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February 1, 2002PEDIATRICS

Pulmonary artery occlusion pressures were normal or slightly elevated (13-16 mm Hg) and stroke volume index decreased (15.3-35.7 mL/M2), indicating pulmonary edema is not directly caused by viral myocarditis.

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Population

5 consecutive infants, ages 2 to 13 months, with enterovirus 71 (EV71) infection and pulmonary edema

Design

Case_series

Follow-up

acute stage (days)

Authors

JWJing-Ming WuJWJieh‐Neng WangYTYu-Chien Tsai

Discussion

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Overview

Alerts clinicians to non-cardiogenic causes in EV71 edema; leaves open permeability-targeted studies.

Structured PICO

P
Population
5 consecutive infants, ages 2 to 13 months, with enterovirus 71 (EV71) infection and pulmonary edema
I
Intervention
Direct intracardiac monitoring via simultaneously implanted pulmonary arterial and central venous catheters
O
Outcome
Hemodynamic profiles determined every 4 hours during the acute stagesurrogate

Acute pulmonary edema in fulminant EV71 infection is likely due to increased pulmonary vascular permeability from brainstem lesions or systemic inflammation, rather than viral myocarditis.

Cite This Study

Wu et al. (2002) studied this question.

synapsesocial.com/papers/6a703402a528af2d65c362f9https://doi.org/10.1542/peds.109.2.e26
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pulmonary edema of enterovirus 71 encephalomyelitis is associated with left ventricular failure: Implications for treatment2003 · 30 citations
  2. 2Pathogenesis of Enterovirus 71 Brainstem Encephalitis in Pediatric Patients: Roles of Cytokines and Cellular Immune Activation in Patients with Pulmonary Edema2003 · 293 citations
  3. 3Left Ventricular Dysfunction and Treatment of Fulminant Enterovirus 71 Infection2002 · 6 citations
  4. 4Fulminant enterovirus 71 infection: case report2010 · 1 citations
  5. 5Cardiopulmonary failure in children infected with Enterovirus A712020 · 29 citations