SCAPE (Sympathetic Crashing Acute Pulmonary Edema) is a specific form of severe heart failure which is seen predominantly in the emergency department and intensive care unit (as opposed to the outpatient cardiology clinic). Consequently, there is a tendency to overlook SCAPE in articles and chapters about heart failure.
SCAPE is critical to recognize and intervene upon, because it is a vicious cycle. Left alone, it will tend to worsen and ultimately precipitate intubation. However, with aggressive management, the vicious cycle can be reversed – leading to a prompt and satisfying clinical improvement.
The IBCC chapter is located 👉 here.
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