Thiazide induced acute pulmonary edema: report of one case

Acute pulmonary edema caused by thiazides is uncommon and of difficult diagnosis. It is considered an idiosyncratic reaction and the physiopathology or cardiac function changes are not well known. We report a 60 year-old female with a thiazide induced acute pulmonary edema who was followed with seri...

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Bibliographic Details
Published inRevista medíca de Chile Vol. 135; no. 4; p. 496
Main Authors Andresen, Max, González, Alejandro, Espino, Alberto, Mercado, Marcelo, Regueira, Tomas, Dougnac, Alberto
Format Journal Article
LanguageSpanish
Published Chile 01.04.2007
Subjects
Acute Disease
Antihypertensive Agents - adverse effects
Biomarkers - blood
Female
Humans
Hydrochlorothiazide - adverse effects
Middle Aged
Natriuretic Peptide, Brain - blood
Pulmonary Edema - blood
Pulmonary Edema - chemically induced
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Summary:Acute pulmonary edema caused by thiazides is uncommon and of difficult diagnosis. It is considered an idiosyncratic reaction and the physiopathology or cardiac function changes are not well known. We report a 60 year-old female with a thiazide induced acute pulmonary edema who was followed with serial measurements of type B n-terminal natriuretic peptide fraction as marker for cardiac dysfunction. There was a significant elevation of the peptide, not associated to evidences of ventricular dysfunction. Its normalization paralleled the resolution of the clinical picture.
ISSN:0034-9887