Open AccessClinical significance of serum colloid osmotic pressure in relation to pulmonary edema and coronary instability in patients with unstable angina
Author(s) -
Taniguchi Hiroya,
Takayama Yasuo,
Sugiura Tetsuro,
Iwasaka Toshiji,
Tamura Teruhiro,
Kitashiro Shuji,
Izuoka Toshio,
Inada Mitsuo
Publication year - 1992
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960150508
Subject(s) - medicine , oncotic pressure , unstable angina , pulmonary edema , cardiology , angina , clinical significance , edema , anesthesia , coronary heart disease , lung , myocardial infarction , albumin
Several investigators demonstrated that severe reduction of colloid osmotic pressure (COP) predicts a fatal outcome in patients with cardiopulmonary failure. To evaluate the clinical significance of COP in relation to pulmonary edema, we studied 117 patients with unstable angina admitted in the hospital within 24 h after the chest pain. The mean COP of all 117 patients was 24.8±3.7 mmHg. COP was significantly lower in patients with pulmonary edema, according to the chest x‐ray findings, compared with the patients without it. Among 26 patients with emergency coronary arteriography, a fairly good correlation was observed between coronary jeopardy score and COP (r=–0.57, p<0.005). Furthermore, COP in patients who survived 26 months after the hospital discharge was significantly higher than that of the nonsurvivors. Thus, measurement of COP is advised for monitoring patients with unstable angina.