Abstract
We describe a 66-year-old woman with right-sided heart failure and cardiogenic shock resulting from severe pulmonary embolism. Her hemodynamic status improved dramatically with the use of inhaled nitric oxide. A proposed mechanism of action and a review of the literature are presented.
MeSH terms
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Administration, Inhalation
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Aged
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Drug Therapy, Combination
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Epinephrine / therapeutic use
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Female
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Heart Failure / etiology
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Hemodynamics / drug effects
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Humans
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Nitric Oxide / therapeutic use*
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Pulmonary Embolism / complications
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Pulmonary Embolism / drug therapy*
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Pulmonary Embolism / physiopathology
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Shock, Cardiogenic / etiology
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Time Factors
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Vasoconstrictor Agents / therapeutic use
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Vasodilator Agents / therapeutic use*
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Venous Thrombosis / complications
Substances
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Vasoconstrictor Agents
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Vasodilator Agents
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Nitric Oxide
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Epinephrine