By W. J. Russell
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However, if a good baseline for the central venous pressure can be established and myocardial function is normal, a rise will effectively warn of impending pulmonary oedema (Andersen and Klebe, 1968b). 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.