Cardiac arrhythmias during postural drainage and chest percussion of critically ill patients.

abstract：:This report describes three cases of massive mobile right heart thrombus and reviews the available literature to better define the pathophysiology, natural history and most appropriate therapy of the syndrome. The clinical presentation of most patients has been severe cardiopulmonary dysfunction and the diagnosis has ...

journal_title：Chest

authors： Crowell RH,Adams GS,Koilpillai CJ,McNutt EJ,Montague TJ

更新日期：1988-12-01 00:00:00

abstract：:The characteristic arteriopathy of primary pulmonary hypertension (PPH) with attendant endothelial dysfunction provides an opportunity for enhanced cellular activation in the lung. Data from many laboratories support the concept of altered eicosanoid metabolism in PPH. Rigorously quantitative measurements of the excre...

journal_title：Chest

authors： Christman BW

更新日期：1998-09-01 00:00:00

abstract：:In patients at risk for sepsis after cardiac surgery, the efficacy of intravenous immunoglobulin (Ig) treatment was compared with a historical control population, equivalent in patient characteristics and disease severity. Using APACHE II scores, especially in the high-risk group (IgG), we could discriminate between l...

journal_title：Chest

authors： Pilz G,Kreuzer E,Kääb S,Appel R,Werdan K

更新日期：1994-01-01 00:00:00

abstract：:Our current understanding of the pathogenesis of sepsis suggests that bacteria as well as bacterial-derived products activate an uncontrolled network of host-derived mediators such as proinflammatory cytokines (ie, tumor necrosis factor [TNF] and interleukin [IL]-1beta), which can ultimately lead to cardiovascular col...

journal_title：Chest

authors： Knuefermann P,Nemoto S,Baumgarten G,Misra A,Sivasubramanian N,Carabello BA,Vallejo JG

更新日期：2002-04-01 00:00:00

abstract：:Mechanical ventilation was able to induce a decrease in cardiac output and regional blood flow, especially hepatic flow. Thus, hepatic elimination of drugs with a high hepatic-extraction ratio, which was linked to alteration in hepatic blood flow, could be reduced during mechanical ventilation. The aim of this work wa...

journal_title：Chest

authors： Richard C,Berdeaux A,Delion F,Riou B,Rimailho A,Giudicelli JF,Auzépy P

更新日期：1986-12-01 00:00:00

abstract：STUDY OBJECTIVES:Patients with COPD are at risk of experiencing a deterioration in arterial oxygen saturation (SaO2) during sleep, which is generally most pronounced during rapid eye movement (REM) sleep. Increased cholinergic tone has been suggested as a contributing factor to this decrease in SaO2. Therefore, we inve...

journal_title：Chest

authors： Martin RJ,Bartelson BL,Smith P,Hudgel DW,Lewis D,Pohl G,Koker P,Souhrada JF

更新日期：1999-05-01 00:00:00

abstract：:An unusual case of arteriovenous communication between the left inferior epigastric artery, a branch of the femoral artery, and the superior vena cava is presented. The communication caused a continuous murmur at the lower parasternal area and was responsible for a significant left-to-right shunt. Surgical treatment, ...

journal_title：Chest

authors： Bashour T,Kabbani S,Cheng TO

更新日期：1978-08-01 00:00:00

abstract：BACKGROUND:The risk stratification value of the 6-min walk test (6MWT) to decide the feasibility of surgical resection is not well elucidated in patients with non-small cell lung cancer (NSCLC) and moderately decreased lung function. OBJECTIVE:This study aimed to determine the role of the 6MWT in predicting postoperat...

journal_title：Chest

authors： Lee H,Kim HK,Kang D,Kong S,Lee JK,Lee G,Shin S,Cho J,Zo JI,Shim YM,Park HY

更新日期：2020-06-01 00:00:00

abstract：:A noninvasive radionuclide study of the paradoxical pulse in pericardial effusion is described. The study shows complementary changes of the right and left ventricular ejection fractions in a patient with paradoxical pulse, supporting the theory that the inspiratory reduction of the left ventricular stroke volume is a...

journal_title：Chest

authors： Yeh EL

更新日期：1978-12-01 00:00:00

abstract：BACKGROUND:IV hydration before and after cardiac catheterization is effective in preventing contrast-associated renal dysfunction for patients with mild-to-moderate renal insufficiency, but necessitates overnight hospital admission. We tested an outpatient oral precatheterization hydration strategy in comparison with o...

