Cs. Mccardell et al., Acute pulmonary edema associated with placement of waist-high, custom-fit compression stockings, MAYO CLIN P, 74(5), 1999, pp. 478-480
Citations number
9
Categorie Soggetti
General & Internal Medicine","Medical Research General Topics
Compression stockings are a safe, noninvasive treatment for patients with s
ymptomatic orthostatic hypotension due to autonomic nervous system dysfunct
ion. In this report, we describe a 75-year-old man who had development of p
ulmonary edema approximately 45 minutes after placement of compression stoc
kings on the first postoperative day following a carotid endarterectomy, No
sudden changes mere noted on an electrocardiogram or echocardiogram or in
the cardiac isoenzymes associated with the pulmonary edema, The patient had
a history of coronary artery disease, diabetes mellitus-induced autonomic
nervous system dysfunction, and recent surgery near the carotid barorecepto
r, All these factors may have limited his ability to compensate for a rapid
increase in central blood volume. The temporal relationship of the patient
's respiratory distress to the placement of the compression stockings, in t
he absence of laboratory findings of primary cardiac dysfunction, make stoc
king-related fluid shift the likely precipitating event in the formation of
acute pulmonary edema. This case suggests that compression stockings shoul
d be used with caution in patients with limited cardiac reserve.