A member asked:

Cxr:mildly increased bilateral pulmonary vascular congestive markings.rest of cxr normal.two days prior to cxr started on diltiazem stopped bisoprolol. also take losartan.fit,no shortness of breath.could these meds cause the mild cxr abnormality?

A doctor has provided 1 answer
Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

This can be a typical finding in chest X-ray of a person with subclinical congestive heart failure. Diltiazem has negative inotropic effect (weakening the heart pump) can be the culprit. Bisoprolol does not have this negative inotropic effect.

Answered 4/19/2022

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