Effect of acute myocardial infarction on cholesterol ratios.

Abstract:

OBJECTIVE:In patients with acute myocardial infarctions (MIs), cholesterol levels are no longer valid after 24 h from presentation because acute MI causes a rapid decline in serum levels of total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol. The objective of this study was to evaluate the effect of acute MI on the total cholesterol/HDL cholesterol ratio and the LDL cholesterol/HDL cholesterol ratio. METHODS:The study consisted of 45 patients who were admitted to the hospital with acute MIs. Serum levels of total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides were determined on day 1 post-MI and day 4 post-MI. The total cholesterol/HDL cholesterol ratio and the LDL cholesterol/HDL cholesterol ratio were calculated. Serum lipid levels and cholesterol ratios were compared between day 1 post-MI and day 4 post-MI. RESULTS:From day 1 post-MI to day 4 post-MI, the mean (+/- SD) serum levels of total cholesterol (188.4 +/- 52.5 vs. 170.5 +/- 57.2 mg/dL, respectively; p = 0.01), LDL cholesterol (120.3 +/- 48.9 vs. 105.9 +/- 43.0 mg/dL, respectively; p = 0.009), and HDL cholesterol (45.0 +/- 18.5 vs 39.3 +/- 16.1 mg/dL, respectively; p < 0.001) decreased, but the mean serum level of triglycerides (119.2 +/- 81.2 vs 149.3 +/- 68.3 mg/dL, respectively; p = 0.006) increased. The cholesterol ratios, however, remained unchanged between day 1 post-MI and day 4 post-MI. The total cholesterol/HDL cholesterol ratio was 4.59 +/- 1.84 on day 1 post-MI and 4.67 +/- 1.77 on day 4 post-MI (change not significant). The LDL cholesterol/HDL cholesterol ratio was 2.96 +/- 1.58 on day 1 post-MI and 2.99 +/- 1.44 on day 4 post-MI (change not significant). CONCLUSION:Acute MI does not affect the cholesterol ratios. Therefore, when the absolute levels of serum cholesterol are no longer valid (beyond 24 h after an MI), the cholesterol ratios still could be useful for cholesterol risk assessment in patients with acute MIs.

journal_name

Chest

journal_title

Chest

authors

Wattanasuwan N,Khan IA,Gowda RM,Vasavada BC,Sacchi TJ

doi

10.1378/chest.120.4.1196

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

1196-9

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)35525-8

journal_volume

120

pub_type

杂志文章

相关文献

CHEST文献大全
  • Recurrent, self-limited, menstrual-associated bronchiolitis obliterans organizing pneumonia.

    abstract::A 39-year-old woman presented with recurrent acute illness, characterized by high-grade fever, pleuritic chest pain, and unilateral nodular infiltrate on chest radiograph. During the follow-up period, there were six similar episodes, each starting 2 to 3 days prior to her menstrual period and resolving within 5 to 10 ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.1.253

    authors: Yigla M,Ben-Itzhak O,Solomonov A,Guralnik L,Oren I

    更新日期:2000-07-01 00:00:00

  • Quantification of traumatic hemomediastinum using transesophageal echocardiography: impact on patient management.

    abstract:STUDY OBJECTIVES:To determine whether the quantitative evaluation of hemomediastinum using transesophageal echocardiography (TEE) is predictive of the presence of a traumatic disruption of the thoracic aorta (TDA) or its branches in patients who have sustained severe blunt chest trauma. DESIGN:Retrospective study. SE...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.6.1475

    authors: Vignon P,Rambaud G,François B,Preux PM,Lang RM,Gastinne H

    更新日期:1998-06-01 00:00:00

  • Tracheal bronchus: a cause of prolonged atelectasis in intubated children.

    abstract::Tracheal bronchus is a common anomaly that occurs in approximately 2% of people. Two children with multiple medical problems which led to endotracheal intubation are described. The hospital course for each child was complicated by persistent right upper lobe atelectasis. The presence of a tracheal bronchus was not rec...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.2.537

    authors: O'Sullivan BP,Frassica JJ,Rayder SM

    更新日期:1998-02-01 00:00:00

  • Inhalation challenge with bovine dander allergens: who needs it?

    abstract:STUDY OBJECTIVES:To identify which tests would be useful in selecting patients for a specific inhalation challenge with bovine dander allergens (bSIC). DESIGN:A prospective study. SETTING:A university hospital. PATIENTS:Thirty-seven dairy farmers with a clinical suspicion of occupational asthma due to bovine allerge...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.1.383

    authors: Koskela H,Taivainen A,Tukiainen H,Chan HK

    更新日期:2003-07-01 00:00:00

  • Reduced sodium transport with nasal administration of the prostasin inhibitor camostat in subjects with cystic fibrosis.

