Detection and evaluation of asymptomatic myocarditis in schoolchildren: report of four cases.

Abstract:

STUDY OBJECTIVE:Data on the prevalence of myocarditis in children are limited. Autopsy studies have shown that myocarditis is often undiagnosed. We attempted to investigate the clinical features of asymptomatic myocarditis in four schoolchildren detected during a mass ECG screening in schoolchildren. DESIGN AND SETTING:To evaluate asymptomatic myocarditis, we clinically examined 12 schoolchildren who were referred to Shiga University of Medical Science Hospital, Otsu, Japan, because of abnormal ST or T waves detected during ECG screening. None of the 12 children had experienced any episodes suggesting cardiac disease or Kawasaki disease. Cardiac function and myocardial viability were assessed by two-dimensional echocardiography (2-DE), thallium-201 (201Tl) myocardial scintigraphy, and cardiac catheterization. Endomyocardial biopsy specimens were examined histologically. PATIENTS:Endomyocardial biopsy specimens revealed histologic evidence of myocarditis in 4 of the 12 children with abnormal ST or T waves. RESULTS:Abnormal tracer perfusion was observed on 201Tl myocardial scintigrams in these four children, but the results of coronary arteriography were normal. 2-DE showed left ventricular hypokinesis in one child and left ventricular enlargement in one of the four children with histologic evidence of myocarditis. A second endomyocardial biopsy specimen was obtained in two of four children, showing persistent myocarditis in one child. CONCLUSIONS:This type of screening program and indepth evaluation using 2-DE and 201Tl myocardial scintigraphy appear to be helpful in identifying children with myocarditis. The present histologic investigations suggested that even asymptomatic myocarditis might result in persistent heart damage.

journal_name

Chest

journal_title

Chest

authors

Nakagawa M,Sato A,Okagawa H,Kondo M,Okuno M,Takamatsu T

doi

10.1378/chest.116.2.340

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

340-5

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)38017-X

journal_volume

116

pub_type

杂志文章

相关文献

CHEST文献大全
  • Treatment of Tracheobronchial Injuries: A Contemporary Review.

    abstract::Tracheobronchial injury is a rare but a potentially high-impact event with significant morbidity and mortality. Common etiologies include blunt or penetrating trauma and iatrogenic injury that might occur during surgery, endotracheal intubation, or bronchoscopy. Early recognition of clinical signs and symptoms can hel...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2018.07.018

    authors: Grewal HS,Dangayach NS,Ahmad U,Ghosh S,Gildea T,Mehta AC

    更新日期:2019-03-01 00:00:00

  • Spirometry: don't blow it!

    abstract::Spirometry is a useful test of pulmonary function and can be safely performed in a variety of clinical situations. Although the technique for performing the maneuver is straightforward, there are many sources of variability in results. Specific criteria must be met in order for the test to be considered valid. For the...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.08-2315

    authors: Lange NE,Mulholland M,Kreider ME

    更新日期:2009-08-01 00:00:00

  • Cardiac arrhythmias during the combined use of beta-adrenergic agonist drugs and theophylline.

    abstract::We studied 15 nonsmoking, clinically stable asthmatic subjects aged 27 to 39 years to evaluate the potential cardiotoxic effects of combined use of a beta-adrenergic agonist drug and theophylline in the treatment of asthma. Subjects underwent a one-week washout period followed by two one-week periods of study receivin...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.90.1.45

    authors: Coleman JJ,Vollmer WM,Barker AF,Schultz GE,Buist AS

    更新日期:1986-07-01 00:00:00

  • Eosinophil activation in patients with pulmonary fibrosis.

    abstract::The eosinophil count and concentrations of eosinophil cationic protein (ECP) were measured in bronchoalveolar lavage fluid (BALF) from patients with idiopathic pulmonary fibrosis (IPF), pulmonary fibrosis associated with a collagen vascular disorder (PF-CVD), sarcoidosis, and healthy controls. The patients with IPF an...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.1.48

    authors: Fujimoto K,Kubo K,Yamaguchi S,Honda T,Matsuzawa Y

    更新日期:1995-07-01 00:00:00

  • Childhood obstructive sleep-disordered breathing: a clinical update and discussion of technological innovations and challenges.

    abstract::Childhood sleep-disordered breathing (SDB) has been known to be associated with health and cognitive impacts for more than a century, and yet our understanding of this disorder is in its infancy. Neuropsychological consequences in children with snoring or subtle breathing disturbances not meeting the traditional defin...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.06-2827

    authors: Halbower AC,Ishman SL,McGinley BM

    更新日期:2007-12-01 00:00:00

  • Pulmonary hyperinflation following Nd-YAG laser resection of an obstructing mainstem tumor.

