[Lung shock in connection with acute myocardial infarction. Adult respiratory distress syndrome, ARDS].
We describe the case of 42 year-old male patient who developed adult respiratory distress syndrome (ARDS) during an acute myocardial infarction. He was treated with positive pressure ventilation for 23 days. Chest X-ray showed multiple, bilateral infiltrates for several weeks. ARDS is accompanied by serious and progressive hypoxemia. Early diagnosis is important. The therapeutic consequences involve positive pressure ventilation with increased inspired oxygen concentration and positive end-expiratory pressure. ARDS in patients with impaired myocardial function can be difficult to recognize. It is an alternative diagnosis to pneumonia and ordinary heart failure when patients are seen to be suffering serious hypoxemia.
Fluge
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Medisinsk avdeling, Sentralsjukehuset i Sogn og Fjordane, Førde.
Reikvam
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D000328:Adult; D006801:Humans; D000860:Hypoxia / Q000150:complications; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*; D011175:Positive-Pressure Respiration; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
Sjokklunge ved akutt hjerteinfarkt. Adult respiratory distress syndrome, ARDS.