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Coughing Up Blood (Hemoptysis)

Coughing up blood is occasionally related to heart disease but is more commonly associated with lung disease and other respiratory problems. When it is associated with heart disease, it may occur during acute pulmonary edema, or swelling of the lung tissues. One of the classic causes of pulmonary edema and hemoptysis is a narrowing of the mitral valve, called mitral valve stenosis. This narrowing is a late consequence of rheumatic fever

Pulmonary edema occurs when the back pressure within the veins of your lungs becomes so high that large amounts of fluid are rapidly forced out of the veins and into the air sacs (alveoli) of your lungs. This produces fluid (edema) in the lungs. Pulmonary edema is usually caused by an extensive heart attack, mitral or aortic valve disease, or, although rare, exposure to high altitude.

Signs and Symptoms of pulmonary edema

  1. Severe shortness of breath
  2. Restlessness and anxiety, feeling of suffocating
  3. Pink, frothy sputum
  4. Sweating
  5. Pallor.

Diagnosis:

Severe shortness of breath is the primary symptom of pulmonary edema; you feel as if you are starving for air or are drowning. This feeling of suffocation is accompanied by anxiety and restlessness. Other symptoms including sweating, pallor, and a cough that commonly brings up pink frothy sputum. Breathing becomes difficult and is often accompanied by a grunting sound; exhaling is prolonged. In some people the fluid causes wheezing. Thus, these people are said to have "cardiac asthma."

Treatment

Pulmonary edema is a life threatening condition. Immediate hospitalization and treatment is required. Treatment consists of receiving oxygen through a mask. If you are having extreme difficulty breathing, it may be necessary to insert a breathing tube into your trachea and provide mechanical ventilation.

Medications: A diuretic usually is given intravenously to remove fluid from your lungs. Morphine sulfate also is effective in relieving anxiety. Drugs that support your heart function can be given as intravenous infusions in the ICU. Examples of these drugs are dobutamine and epinephrine which increase the contractile power of your heart. Oral drugs which improve your heart function such as dogoxin can be given also.

 

 

 

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