Abstract:
:There is heightened concern that older adults and individuals with occult or known heart disease are exercising at fitness facilities that do not provide adequate cardiovascular screening and emergency procedures, as outlined in contemporary recommendations. To evaluate adherence to these standards, we surveyed 122 randomly chosen fitness clubs in Ohio (53% response rate; n = 65) that included > 110,000 total members. Special programs for older adults, cardiac patients, or both, were offered at 52% of these clubs. More than one fourth of the clubs (28%) failed to employ pre-entry screening to identify members with signs, symptoms, or history of cardiovascular disease, even though 17% reported one or more cardiovascular emergencies (ie, acute myocardial infarction, sudden cardiac death, or both) in their facility during the past 5 years. Moreover, a majority of the clubs (53%) had no written emergency response plan and 92% failed to conduct emergency response drills as described in published national standards. Only 3% of the centers reported having automated external defibrillators. These findings indicate that staff at public fitness facilities must work to identify members with signs, symptoms, or history of cardiovascular disease and prepare for prompt and appropriate responses to cardiovascular emergencies as described in contemporary national recommendations. Such risk management procedures may reduce exercise-related cardiovascular events among the escalating number of moderate-to-high-risk adults who are being mainstreamed into health and fitness facilities.
journal_name
Chestjournal_title
Chestauthors
McInnis K,Herbert W,Herbert D,Herbert J,Ribisl P,Franklin Bdoi
10.1378/chest.120.1.283subject
Has Abstractpub_date
2001-07-01 00:00:00pages
283-8issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(15)35826-8journal_volume
120pub_type
杂志文章相关文献
CHEST文献大全abstract:PURPOSES:To determine the diagnostic accuracy of ultrasound in the diagnosis of pneumothorax in patients with COPD with particular regard to false-positive diagnoses. MATERIALS AND METHODS:This was a single-center, prospective, blinded study. Nine patients with pneumothorax, 9 patients with cystic fibrosis, 17 patient...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.129.3.545
更新日期:2006-03-01 00:00:00
abstract::A 48-year-old man with unipolar depression and a psychosexual problem concerning his body image was injecting his scrotum repeatedly with olive oil to increase the size of his genitals. He developed respiratory failure following accidental intravenous injection of olive oil and was found to have lipogranulomatous lesi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.3.875
更新日期:1995-03-01 00:00:00
abstract:OBJECTIVE:To ascertain the differences in smoking characteristics between a group of smokers with COPD and another group of healthy smokers, both of which were identified in a population-based epidemiologic study. DESIGN AND PARTICIPANTS:This is an epidemiologic, multicenter, population-based study conducted in seven ...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.119.5.1365
更新日期:2001-05-01 00:00:00
abstract:STUDY OBJECTIVE:To determine if a training session using videotaped metered dose inhaler (MDI) performances can result in high interrater and intrarater reliability of five evaluators assessing MDI technique. DESIGN:Five evaluators (three pharmacists, two pulmonary fellows) were trained to evaluate MDI technique durin...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.105.3.710
更新日期:1994-03-01 00:00:00
abstract::A 77-year-old man with a history of renal cell carcinoma presented with orthostatic syncope. Investigation revealed metastatic carcinoma in the left lung extending through the pulmonary veins into the left atrium obstructing the mitral orifice. On review of the literature, this case appears to be the first to describe...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.2.481
更新日期:1990-08-01 00:00:00
abstract:OBJECTIVES:To determine whether certain occupations and occupationally related exposures were associated with a history of sarcoidosis in African-American siblings. METHODS:We collected occupational data from 921 African Americans in 273 sibships that had been identified through a sarcoidosis case. Among the 648 sibli...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.123.5.1527
更新日期:2003-05-01 00:00:00
abstract::In vitro cell-mediated immunity was examined in patients infected with nontuberculous mycobacteria, Mycobacterium avium-intracellulare complex in Japan. Peripheral blood lymphocytes of patients, as compared with those of tuberculous patients or tuberculin-positive healthy donors, showed depressed in vitro blastogenic ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.4.822
更新日期:1988-10-01 00:00:00
abstract::It was previously thought that diagnostic or therapeutic ionizing radiation did not have an adverse effect on the function of cardiac pacemakers. Recently, however, some authors have reported damaging effect of the therapeutic radiation on cardiac pulse generators. An analysis of a recently-extracted pacemaker documen...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.84.4.499
更新日期:1983-10-01 00:00:00
abstract:PURPOSES:To determine the diagnostic capabilities of dynamic high-resolution electron-beam (HREB) CT scanning for diagnosing bronchiolitis obliterans syndrome (BOS) in lung transplant recipients. MATERIALS AND METHODS:At the time of follow-up examinations after lung transplantation, 52 patients were examined by dynami...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.126.2.447
更新日期:2004-08-01 00:00:00
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
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Pulmonary disease due to Mycobacterium avium complex (MAC-PD) radiographically resembles that due to tuberculosis; it preferentially affects elderly white men with predisposing pulmonary disorders (PDPD). METHODS:Twenty-nine patients with MAC-PD were identified from a community-based population, and the med...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.6.1605
更新日期:1992-06-01 00:00:00
abstract::A 21-year follow-up after tricuspid valve replacement (TVR) with a Starr-Edwards caged-ball prosthesis in a ten-year old boy is described. TVR is performed for Ebstein's anomaly, with strict indications in childhood. Despite the current preference for bioprostheses, good performance can be expected from the Starr-Edwa...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.5.1096
更新日期:1988-11-01 00:00:00
abstract::A nationwide study of acute myocardial infarction in Israel was carried out during a one-year period. There were 2,504 new and 968 repeated attacks. Annual incidence rate of first attacks was 0.9 per 1,000 (1.3 in men and 0.5 in women). Incidence was highest among the European born in both sexes. But, while the patter...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.2.214
