Edema pulmonar agudo por uso de tiazidas, ¿existe falla cardíaca?: Comunicación de un caso

• Max Andresen H ^[1] ; Alejandro González M ; Alberto Espino E ; Marcelo Mercado F ; Tomas Regueira H ; Alberto Dougnac L
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 135, Nº. 4, 2007, págs. 496-500
• Idioma: español
• Títulos paralelos:
  • Thiazide induced acute pulmonary edema: Report of one case
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• Resumen

  • 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