    abstract:BACKGROUND:Prostasin, a trypsin-like serine protease, is a channel-activating protease and major regulator of epithelial sodium channel-mediated sodium absorption. Its direct inhibition by camostat represents a potential approach to inhibiting sodium transport in cystic fibrosis (CF). METHODS:To determine whether a to...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.12-2431

    authors: Rowe SM,Reeves G,Hathorne H,Solomon GM,Abbi S,Renard D,Lock R,Zhou P,Danahay H,Clancy JP,Waltz DA

    更新日期:2013-07-01 00:00:00

  • CT scan features as predictors of patient outcome after bronchial intervention in endobronchial TB.

    abstract:BACKGROUND:The purpose of this study was to identify the CT scan features that predict patient outcome after reexpansion procedures in patients with the fibrotic stage of endobronchial TB. METHODS:We retrospectively enrolled 30 patients (four men, 26 women) aged 32 +/- 11 years who had lobar or whole-lung atelectasis ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-1846

    authors: Lee JY,Yi CA,Kim TS,Kim H,Kim J,Han J,Kwon OJ,Lee KS,Chung MJ

    更新日期:2010-08-01 00:00:00

  • Asbestos fibers in laryngeal tissues. Findings in two patients with asbestosis associated with laryngeal tumors.

    abstract::Significant concentrations of asbestos fibers have been found in samples of laryngeal tissue from two patients with past exposure to asbestos and associated asbestosis. In one case, there was a polyp on a vocal cord and in the other one a laryngeal carcinoma. These findings could provide an indication of a local carci...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.76.6.697

    authors: Hirsch A,Bignon J,Sebastien P,Gaudichet A

    更新日期:1979-12-01 00:00:00

  • Clinical and Imaging Features of COVID-19 in a Neonate.

    abstract::We report the clinical history, laboratory findings, and imaging features of coronavirus disease 2019 (COVID-19) in a neonate whose mother was also a patient. The newborn was the youngest patient with COVID-19 in the world at the time he was diagnosed. This case has brought more attention and understanding to the epid...

    journal_title:Chest

    pub_type:

    doi:10.1016/j.chest.2020.03.018

    authors: Xiong Y,Zhang Q,Zhao L,Shao J,Zhu W

    更新日期:2020-07-01 00:00:00

  • A rare cause of postoperative hypotension.

    abstract::A 62-year-old woman presented with a 3-month history of abdominal distension and decreased exercise tolerance. A chest radiograph showed a probable left pleural effusion (Fig 1). A CT scan of the abdomen revealed a solid ovarian mass with omental caking and a large volume of ascites; there was also confirmation of a l...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-2245

    authors: Salinas PD,Toth LN,Manning HL

    更新日期:2015-05-01 00:00:00

  • Comparison of noninvasive positive pressure ventilation with standard medical therapy in hypercapnic acute respiratory failure.

    abstract:STUDY OBJECTIVE:To compare the efficacy of standard medical therapy (ST) and noninvasive mechanical ventilation additional to standard medical therapy in hypercapnic acute respiratory failure (HARF). DESIGN:Single center, prospective, randomized, controlled study. SETTING:Pulmonary medicine directed critical care uni...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.114.6.1636

    authors: Celikel T,Sungur M,Ceyhan B,Karakurt S

    更新日期:1998-12-01 00:00:00

  • Silicone embolism syndrome: a case report, review of the literature, and comparison with fat embolism syndrome.

    abstract::Liquid silicone is an inert material that is utilized for cosmetic procedures by physicians as well as illegally by nonmedical personnel. We present a case report and collated clinical findings of 32 other patients who were hospitalized after illegal silicone injections. Symptoms and signs of the "silicone syndrome" i...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.127.6.2276

    authors: Schmid A,Tzur A,Leshko L,Krieger BP

    更新日期:2005-06-01 00:00:00

  • Relationship between the electrical (electrocardiographic) and mechanical (echocardiographic) events in Wolff-Parkinson-White syndrome.

    abstract::Studies using epicardial mapping on patients with Wolff-Parkinson-White syndrome have demonstrated that the delta vector of the electrocardiogram is a detector of the location of at least one bypass tract. In order to relate the electrical activities (preexcitation) with the mechanical activity (septal and ventricular...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.71.4.463

    authors: Lebovitz JA,Mandel WJ,Laks MM,Kraus R,Weinstein S

    更新日期:1977-04-01 00:00:00

  • Outcome of patients with idiopathic pulmonary fibrosis admitted to the ICU for respiratory failure.

