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

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

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

Vei Ken Seow,Shih Yu Ko,Meng Kai Huang,Chee Fah Chong,Vei Ken Seow,Shih Yu Ko,Meng Kai Huang,Chee Fah Chong,

INTRODUCTION: We report a case of neurogenic pulmonary oedema (NPO) following massive left cerebral infarct, which was initially misdiagnosed as acute myocardial infarction (AMI). CLINICAL PICTURE: This 52-year-old man presented with acute loss of consciousness with normal brain computed tomography (CT). He was treated as non-ST-elevation AMI complicated with pulmonary oedema based on findings of chest radiograph (bilateral pulmonary oedema), electrocardiogram (marked ST-T changes in leads V3 to V6), and cardiac enzymes [elevated creatinine kinase (CK) and CK-MB]. However, coronary angiogram and serial cardiac enzymes were inconclusive. Anisocoria developed after admission and a repeat brain CT was evident for large left cerebral infarct. TREATMENT: Decompressive craniectomy was carried out. OUTCOME: Mortality. CONCLUSIONS: The diagnosis of NPO can be challenging when it occurs without abnormal findings on preliminary brain CT. It can be mistaken for cardiogenic pulmonary oedema secondary to AMI.

Neurogenic pulmonary oedema misdiagnosed as acute myocardial infarction in a comatose patient. Publishing Authors By Initials

VK Seow,SY Ko,MK Huang,CF Chong,VK Seow,SY Ko,MK Huang,CF Chong,

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

PUBLICATION TYPE: Journal Article

Journal: Annals of the Academy of Medicine, Singapore

VOLUME: 36

Page Numbers: 684-6

Journal Abbreviation: Ann. Acad. Med. Singap.

ISSN: 0304-4602

DAY: 3

MONTH: Aug

YEAR: 2007

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LANGUAGE: eng

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AFFILIATION: Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taiwan.

Country: Singapore

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MEDLINETA: Ann Acad Med Singapore

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