Valvular Heart Disease Presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) Phenomenon: A Diagnostic and Management Paradigm

Sympathetic crashing acute pulmonary edema (SCAPE) is an acute decompensated heart failure due to sympathetic overflow. SCAPE is usually triggered by acute insults with an underlying substrate such as long-standing hypertension, chronic heart failure, and valvular heart disease. We present a case of...

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Detalles Bibliográficos
Autores principales: Ashok, Harish, Shtembari, Jurgen, Achhami, Eliz, Gaire, Suman, Shrestha, Dhan B, Joshi, Tilak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826669/
https://www.ncbi.nlm.nih.gov/pubmed/36628018
http://dx.doi.org/10.7759/cureus.32352
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author Ashok, Harish
Shtembari, Jurgen
Achhami, Eliz
Gaire, Suman
Shrestha, Dhan B
Joshi, Tilak
author_facet Ashok, Harish
Shtembari, Jurgen
Achhami, Eliz
Gaire, Suman
Shrestha, Dhan B
Joshi, Tilak
author_sort Ashok, Harish
collection PubMed
description Sympathetic crashing acute pulmonary edema (SCAPE) is an acute decompensated heart failure due to sympathetic overflow. SCAPE is usually triggered by acute insults with an underlying substrate such as long-standing hypertension, chronic heart failure, and valvular heart disease. We present a case of SCAPE in a 91-year-old female due to underlying multivalvular heart disease. Because of severe acute presentation, SCAPE should be identified early, and management should be urgently done to decrease the need for invasive ventilation and prolonged hospitalization.
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spelling pubmed-98266692023-01-09 Valvular Heart Disease Presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) Phenomenon: A Diagnostic and Management Paradigm Ashok, Harish Shtembari, Jurgen Achhami, Eliz Gaire, Suman Shrestha, Dhan B Joshi, Tilak Cureus Cardiology Sympathetic crashing acute pulmonary edema (SCAPE) is an acute decompensated heart failure due to sympathetic overflow. SCAPE is usually triggered by acute insults with an underlying substrate such as long-standing hypertension, chronic heart failure, and valvular heart disease. We present a case of SCAPE in a 91-year-old female due to underlying multivalvular heart disease. Because of severe acute presentation, SCAPE should be identified early, and management should be urgently done to decrease the need for invasive ventilation and prolonged hospitalization. Cureus 2022-12-09 /pmc/articles/PMC9826669/ /pubmed/36628018 http://dx.doi.org/10.7759/cureus.32352 Text en Copyright © 2022, Ashok et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Ashok, Harish
Shtembari, Jurgen
Achhami, Eliz
Gaire, Suman
Shrestha, Dhan B
Joshi, Tilak
Valvular Heart Disease Presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) Phenomenon: A Diagnostic and Management Paradigm
title Valvular Heart Disease Presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) Phenomenon: A Diagnostic and Management Paradigm
title_full Valvular Heart Disease Presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) Phenomenon: A Diagnostic and Management Paradigm
title_fullStr Valvular Heart Disease Presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) Phenomenon: A Diagnostic and Management Paradigm
title_full_unstemmed Valvular Heart Disease Presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) Phenomenon: A Diagnostic and Management Paradigm
title_short Valvular Heart Disease Presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE) Phenomenon: A Diagnostic and Management Paradigm
title_sort valvular heart disease presenting as sympathetic crashing acute pulmonary edema (scape) phenomenon: a diagnostic and management paradigm
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826669/
https://www.ncbi.nlm.nih.gov/pubmed/36628018
http://dx.doi.org/10.7759/cureus.32352
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