    abstract:STUDY OBJECTIVES:To analyze the outcome of acute respiratory failure (ARF) in patients with idiopathic pulmonary fibrosis (IPF), and to evaluate the benefits of invasive and noninvasive mechanical ventilation (MV). DESIGN:Retrospective study. SETTING:University hospital. PATIENTS:Fifteen consecutive patients with IP...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.120.1.209

    authors: Blivet S,Philit F,Sab JM,Langevin B,Paret M,Guérin C,Robert D

    更新日期:2001-07-01 00:00:00

  • Bronchospasm secondary to replacement estrogen therapy.

    abstract::A postmenopausal woman with severe obstructive airways disease and bronchospasm developed increased airflow limitation with the reintroduction of estrogen therapy for osteoporosis. Discontinuation of the estrogen caused symptomatic improvement and decreased her corticosteroid requirement. Readministration of estrogen ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.4.1300

    authors: Collins LC,Peiris A

    更新日期:1993-10-01 00:00:00

  • Worsening of vasovagal syncope after beta-blocker therapy.

    abstract::Head-up tilt test was done in a 27-year-old man with recurrent syncope of unexplained cause. Severe sinus bradycardia and hypotension accompanied by light-headedness, cold sweating, and nausea occurred at 80 degrees head-up position during 4 micrograms/min isoproterenol infusion. Oral propranolol, 160 mg/d, in four di...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.106.3.963

    authors: Wang CC,Yeh SJ,Wen MS,Lin FC,Wu D

    更新日期:1994-09-01 00:00:00

  • Esophagectomy after induction chemoradiation.

    abstract::The definition of a standard therapy for resectable esophageal cancer remains a clinical controversy. In the past decade, a variety of strategies have been developed in an attempt to improve local control and decrease the all too common problem of distant metastases. Preoperative treatment with radiotherapy or chemoth...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.116.suppl_3.466s

    authors: DeCamp MM Jr,Swanson SJ,Jaklitsch MT

    更新日期:1999-12-01 00:00:00

  • Early detection of COPD in a high-risk population using spirometric screening.

    abstract:STUDY OBJECTIVES:To evaluate the efficacy of mass spirometry use for the detection of airflow obstruction in a high-risk population. DESIGN:Free spirometry was offered to smokers who were > 39 years of age with a smoking history of > 10 pack-years. Action was preceded by the dissemination of information on the causes ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.119.3.731

    authors: Zieliñski J,Bednarek M,Know the Age of Your Lung Study Group.

    更新日期:2001-03-01 00:00:00

  • Transient focal septal block.

    abstract::A 65-year-old woman with an acute myocardial infarction, as judged by serial enzyme changes, developed transitory Q waves in leads V2 to V4 and leads 2, 3, and aVF during an attack of pain in the chest. These Q waves were not present 12 hours later. It is suggested that these changes represent a focal block in the sep...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.6.728

    authors: Athanassopoulos CB

    更新日期:1979-06-01 00:00:00

  • Treatment of chronic obstructive pulmonary disease with corticosteroids. Comparison of daily vs alternate-day therapy.

    abstract::We compared the efficacy of corticosteroid therapy initiated as an alternate-day regimen to that of a four-times-daily regimen in patients with stable chronic obstructive pulmonary disease. In this double-blind study, 44 patients with moderate to severe COPD (mean FEV1 740 +/- 310 ml) were hospitalized and randomly al...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.86.4.524

    authors: Blair GP,Light RW

    更新日期:1984-10-01 00:00:00

  • Alternans of the ST segment in variant angina. Incidence, time course and relation to ventricular arrhythmias during ambulatory electrocardiographic recording.

    abstract::The ST alternans was recorded during at least one ischemic attack with ST elevation in nine of 65 patients with variant angina. The magnitude and duration of ST elevation during ischemic attacks were significantly greater in patients with than in those without ST alternans. It always appeared during the occlusion phas...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.3.587

    authors: Turitto G,El-Sherif N

    更新日期:1988-03-01 00:00:00

  • Inhaled diuretics attenuate acid-induced cough in children with asthma.

    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

    authors: Mochizuki H,Shimizu T,Morikawa A,Kuroume T

    更新日期:1995-02-01 00:00:00

  • High rhinovirus burden in lower airways of children with cystic fibrosis.

    abstract:BACKGROUND:Rhinovirus (RV)-induced pulmonary exacerbations are common in cystic fibrosis (CF) and have been associated with impaired virus clearance by the CF airway epithelium in vitro. Here, we assess in vivo the association of RV prevalence and load with antiviral defense mechanisms, airway inflammation, and lung fu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-0954

    authors: Kieninger E,Singer F,Tapparel C,Alves MP,Latzin P,Tan HL,Bossley C,Casaulta C,Bush A,Davies JC,Kaiser L,Regamey N

