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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Cardioversion (electrical)

1

II.d Pulmonary edema, cardiogenic

1
Last update : 26/12/2018
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
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Publications

A Shocking Outcome: Cardioversion-Induced Flash Pulmonary Edema.
Cureus 2025 Jan;17;e78249 2025 Jan
Electric cardioversion of atrial fibrillation resulting in pulmonary oedema in patient with apical hypertrophic cardiomyopathy.
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego 2015 May;38;278-9 2015 May
Acute pulmonary edema associated with direct current cardioversion in a structurally normal heart.
Reviews in cardiovascular medicine 2008;9;137-41 2008
Acute pulmonary edema secondary to myocardial damage after electrical cardioversion.
Pacing and clinical electrophysiology : PACE 2003 Dec;26;2330-2 2003 Dec
Pulmonary edema after cardioversion for paroxysmal atrial flutter: left ventricular diastolic dysfunction induced by direct current shock.
Japanese circulation journal 2000 Jan;64;76-9 2000 Jan
[Treatment of auricular fibrillation by external electric shock. IV. Complications].
Coeur et medecine interne 1969 Oct;8;487-94 1969 Oct

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