Flash Pulmonary Edema and Sudden Cardiac Arrest in a Dialysis-nonadherent Patient with Severe Aortic Regurgitation: A Case Report
Jafrin Sadiq Abdul Razack *
Thumbay University Hospital, Ajman, United Arab Emirates.
Sarah Elkhawaga
Gulf Medical University, Ajman, United Arab Emirates.
Noel George Cherian
Thumbay University Hospital, Ajman, United Arab Emirates.
Syeda Juveria Hussaini
Thumbay University Hospital, Ajman, United Arab Emirates.
Ajimal Sainu
Thumbay University Hospital, Ajman, United Arab Emirates.
Ahmad El-Ouweini
Gulf Medical University, Ajman, United Arab Emirates.
*Author to whom correspondence should be addressed.
Abstract
This case report describes a 36-year-old morbidly obese male with chronic kidney disease (CKD) and non-compliance to dialysis presenting with acute-on-chronic heart failure complicated by flash pulmonary edema and subsequent cardiac arrest. Despite aggressive management, including hemodialysis and inotropic support, the patient deteriorated rapidly and expired. The case highlights the complex interplay between CKD, cardiovascular disease, and non-cardiogenic pulmonary complications, underscoring the challenging management decisions in such critically ill patients.
Keywords: Chronic kidney disease, heart failure, cardiovascular disease, dialysis-nonadherent patient