Population
18 patients with acute pulmonary edema due to left ventricular failure
Design
Case_series
Follow-up
a few hours
Authors
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May support avoiding bicarbonate in lactic acidosis from acute pulmonary edema; hypothesis-generating and should not yet change practice.
Metabolic acidosis in acute pulmonary edema due to left ventricular failure is primarily lactic acidosis, which resolves spontaneously with the treatment of pulmonary edema without requiring sodium bicarbonate.
Milford Fulop (1973) studied this question.
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