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[DOI] [PubMed] [Google Scholar] 18.Bhatnagar RS, Qian JJ, inventors

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Unlike chronic left heart failure, which provides time for macrophages to phagocytose red blood cells and form hemosiderin-laden macrophages , this hyperacute presentation lacks these classic "heart failure cells." Furthermore, the rapid 30-minute timeline precludes the development of the inflammatory exudates or hyaline membranes characteristic of acute respiratory distress syndrome , confirming a purely hemodynamic etiology