Severe hypertension, propranolol, and acute pulmonary edema.

@article{Desai1987SevereHP,
  title={Severe hypertension, propranolol, and acute pulmonary edema.},
  author={S P Desai and Elwood C. Pierce and Thomas C Fleming},
  journal={Critical care medicine},
  year={1987},
  volume={15 8},
  pages={799-800}
}
We describe an elderly patient with multiple risk factors for congestive heart failure (CHF) who developed severe hypertension. Treatment with 20 mg hydralazine and 0.2 mg propranolol intravenously resulted in acute pulmonary edema. We conclude that beta-blocking agents may precipitate acute heart failure in patients with compensated CHF.