Key result
Medical management and non-invasive ventilation resolve acute cardiopulmonary failure in a Pickwickian syndrome case.
Case Report (n=1)
No
A case report demonstrating successful recovery of a 62-year-old female with respiratory acidosis, obstructive sleep apnea, and hypertension following medical management.
May support NIV in select acute cardiopulmonary failure cases; leaves open need for controlled trials before practice change.
INTRODUCTION: The inability of the heart to supply enough blood flow to the body's metabolic tissues is known as heart failure (H.F.). A patient's tolerance for physical activity is described by the N.Y.H.A. Classification of H.F., updated in 1994 to include objective assessments of heart function and disease. The phrase "cardiopulmonary disease" is used in medicine to refer to various dangerous diseases that affect the heart and lungs. Cardiovascular Disease (CVD) and Chronic Obstructive Pulmonary Disease (C.O.P.D.) are the two main cardiopulmonary conditions caused by cigarette use (C.O.P.D.). A severe respiratory infection brings on the lung condition known as pneumonia. The tiny sacs called alveoli that make up a healthy person's lungs are filled with air as they breathe. Pneumonia causes the alveoli to fill with pus and fluid, making breathing challenging and limiting oxygen intake. A metabolic syndrome is a group of risk factors associated with cardiovascular disease morbidity and mortality. It is often referred to as Syndrome X. (CVD). Despite being widespread, it has not received enough attention and occasionally goes unnoticed. As primary care practitioners, we must keep an eye out for these people so that early identification, intervention, and prevention can be put into practice.A Chinese lady with metabolic syndrome is described in the following paragraphs. Present complaint and investigation: on March 28, 2022, a 62-year-old female was hospitalized at A.V.B.R. Hospital with breathing difficulty, lower limb swelling, chest pain, mucus in the throat and lungs, loss of appetite, nausea, and vomiting. Twelve days have passed. Investigation: Haemoglobin is decreased by 10.7gm, WBC count 11,000 per microliter, Total R.B.C. count increased 5.84 million /cell, M.C.H. level Decreased 70fl, MCH IS DECREASE 22.8 pico-gm. Therefore CT report should be interpreted in correlation with clinical &pathological findings. PAST HISTORY: he was admitted eight days before outside the hospital for the same complaints on 26/02/2022. Pneumonia one year back for which she symptoms in 2000 for fibroid he took treatment. After the physical examination and investigation, diagnosed RESPIRATORY ACIDOSIS WITH OBSTRUCTIVE SLEEP APNEA WITH HYPERTENSION. Conclusion: He responded well to all medication and doctor care and made a good recovery.
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Patil et al. (2022) conducted a case report in Acute Cardiopulmonary failure with Pneumonitis with Pickwickian syndrome (n=1). Medical management and mechanical/non-invasive ventilation was evaluated on Symptom resolution and clinical recovery. A 62-year-old female with acute cardiopulmonary failure, pneumonitis, and Pickwickian syndrome responded well to medical management and non-invasive ventilation, resulting in symptom resolution and stable discharge.
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