Detection of clinical or radiologic evidence of congestive heart failure is a strong indicator of cardiac events. The 1-yr cardiac mortality of patients with acute pulmonary edema approaches 25-30% (26,27). In the acute postinfarct phase, pulmonary edema may represent permanent damage from the infarct and myocardial stunning as a result of the ischemic insult. The finding of clinical evidence of pulmonary congestion as a prognostic indicator is independent of ejection fraction measurements at the time of hospital discharge (28).
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