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Pulmonary oedema is most often caused by heart failure (then called cardiogenic pulmonary oedema) but may be caused by other conditions which do not directly affect the heart (non-cardiogenic pulmonary oedema). About 1 in 15 people aged 75-84 and just over 1 in 7 people aged 85 years and above have heart failure. When the heart is not able to pump blood to the body efficiently, the amount of blood staying in the veins that take blood through the lungs to the left side of the heart increases.

As the pressure in these blood vessels increases, fluid is pushed into the air spaces (alveoli) in the lungs. This fluid reduces normal oxygen movement through the lungs, which can lead to shortness of breath.
Failure of the right ventricle can cause fluid swelling of the legs (oedema), fluid swelling of the abdomen (ascites) and congestion and swelling of the liver.

Pulmonary oedema may get better, either quickly or slowly, but can also be life-threatening, especially without urgent medical treatment.

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