“Asymptomatic” Flash Pulmonary Edema by Point-of-Care Ultrasound

Abstract

A 65-year-old man with remitted chest pain and no tachypnea was taken urgently to catheterization because of diffuse lung ultrasound B-lines on bedside examination. He was found to have severe left-main disease. This case emphasizes the value of ultrasound to recognize acute cardiogenic interstitial pulmonary edema despite minimal symptoms. (Level of Difficulty: Advanced.)

Keywords

• acute coronary syndrome
• coronary artery disease
• point-of-care ultrasound
• pulmonary edema
• risk stratification