更新日期:1975-08-01 00:00:00
abstract::Our understanding of asthma epidemiology is growing increasingly complex. Asthma outcomes are clearly socially patterned, with asthma ranking as a leading cause of health disparities among minority and low socioeconomic groups. Yet, the increasing prevalence and marked disparities in asthma remain largely unexplained ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.07-1904
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Traditional diagnostic tests for pericardial tuberculosis (TB) are insensitive and often require long culture periods, and this has led to more emphasis being placed on biochemical tests such as the pericardial adenosine deaminase (ADA) test. However, controversy exists as to its diagnostic utility. In addit...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.3.900
更新日期:2002-09-01 00:00:00
abstract::Patients with cystic fibrosis (CF) and advanced pulmonary disease have pulmonary limitation of exercise, often associated with arterial oxygen desaturation. Improving oxygenation during exercise by providing supplemental oxygen may improve exercise performance in these patients. To test this, we performed graded exerc...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.1.52
更新日期:1992-01-01 00:00:00
abstract::Cardiac dysfunction due to systemic sarcoidosis is most of ten due to severe restrictive pulmonary diseases. Although the diagnosis is frequently missed during life, direct granulomatous infiltration of the myocardium may occur with systemic sarcoidosis and, when present in the heart, is a major cause of death. To exp...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.1.27
更新日期:1977-07-01 00:00:00
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
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:Health-care workers are concerned about the risk of acquiring contagious diseases such as severe acute respiratory syndrome and avian influenza after recent outbreaks. We studied exhaled air and particle dispersion through an oronasal mask attached to a human-patient simulator (HPS) during noninvasive positi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.130.3.730
更新日期:2006-09-01 00:00:00
abstract::Two patients are described who had congestive heart failure with loculated interlobar air-fluid collections. Although pseudotumor (interlobar effusion) is a well-known finding in congestive heart failure, the additional presence of air is unique. Both are somewhat related to the underlying failure. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.74.6.681
更新日期:1978-12-01 00:00:00
abstract:BACKGROUND:Research on the effects of cigarette smoking on sleep architecture is limited. The objective of this investigation was to examine differences in sleep EEG between smokers and nonsmokers. METHODS:Smokers and nonsmokers who were free of all medical comorbidities were matched on different factors, including ag...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.07-1190
更新日期:2008-02-01 00:00:00
abstract:STUDY OBJECTIVES:To examine the effect of patient body mass index (BMI) on outcome in intensive care. DESIGN:In a prospective study, the patients were classified into groups based on the calculated BMI, as follows: BMI < 19.0 (n = 350), > or = 19.0 and < 25.0 (n = 663), > or = 25.0 and < 29.9 (n = 585), > or = 30.0 an...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.6.2125
更新日期:2005-06-01 00:00:00
abstract::We studied the possibility of predicting PaO2 during exercise of a given oxygen uptake (VO2) from resting pulmonary function tests (PFTs) in patients with chronic obstructive pulmonary disease (COPD). The three-minute incremental treadmill exercise was performed with serial measurements of PaO2 via intra-arterial cath...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.91.3.328
更新日期:1987-03-01 00:00:00
abstract:BACKGROUND:Architectural design of health-care facilities can influence patient safety; however, it is unknown whether patient outcomes are significantly affected by ICU design. METHODS:Six hundred sixty-four patients admitted to the medical ICU (MICU) of Columbia University Medical Center during 2008 were included in...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-1458
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:COPD is a heterogeneous disease characterized by airflow obstruction and diagnosed by lung function. CT imaging is emerging as an important, noninvasive tool in phenotyping COPD. However, the use of CT imaging in defining the disease heterogeneity above lung function is not fully known. METHODS:Seventy-five...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-3007
更新日期:2011-09-01 00:00:00
abstract:STUDY OBJECTIVES:To validate a previously developed multisystem organ failure (MSOF) score with and without the addition of the lactate dehydrogenase (LDH) level as a predictor of survival to hospital discharge in patients with AIDS-related Pneumocystis carinii pneumonia (PCP) and acute respiratory failure (ARF). DESI...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.114.1.199
更新日期:1998-07-01 00:00:00
abstract::The purpose of this study was to determine the frequency and severity of arterial oxygen desaturation during and after endotracheal suctioning in a group of ventilator-dependent patients with acute respiratory failure (the majority of whom had underlying obstructive lung disease) and to evaluate the efficacy of severa...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.83.4.621
更新日期:1983-04-01 00:00:00
abstract:BACKGROUND:Shared decision-making is an essential element of low-dose CT (LDCT) screening for lung cancer. Understanding patient-level outcomes from the National Lung Screening Trial (NLST) is critical to effectively communicate risks and benefits of screening to patients. METHODS:We performed a secondary analysis of ...
journal_title:Chest
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.chest.2019.06.016
更新日期:2019-11-01 00:00:00
abstract::We evaluated the effects of a new semisynthetic macrolide antibiotic, roxithromycin, on the bronchial hyperresponsiveness to histamine in children with asthma. Twelve hospitalized asthmatic children, aged 11 to 15 years (mean age, 12.9 years), were enrolled in this study. They were treated with 150 mg of roxithromycin...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.106.2.458
更新日期:1994-08-01 00:00:00
abstract::To evaluate the effect of inhaled diuretics, furosemide and amiloride, on cough induced by acid inhalation challenge in asthmatic children, a double-blind, randomized, placebo-controlled study was conducted. On separate days, 12 asthmatic children (10.3 +/- 0.7 [SEM] years) underwent acetic acid (AD) inhalation challe...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.107.2.413
更新日期:1995-02-01 00:00:00