    更新日期:2013-03-01 00:00:00

  • Battling Intensivist Burnout: A Role for Workload Management.

    abstract::Burnout syndrome is an increasingly common phenomenon that threatens our critical care workforce and the well-being of its members. Burnout syndrome can be conceived of as a workforce manifestation of chronic workload and workforce capacity imbalance. This study explores the role of workload management tools that can ...

    journal_title:Chest

    pub_type: 评论,杂志文章,评审

    doi:10.1016/j.chest.2019.04.103

    authors: Lilly CM,Cucchi E,Marshall N,Katz A

    更新日期:2019-11-01 00:00:00

  • Relationship of resting lung mechanics and exercise pattern of breathing in patients with chronic obstructive lung disease.

    abstract::To investigate the influence of resting pulmonary mechanics on the pattern of breathing during exercise in chronic obstructive pulmonary disease (COPD), we studied 29 patients with moderate to severe COPD (FEV1 50 +/- 20 percent predicted), and 10 normal subjects. Lung mechanics were studied using esophageal balloon t...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.3.705

    authors: Marin JM,Hussain SN,Gibbons WJ,Polverino M,Levy RD,Cosio MG

    更新日期:1993-09-01 00:00:00

  • A prospective study of community-acquired pneumonia in Hong Kong.

    abstract::A prospective study of community-acquired pneumonia in Hong Kong was carried out between January and December, 1988. Ninety adults (57 male) with a mean age of 57.3 years were admitted to the Prince of Wales Hospital with community-acquired pneumonia. The etiologic diagnosis of pneumonia was made in 37 cases (41 perce...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.2.442

    authors: Chan CH,Cohen M,Pang J

    更新日期:1992-02-01 00:00:00

  • Concomitant assessment of depth of sedation by changes in bispectral index and changes in autonomic variables (heart rate and/or BP) in pediatric critically ill patients receiving neuromuscular blockade.

    abstract:OBJECTIVE:We evaluated whether or not changes in bispectral index (BIS) are associated with concomitant changes in autonomic variables that are in agreement with the different level of sedation that the changes in BIS indicate. DESIGN:A retrospective chart review. SETTING:A pediatric ICU of a children's hospital. ME...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.1.303

    authors: Trope RM,Silver PC,Sagy M

    更新日期:2005-07-01 00:00:00

  • The effects of smoking on the signal-averaged electrocardiogram in normal subjects.

    abstract::Tobacco smoking increases the risk of sudden cardiac death, possibly by altering the substrate for propagation or sustainment of ventricular tachyarrhythmias. To test this hypothesis, 15 long-term smokers without known coronary artery disease abstained from tobacco smoking for 12 h, after which they underwent SAECG be...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.1.121

    authors: Sperry RE,Vacek JL,Smith GS

    更新日期:1991-01-01 00:00:00

  • Candida colonization of the respiratory tract and subsequent pseudomonas ventilator-associated pneumonia.

    abstract:BACKGROUND:Recovery of Candida from the respiratory tract of a critically ill patient receiving mechanical ventilation (MV) usually indicates colonization rather than infection of the respiratory tract. However, interactions between Candida and bacteria, particularly Pseudomonas, have been reported. Thus, Candida colon...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.1.110

    authors: Azoulay E,Timsit JF,Tafflet M,de Lassence A,Darmon M,Zahar JR,Adrie C,Garrouste-Orgeas M,Cohen Y,Mourvillier B,Schlemmer B,Outcomerea Study Group.

    更新日期:2006-01-01 00:00:00

  • Definition of cutoff values for the hypoxia test used for preflight testing in young children with neonatal chronic lung disease.

    abstract:BACKGROUND:The hypoxia test can be performed to identify potential hypoxia that might occur in an at-risk individual during air travel. In 2004, the British Thoracic Society increased the hypoxia test cutoff guideline from 85 to 90% in young children. The aim of this study was to investigate how well the cutoff values ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-1198

    authors: Martin AC,Verheggen M,Stick SM,Stavreska V,Oostryck J,Wilson AC,Hall GL

    更新日期:2008-04-01 00:00:00

  • Formoterol as dry powder inhalation. A dose finding study in comparison with formoterol metered dose inhaler and placebo.

    abstract::We compared the bronchodilator effects and systemic tolerability of 12, 24 and 48 micrograms formoterol DP capsules with 12 micrograms formoterol MDI and placebo in 30 patients with reversible obstructive airway disease. Pulmonary function tests were done and pulse rate and blood pressure were recorded. We observed si...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.101.5.1376

    authors: Maesen FP,Costongs R,Smeets SJ,Zweers PG,Goedhart DM

    更新日期:1992-05-01 00:00:00