    abstract::Nd-YAG laser resection of a completely obstructing right mainstem tumor in a 36-year-old man was complicated by right lung hyperinflation and left lung collapse and accompanying ventilatory failure. This was attributed to obstruction of the right mainstem bronchus during exhalation, but not inhalation, in a patent but...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.6.1302

    authors: Fairfax WR,Rollins RJ

    更新日期:1988-06-01 00:00:00

  • Interpretation of cough provoked by airway challenges.

    abstract:STUDY OBJECTIVE:To analyze the cough response to three airway challenges in order to clarify whether the recording of the provoked coughs would be beneficial in the management of asthma. DESIGN:A prospective study. SETTING:University hospital. PARTICIPANTS:Fifteen healthy subjects, 16 steroid-naïve subjects with ast...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.128.5.3329

    authors: Koskela HO,Kontra KM,Purokivi MK,Randell JT

    更新日期:2005-11-01 00:00:00

  • Elevated basic fibroblast growth factor levels in patients with pulmonary arterial hypertension.

    abstract:STUDY OBJECTIVES:Cellular growth in the vascular wall, including endothelial and smooth-muscle cell proliferation, is recognized as a component of the obstructive vasculopathy observed in the small vessels of the lungs in pulmonary arterial hypertension (PAH). We hypothesized that angiogenic growth factors may have a r...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.126.4.1255

    authors: Benisty JI,McLaughlin VV,Landzberg MJ,Rich JD,Newburger JW,Rich S,Folkman J

    更新日期:2004-10-01 00:00:00

  • Analysis of sequential aliquots of hypertonic saline solution-induced sputum from clinically stable patients with cystic fibrosis.

    abstract:STUDY OBJECTIVES:Sputum induction (SI) is a noninvasive tool for sampling inflamed airways. The purpose of this study was to determine the optimal duration of collection in patients with cystic fibrosis (CF). The hypothesis was that the duration of SI collection would quantitatively and qualitatively alter the content ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.3.792

    authors: Aitken ML,Greene KE,Tonelli MR,Burns JL,Emerson JC,Goss CH,Gibson RL

    更新日期:2003-03-01 00:00:00

  • The role of thoracic radiotherapy in the management of limited-stage small cell lung cancer: past, present, and future.

    abstract::The role of thoracic radiation therapy in the management of limited-stage small cell lung cancer (SCLC) is reviewed. Although chest irradiation has been used to treat SCLC for over four decades, its standard role in the management of limited-stage disease was established only during the last decade. Multiple prospecti...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.112.4_supplement.259s

    authors: Kumar P

    更新日期:1997-10-01 00:00:00

  • Radiographic pseudofracture of bipolar pacemaker wire.

    abstract::We present a case in which the radiographic appearance of a bipolar pacing lead mimics a wire fracture. Recognition of this normal finding--due to lead construction--will help avoid erroneous diagnosis of wire fracture on chest x-ray films. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.88.2.302

    authors: Hecht S,Berdoff R,Van Tosh A,Goldberg E

    更新日期:1985-08-01 00:00:00

  • Preventing ARDS: progress, promise, and pitfalls.

    abstract::Advances in critical care practice have led to a substantial decline in the incidence of ARDS over the past several years. Low tidal volume ventilation, timely resuscitation and antimicrobial administration, restrictive transfusion practices, and primary prevention of aspiration and nosocomial pneumonia have likely co...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-0555

    authors: Beitler JR,Schoenfeld DA,Thompson BT

    更新日期:2014-10-01 00:00:00

  • Familial type II hyperlipoproteinemia with coronary heart disease: effect of diet-colestipol-nicotinic acid treatment.

    abstract::Heterozygous familial type II hyperlipoproteinemia (F type II) is primarily manifested in hypercholesterolemia (due to low density lipoprotein-cholesterol [LDL-C] elevation) and premature coronary heart disease (CHD). We studied sequentially the effects of low cholesterol-low saturated fat-low simple carbohydrate diet...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.3.286

    authors: Kuo PT,Kostis JB,Moreyra AE,Hayes JA

    更新日期:1981-03-01 00:00:00

  • Measurement of respiratory acoustic signals. Effect of microphone air cavity width, shape, and venting.

