Neurogenic pulmonary oedema misdiagnosed as acute myocardial infarction in a comatose patient.

سندرم بوئرهاو: تظاهر با تنگی نفس و درد سینه

 Esophageal perforation is one of the most lethal forms of mediastinitis that usually named as disaster, denoting its lethality. The most important factor in patient salvage is early diagnosis. Post emetic rupture or Boerhaaves syndrome is accounted for 10-15 percent of causes. Unfortunately due to its rarity, usually is misdiagnosed as other equally serious but more prevalent pathologies such ...

Prognostic Impact of Thrombolysis in Myocardial Infarction Risk Index on Hospitalization Mortality of Patient with Acute Pulmonary Embolism

Introduction: Acute pulmonary embolism (PE) is one of the deadly cardiovascular diseases. One of the indexes proposed in these patients for risk stratification is the Thrombolysis in Myocardial Infarction (TIMI) risk index (TRI), which includes three parameters of systolic blood pressure, age, and heart rate. This study aimed to evaluate the predictive value of TRI on in-hospit...

Acute pulmonary oedema: not always cardiogenic.

A patient presented with fulminant pulmonary oedema and required acute intubation and ventilation. There was no history of a prior cardiac disorder. As he was weaned from sedation, following stabilisation of his pulmonary status, neurological signs suggestive of brainstem dysfunction became apparent. Investigations showed infarcts in the posterior cerebral circulation secondary to a vertebral a...

Pulmonary oedema with shock induced by hydrochlorothiazide: a rare side effect mimicking myocardial infarction.

The case of a 68 year old man in whom hydrochlorothiazide induced pulmonary oedema with hypovolaemic shock is presented. The condition was misdiagnosed as myocardial infarction until an early echocardiogram excluded a cardiac cause. The diagnosis was confirmed by an oral challenge.

Pulmonary artery pressure during acute pulmonary oedema in patient with myocardial infarction.