Postinfarctional ventricular septal rupture. Clinical approach and surgical results.

abstract：STUDY OBJECTIVES:To assess exercise tolerance and determine the distinct role of cardiac, respiratory, or peripheral factors on it after delayed surgical repair in patients with tetralogy of Fallot. DESIGN:The aerobic exercise capacity of 15 adult patients (mean [+/- SD] age, 21 +/- 6; age range, 9 to 30 years) underg...

journal_title：Chest

authors： Ercisli M,Vural KM,Gokkaya KN,Koseoglu F,Tufekcioglu O,Sener E,Tasdemir O

更新日期：2005-08-01 00:00:00

abstract：:The ventilatory effects of a bolus intravenous dose of doxapram (0.37 to 0.47 mg/kg) were studied in ten healthy normal subjects. An immediate significant (p less than 0.001) increase in minute ventilation (VE) was due, in equal part, to significant increases in tidal volume (VT) and frequency (f). The inspiratory (TI...

journal_title：Chest

authors： Burki NK

更新日期：1984-05-01 00:00:00

abstract：STUDY OBJECTIVE:The primary objective of this study was to test whether an elevated systolic pulmonary artery (PA) pressure or an elevated pulmonary dead space fraction (Vd/Vt) in early acute lung injury (ALI) is associated with poor clinical outcomes in the era of lung-protective ventilation. DESIGN:Prospective obser...

journal_title：Chest

authors： Cepkova M,Kapur V,Ren X,Quinn T,Zhuo H,Foster E,Liu KD,Matthay MA

更新日期：2007-09-01 00:00:00

abstract：STUDY OBJECTIVES:Pneumonia during chemotherapy-induced leukocytopenia is a major cause of overall treatment failure in patients with hematologic malignancies. To improve outcome in these high-risk patients, early diagnosis of pulmonary infiltrates and institution of adequate antimicrobial treatment are mandatory. To id...

journal_title：Chest

authors： Kiehl MG,Ostermann H,Thomas M,Birkfellner T,Kienast J

更新日期：1997-11-05 00:00:00

abstract：:Significant eosinophilia is a prominent feature in Churg-Strauss syndrome but has only rarely been described in Wegener's granulomatosis (WG). We describe two Wegener's granulomatosis patients with > 30% eosinophilia on their initial presentations. Other etiologies that could account for their eosinophilia were exclud...

journal_title：Chest

authors： Potter MB,Fincher RK,Finger DR

更新日期：1999-11-01 00:00:00

abstract：STUDY OBJECTIVES:The prevalence of gastroesophageal reflux disease (GERD) is higher in people with asthma than in control populations. Predisposing factors for GERD development may include asthma medications such as prednisone. The objective of this study was to determine whether prednisone alters GERD parameters in pe...

journal_title：Chest

authors： Lazenby JP,Guzzo MR,Harding SM,Patterson PE,Johnson LF,Bradley LA

更新日期：2002-02-01 00:00:00

abstract：BACKGROUND:Prolonged mechanical ventilation (MV) is associated with high morbidity, mortality, and cost. However, few and limited data are available on the prediction of duration of MV. We conducted an observational cohort study to seek predictive criteria. METHODS:The study was performed in a surgical ICU (SICU) in a...

journal_title：Chest

authors： Troché G,Moine P

更新日期：1997-09-01 00:00:00

abstract：BACKGROUND:We aimed to evaluate the availability and practice of spirometry, training of technicians, and spirometer features and maintenance in Spain in both primary care (PC) and secondary care (SC) centers. METHODS:We used a nationwide, cross-sectional, 36-item telephone survey of health-care centers in Spain to ta...

journal_title：Chest

authors： López-Campos JL,Soriano JB,Calle M,Encuesta de Espirometría en España (3E) Project.

更新日期：2013-08-01 00:00:00

abstract：:Echocardiography has proven a useful and sensitive means to determine noninvasively the cardiac dimensions. This report describes the echocardiographic detection of progressive dilatation of the aortic root over an 18-month period, which led to death in a 33-year-old man with Marfan's syndrome; however, at no time was...

journal_title：Chest

authors： Come PC,Bulkley BH,McKusick VA,Fortuin NJ

更新日期：1977-12-01 00:00:00

abstract：:We assessed qualitative and quantitative differences in surfactant lipid composition of bronchoalveolar lavage (BAL) fluid in patients with acquired immune deficiency syndrome (AIDS) and Pneumocystis carinii (PC) pneumonia. Five normal volunteers and 27 patients with human immunodeficiency virus (HIV) infection underw...

