Your activity: 2 p.v.
Why UpToDate?
What's New
Patient Education
Calculators
Drug interactions
Subscribe
Log In
< Back
Uptodate Reference Title
Go To Link
Close
Differentiation of noncardiogenic from cardiogenic pulmonary edema based on clinical data
Differentiation of noncardiogenic from cardiogenic pulmonary edema based on clinical data
Noncardiogenic
Cardiogenic
History
Underlying disease (eg, pancreatitis, sepsis)
Acute cardiac event (eg, myocardial infarction)
Physical examination
Warm periphery
Cool, mottled periphery
Bounding pulses
Small-volume pulse
Normal-sized heart
Cardiomegaly
Normal JVP
Elevated JVP
S3 absent
S3 present
No murmurs other than innocent flow murmurs
Systolic and diastolic murmurs
ECG
ECG usually normal
ECG signs of myocardial infarction/ischemia
Chest radiograph film
Peripheral infiltrates
Perihilar infiltrates
Laboratory test
BNP <100 mg/mL
BNP >100 mg/mL
Ventilatory needs
Prolonged need for ventilatory support with high FiO
2
and PEEP to oxygenate
Short duration of need for ventilatory support
JVP: jugular venous pressure; S3: third heart sound; ECG: electrocardiogram; BNP: brain natriuretic peptide; FiO
2
: fraction of inspired oxygen; PEEP: positive end-expiratory pressure.
Adapted from: Sibbald WJ, Cunningham DR, Chin DN. Non-cardiac or cardiac pulmonary edema? A practical approach to clinical differentiation in critically ill patients. Chest 1983; 84:452.
Graphic 117297 Version 1.0