acquired infection that causes death. [29] Before the advent of antibiotics, mortality was typically 30% in those that were hospitalized. [22]
Opioids have traditionally been used in the treatment of the acute pulmonary edema that results from acute decompensated heart failure. A 2006 review, however, found little evidence to support this practice. [17] The National Institutes for Health and Care Excellence (NICE) guidelines do not recommend routinely offering opioids in acute heart ...
NPPE develops as a result of significant negative pressure generated in the chest cavity by inspiration against an upper airway obstruction. These negative pressures in the chest lead to increase venous supply to the right side of the heart while simultaneously creating more resistance for the left side of the heart to supply blood to the rest of the body (). [4]