journal_title：Chest

authors： Hoffman AG,Lawrence MG,Ognibene FP,Suffredini AF,Lipschik GY,Kovacs JA,Masur H,Shelhamer JH

更新日期：1992-12-01 00:00:00

abstract：:Urticaria with systemic effects occurred in a patient being treated with propranolol and was reproducible upon rechallenge with the drug; Successful beta-adrenergic blocking therapy was achieved using a new agent, tolamolol, with no evidence of any adverse effects. ...

journal_title：Chest

authors： Seides SF,Ruskin JN,Damato AN

更新日期：1975-04-01 00:00:00

abstract：:Fluid infusion may be lifesaving in patients with severe sepsis, especially in the earliest phases of treatment. Following initial resuscitation, however, fluid boluses often fail to augment perfusion and may be harmful. In this review, we seek to compare and contrast the impact of fluids in early and later sepsis; sh...

journal_title：Chest

authors： Durairaj L,Schmidt GA

更新日期：2008-01-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the incidence and clinical factors related to the persistence of infarct-associated pericardial effusion (PE) after primary angioplasty. DESIGN:Consecutive case-series analysis. SETTING:Coronary care unit in a university hospital. PATIENTS:Three hundred ninety-one consecutive patients wit...

journal_title：Chest

authors： Sugiura T,Nakamura S,Kudo Y,Okumiya T,Yamasaki F,Iwasaka T

更新日期：2005-08-01 00:00:00

abstract：:Twenty-eight patients developed severe, progressive acute respiratory insufficiency despite aggressive application of conventional respiratory therapy. Application of increased PEEP (18 torr or greater) resulted in a significant decrease in QA/QT. Selection of the optimal levle of PEEP for each patient required seria...

journal_title：Chest

authors： Kirby RR,Downs JB,Civetta JM,Modell JH,Dannemiller FJ,Klein EF,Hodges M

更新日期：1975-02-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if screening by specialists could reduce unnecessary test ordering and reduce costs related to diagnostic workup in patients undergoing evaluation for tuberculosis. DESIGN:Prospective evaluation of expert opinion in consecutive patients suspected of having tuberculosis. SETTING:A large mu...

journal_title：Chest

authors： Divinagracia RM,Harkin TJ,Bonk S,Schluger NW

更新日期：1998-09-01 00:00:00

abstract：:In airway diseases such as asthma and COPD, specific structural changes may be observed, very likely secondary to an underlying inflammatory process. Although it is still controversial, airway remodeling may contribute to the development of these diseases and to their clinical expression and outcome. Airway remodeling...

journal_title：Chest

authors： Bergeron C,Boulet LP

更新日期：2006-04-01 00:00:00

abstract：STUDY OBJECTIVES:To quantify the snoring sound intensity levels generated by individuals during polysomnographic testing and to examine the relationships between acoustic, polysomnographic, and clinical variables. DESIGN:The prospective acquisition of acoustic and polysomnographic data with a retrospective medical cha...

journal_title：Chest

authors： Wilson K,Stoohs RA,Mulrooney TF,Johnson LJ,Guilleminault C,Huang Z

更新日期：1999-03-01 00:00:00

abstract：:Subjective assessment of the respiratory rate and the adequacy of tidal ventilation are the oldest and most widely practiced forms of respiratory monitoring in critically ill patients. Surprisingly, this method of assessment has itself never been evaluated in patients. The estimation of tidal volume in nine patients w...

journal_title：Chest

authors： Semmes BJ,Tobin MJ,Snyder JV,Grenvik A

更新日期：1985-05-01 00:00:00

abstract：:To determine the prevalence of carboxyhemoglobin levels in banked blood exceeding Air Quality Standards (level of carboxyhemoglobin greater than 1.5 percent), we analyzed banked blood for the level of carboxyhemoglobin from 101 randomly selected samples. Of 101 units of banked blood, 49 (49 percent) had carboxyhemoglo...

journal_title：Chest

authors： Aronow WS,O'Donohue WJ Jr,Freygang J,Sketch MH

更新日期：1984-05-01 00:00:00

abstract：CONTEXT:Few studies have examined the effect of nicotine replacement therapy (NRT) in COPD patients. STUDY OBJECTIVE:To evaluate the efficacy of nicotine sublingual tablets and two levels of support for smoking cessation in COPD patients. DESIGN:Double-blind, multicenter, placebo-controlled smoking cessation trial. ...

