By W. J. Russell
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62, 815-826. , Dyrda, I. and Lepage, G. (1970). ' Am. J. Cardiol, 25, 523-528. Carey, J. , Möhr, P. , Brown, R. S. and Shoemaker, W. C. (1969). ' Ann. , 170,910-921. — Brown, R. , Möhr, P. , Monson, D . , Yao, S. T. and Shoemaker, W. C. (1967). 'Cardiovascular Function in Shock. ' Circulation, 35, 327-338. , Milch, R. and Lajos, T. Z. (1973). ' Ann. , 177, 3 7 - 3 9 . Clarke-Kennedy, A. E. (1929). D. S. London; Cambridge University Press. Cohn, J. , Goldstein, C. , Gudwin, A. , Siegel, J. H. and Del Guercio, L.
The management of acute pulmonary oedema in over-load or myocardial failure must be directed at reducing left atrial pressure. , 1970), or improving cardiac performance by cardiotonic drugs. Digoxin would seem to be the drug of choice (Visscher et ai, 1956) and would not alter mean systemic or pulmonary pressures. , 1956). Presumably the cardiotonic effect of adrenaline is outweighed by its vascular effects, particularly those effects which increase the mean venous pressure. Chronic heart disease In a previously normal heart, the physiological changes in acute illness are predictable.