    abstract:STUDY OBJECTIVE:We have previously investigated the effects of microphone type and coupler air chamber depth on lung sound characteristics. We now report the results of experiments exploring the effects of air chamber width, shape, and venting on lung sounds. DESIGN:We used a single electret microphone with a variety ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.4.1004

    authors: Kraman SS,Wodicka GR,Oh Y,Pasterkamp H

    更新日期:1995-10-01 00:00:00

  • Diffuse alveolar hemorrhage following alemtuzumab.

    abstract::This study describes an unusual patient with X-linked Alport syndrome (XLAS) in whom diffuse alveolar hemorrhage (DAH) developed as a complication of alemtuzumab therapy following renal transplantation. A 26-year-old man with XLAS underwent retransplantation with a cadaveric renal allograft. He received alemtuzumab th...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-2354

    authors: Sachdeva A,Matuschak GM

    更新日期:2008-06-01 00:00:00

  • Hydrochlorothiazide-induced noncardiogenic pulmonary edema: BAL fluid analysis.

    abstract::Hydrochlorothiazide (HCTZ)-induced pulmonary disease has been described as either an allergic interstitial pneumonitis or a cause of noncardiogenic pulmonary edema. The mechanism of this rare life-threatening side effect is largely unknown. Many patients show peripheral leukopenia and extensive immunologic studies rev...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.10-0944

    authors: Darwish OS,Criley J

    更新日期:2011-01-01 00:00:00

  • Cerebrospinal fluid leak and meningitis associated with nasal continuous positive airway pressure therapy.

    abstract::Clear rhinorrhea is a common symptom in patients with obstructive sleep apnea (OSA) and may worsen with continuous positive airway pressure therapy. Clear rhinorrhea can also be the presenting symptom of cerebrospinal fluid (CSF) leak, which is evidence of a communication between the subarachnoid space and the nasal c...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.3.1882

    authors: Kuzniar TJ,Gruber B,Mutlu GM

    更新日期:2005-09-01 00:00:00

  • Ventilator-associated pneumonia: impact of organisms on clinical resolution and medical resources utilization.

    abstract:BACKGROUND:Clinical resolution of ventilator-associated pneumonia (VAP) determines the duration of treatment and mechanical ventilation. The aim of this study was to evaluate the influence of organisms and their susceptibility to treatment on outcomes. METHODS:Prospective observational study in three teaching ICUs. Si...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-2020

    authors: Vidaur L,Planas K,Sierra R,Dimopoulos G,Ramirez A,Lisboa T,Rello J

    更新日期:2008-03-01 00:00:00

  • End-of-life treatment and bacterial antibiotic resistance: a potential association.

    abstract:BACKGROUND:Great variability exists in the occurrence of antibiotic-resistant bacteria in ICUs around the world. The contribution of specific ICU care variables to these geographic variations is unknown. METHODS:ICU patients from two ICUs (in Jerusalem and Toronto) who were admitted for > 48 h and who grew a resistant...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-2757

    authors: Levin PD,Simor AE,Moses AE,Sprung CL

    更新日期:2010-09-01 00:00:00

  • Bronchogenic cancer in patients under 40 years old. The experience of a Latin American country.

    abstract::Lung cancer in young patients is increasing in frequency, as documented by data from the United States, Canada, Japan, and European countries. However, to date and to our knowledge, there have not been any reports from Latin America on this topic. The published reports show that lung cancer in young patients is associ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.5.1477

    authors: Green LS,Fortoul TI,Ponciano G,Robles C,Rivero O

    更新日期:1993-11-01 00:00:00

  • Airway Clearance Techniques in Bronchiectasis: Analysis From the United States Bronchiectasis and Non-TB Mycobacteria Research Registry.

    abstract:BACKGROUND:In patients with bronchiectasis, airway clearance techniques (ACTs) are important management strategies. RESEARCH QUESTION:What are the differences in patients with bronchiectasis and a productive cough who used ACTs and those who did not? What was the assessment of bronchiectasis exacerbation frequency and...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.06.050

    authors: Basavaraj A,Choate R,Addrizzo-Harris D,Aksamit TR,Barker A,Daley CL,Anne Daniels ML,Eden E,DiMango A,Fennelly K,Griffith DE,Johnson MM,Knowles MR,Metersky ML,Noone PG,O'Donnell AE,Olivier KN,Salathe MA,Schmid A,Thom

    更新日期:2020-10-01 00:00:00

  • Microbiology of pediatric primary pulmonary tuberculosis.