journal_title：Chest

authors： Tønnesen P,Mikkelsen K,Bremann L

更新日期：2006-08-01 00:00:00

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

authors： Beitler JR,Schoenfeld DA,Thompson BT

更新日期：2014-10-01 00:00:00

abstract：OBJECTIVES:Primary pulmonary hypertension (PPH) is a pulmonary vasculopathy resulting in exercise intolerance, usually due to dyspnea. We hypothesized that ventilation is increased during exercise in PPH relative to normal because the ventilated lung is underperfused, cardiac output increase is restricted, and arterial...

journal_title：Chest

authors： Yasunobu Y,Oudiz RJ,Sun XG,Hansen JE,Wasserman K

更新日期：2005-05-01 00:00:00

abstract：BACKGROUND:Idiopathic pulmonary fibrosis (IPF) is a devastating disease, yet validated, reliable criteria for evaluating patient response to therapies in clinical trials are lacking. METHODS:To optimize selection of end point criteria for the study of interferon (IFN)-gamma1b in patients with IPF, we retrospectively a...

journal_title：Chest

authors： King TE Jr,Safrin S,Starko KM,Brown KK,Noble PW,Raghu G,Schwartz DA

更新日期：2005-01-01 00:00:00

abstract：STUDY OBJECTIVE:To assess the efficacy of the chest radiograph in identifying patients with miliary tuberculosis. DESIGN:Retrospective case-controlled review by three independent blinded chest radiologists. SETTING:Provincial tuberculosis control center. PATIENTS:Population-based sample, including all proved cases o...

journal_title：Chest

authors： Kwong JS,Carignan S,Kang EY,Müller NL,FitzGerald JM

更新日期：1996-08-01 00:00:00

abstract：:Postoperative cardiac tamponade due to localized compression of the atria occurred in a 64-year-old man after aortic valve replacement and repair of an ascending aortic dissection. The clinical findings were subtle and the echocardiographic findings were unusual. Color Doppler flow imaging assisted in making the diagn...

journal_title：Chest

authors： Otto CM,McKeown PP,Pearlman AS

更新日期：1990-04-01 00:00:00

abstract：CASE PRESENTATION:A 78-year-old man with asthma and COPD presented with shortness of breath, cough, and severe malaise for 4 days. Upon arrival, the patient was conscious and body temperature was 37.5°C. Arterial oxygen saturation (Spo2) was 80% on room air. Laboratory data demonstrated a WBC count of 17,400/μL (89.5% ...

journal_title：Chest

authors： Nakamatsu E,Morita T,Morishima A,Tagawa H,Furukawa M,Matsushita M,Yamane H

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Little information exists about the expected time to death after terminal withdrawal of mechanical ventilation. We sought to determine the independent predictors of time to death after withdrawal of mechanical ventilation. METHODS:We conducted a secondary analysis from a cluster randomized trial of an end-o...

journal_title：Chest

authors： Cooke CR,Hotchkin DL,Engelberg RA,Rubinson L,Curtis JR

更新日期：2010-08-01 00:00:00

abstract：:Fungal endocarditis is a rare complication of permanent pacemaker implantation. In all reports we have identified, this infection has been fatal, diagnosed postmortem. We present a patient in whom early echocardiographic diagnosis resulted in curative surgical and antimicrobial therapy. Fungal endocarditis is an unusu...

journal_title：Chest

authors： Wilson HA Jr,Downes TR,Julian JS,White WL,Haponik EF

更新日期：1993-01-01 00:00:00

abstract：:We studied the value of pleural fluid neuron-specific enolase as a possible diagnostic marker for pleurisy of small cell lung cancer by using enzyme immunoassay. Pleural fluid NSE levels in 12 patients with carcinomatous pleurisy due to small cell lung cancer were compared with those in 37 patients with carcinomatous ...

journal_title：Chest

authors： Shimokata K,Niwa Y,Yamamoto M,Sasou H,Morishita M

更新日期：1989-03-01 00:00:00

abstract：BACKGROUND:In the current economic climate, hospitals and academic institutions demand that medical departments function in an efficient and cost-effective manner. Detailed business plans are necessary to build new clinical programs, and institutions have learned that new programs are associated with significant costs ...

journal_title：Chest

authors： Lunn W,Garland R,Gryniuk L,Smith L,Feller-Kopman D,Ernst A

更新日期：2005-04-01 00:00:00