Elevated LVEDP, Chronic Pulmonary Oedema and Valve Disease

As part of ageing and with increased longevity of older people there has been a rise of those with left ventricular diastolic dysfunction (LVDD) and increased left ventricular end diastolic pressure (LVEDP). Comorbidities like hypertension, diabetes, chronic kidney disease, coronary artery disease and others appear to be contributing to this .  Chronic interstitial pulmonary oedema may be a part of the presentation of those with elevated LVEDP/LVDD. Progressive valvular heart disease may also complicate the picture and make clinical decision-making difficult. This case report discusses these issues.