    abstract:OBJECTIVE:To determine the sensitivity of bacteriologic studies in pediatric pulmonary tuberculosis. PATIENTS AND METHODS:Between January 1988 and December 1996, 104 consecutive patients aged 0 to 18 years received a diagnosis of primary pulmonary tuberculosis at our institution. Demographic, clinical, laboratory, and...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.119.5.1434

    authors: Merino JM,Alvarez T,Marrero M,Ansó S,Elvira A,Iglesias G,González JB

    更新日期:2001-05-01 00:00:00

  • Delayed and recurrent pneumothorax after radiofrequency ablation of lung tumors.

    abstract:BACKGROUND:In daily clinical work, we often face delayed or recurrent pneumothorax after radiofrequency (RF) ablation for lung tumors, but a large study on this theme has not been done. Thus, we examined the rate of delayed or recurrent pneumothorax after RF ablation for lung tumors and the risk factors associated with...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-1499

    authors: Yoshimatsu R,Yamagami T,Terayama K,Matsumoto T,Miura H,Nishimura T

    更新日期:2009-04-01 00:00:00

  • Long-term effects of nitrendipine on hemodynamics and oxygen transport in patients with cor pulmonale.

    abstract::Recent studies have suggested that vasodilators may acutely improve pulmonary hemodynamics in patients with chronic obstructive pulmonary disease and cor pulmonale, but the effects of long-term therapy have not been assessed. We evaluated the hemodynamic and gas exchange effects of nitrendipine, a calcium channel bloc...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.1.141

    authors: Rubin LJ,Moser K

    更新日期:1986-01-01 00:00:00

  • Right and light ventricular dimensions as determinants of ventricular septal motion.

    abstract::Echocardiographic studies were performed in 86 patients with right ventricular volume overload. In 45 of these 86 patients, 58 echocardiograms were performed at different intervals in the postoperative period. For control purposes, 60 normal subjects and 18 patients with right ventricular pressure overload were also e...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.69.3.388

    authors: Laurenceau JL,Dumesnil JG

    更新日期:1976-03-01 00:00:00

  • Altered Viscosity of Nasal Secretions in Postnasal Drip.

    abstract:BACKGROUND:Postnasal drip (PND) is a common symptom associated with upper respiratory tract disorders. It occurs without other symptoms or combined with chronic rhinosinusitis. However, the pathophysiology of PND is debated to this day, and an objective definition of PND has not been established. Therefore, we aimed to...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.04.133

    authors: Bucher S,Schmid-Grendelmeier P,Soyka MB

    更新日期:2019-10-01 00:00:00

  • Sex differences in response to tadalafil in pulmonary arterial hypertension.

    abstract:BACKGROUND:Pulmonary arterial hypertension (PAH) is a progressive disease with high rates of morbidity and mortality. Current therapies improve symptoms, functional capacity, and, in select cases, survival. Little is known about patient factors that may predict the likelihood of patient-important, clinically relevant r...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.14-0263

    authors: Mathai SC,Hassoun PM,Puhan MA,Zhou Y,Wise RA

    更新日期:2015-01-01 00:00:00

  • Ca2+ movements in smooth muscle.

    abstract::We describe the Ca2+ movements in smooth muscle cells at rest and during activation and relaxation as deduced from transplasmalemmal Ca2+ fluxes and contractile respnses. The general picture which emerges is: the resting cell has a [Ca2+]cyt below 10(-7) M and large gradients are poised across both the cell membrane a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.78.1_supplement.157

    authors: van Breemen C,Aaronson P,Loutzenhiser R,Meisheri K

    更新日期:1980-07-01 00:00:00

  • Left ventricular laceration due to stented prosthesis.

    abstract::Complications following open chest massage in patients with porcine xenografts in the mitral location have not been previously described. The authors report a case of cardiac resuscitation following mitral valve replacement with a stented porcine valve. The patient died following brief closed chest, and then, prolonge...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.77.2.216

    authors: Wild LM,Lajos TZ,Lee AB Jr,Wright J

    更新日期:1980-02-01 00:00:00

  • Assessment of cardiac function in patients with the acquired immunodeficiency syndrome.

    abstract::We have assessed right and left ventricular function by multigated radionuclide ventriculography in 12 consecutive patients with acquired immunodeficiency syndrome (AIDS) grouped according to the CDC classification system for HIV infection. Results were correlated with clinical, electrocardiographic and echocardiograp...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.3.592

    authors: Raffanti SP,Chiaramida AJ,Sen P,Wright P,Middleton JR,Chiaramida S

    更新日期:1988-03-01 00:00:00