journal_title：Chest

authors： Taylor AJ,Hotchkiss D,Morse RW,McCabe J

更新日期：1998-12-01 00:00:00

abstract：:Portopulmonary hypertension (PPHTN) is an uncommon complication of advanced liver disease. Epoprostenol has been effective in the treatment of PPHTN and has been used as a bridge to orthotopic liver transplantation (OLT). The role of OLT in the reversal of PPHTN is unclear. We report a case of severe PPHTN (mean pulmo...

journal_title：Chest

authors： Rafanan AL,Maurer J,Mehta AC,Schilz R

更新日期：2000-11-01 00:00:00

abstract：:Direct mechanical ventricular actuation (DMVA) is a non-blood-contacting method of biventricular cardiac massage which may be applied expediently for total circulatory support. The purpose of this study was to assess the feasibility of DMVA application for patients suffering refractory cardiac arrest. Following inform...

journal_title：Chest

authors： Anstadt MP,Bartlett RL,Malone JP,Brown GR,Martin S,Nolan DJ,Oberheu KH,Anstadt GL

更新日期：1991-07-01 00:00:00

abstract：:False-negative supine M-mode echocardiograms occur in some patients with proved mitral valve prolapse. To investigate further, we performed M-mode echocardiography (MME) during standing and after the inhalation of amyl nitrite in 17 patients (group 1) selected for auscultatory evidence of mitral valve prolapse (MVP) b...

journal_title：Chest

authors： Noble LM,Dabestani A,Child JS,Krivokapich J

更新日期：1982-08-01 00:00:00

abstract：BACKGROUND:Increased expression of the human epididymis protein 4 (HE4) was previously described in lung biopsy samples from patients with cystic fibrosis (CF). It remains unknown, however, whether serum HE4 concentrations are elevated in CF. METHODS:Seventy-seven children with CF from six Hungarian CF centers and 57 ...

journal_title：Chest

authors： Nagy B Jr,Nagy B,Fila L,Clarke LA,Gönczy F,Bede O,Nagy D,Újhelyi R,Szabó Á,Anghelyi A,Major M,Bene Z,Fejes Z,Antal-Szalmás P,Bhattoa HP,Balla G,Kappelmayer J,Amaral MD,Macek M Jr,Balogh I

更新日期：2016-09-01 00:00:00

abstract：STUDY OBJECTIVES:Human T-cell lymphotropic virus type 1 (HTLV-1)-associated bronchiolitis and diffuse panbronchiolitis might overlap. We examined whether these conditions can be differentiated by comparing their clinical features and the effect of long-term macrolide treatment. PATIENTS AND METHODS:Fifty-eight Japanes...

journal_title：Chest

authors： Kadota J,Mukae H,Fujii T,Seki M,Tomono K,Kohno S

更新日期：2004-04-01 00:00:00

abstract：:Pulmonary manifestations of pyoderma gangrenosum are relatively rare. We report the case of a 45-year-old patient with multiple pulmonary nodules with central necrosis as assessed by CT scan. The patient had a 4-year history of pyoderma gangrenosum with only minor skin manifestations. A CT-guided, fine-needle biopsy o...

journal_title：Chest

authors： Krüger S,Piroth W,Amo Takyi B,Breuer C,Schwarz ER

更新日期：2001-03-01 00:00:00

abstract：:Bronchoalveolar lavage was used to provide important diagnostic information for a patient found to have idiopathic pulmonary fibrosis and concomitant cytomegalovirus infection. The use of this procedure may not only provide useful information regarding the underlying disease, but may also suggest alternative diagnosti...

journal_title：Chest

authors： Martin WJ 2nd,McDougall JC

更新日期：1983-10-01 00:00:00

abstract：BACKGROUND:Bedside ultrasound examination could be used to assess jugular venous pressure (JVP), and thus central venous pressure (CVP), more reliably than clinical examination. METHODS:The study was a prospective, blinded evaluation comparing physical examination of external jugular venous pressure (JVPEXT), internal...

journal_title：Chest

authors： Deol GR,Collett N,Ashby A,Schmidt GA

更新日期：2011-01-01 00:00:00

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

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

更新日期：1985-08-01 00:00:00

abstract：BACKGROUND:COPD is characterized by chronic inflammation. In vitro and ex vivo observations suggest that this inflammatory response is partially resistant to the effect of corticosteroids and that low-dose theophylline can restore this response via enhancement of histone deacetylase (HDAC) activity. Whether this occurs...

journal_title：Chest

authors： Cosío BG,Shafiek H,Iglesias A,Yanez A,Córdova R,Palou A,Rodriguez-Roisin R,Peces-Barba G,Pascual S,Gea J,Sibila O,Barnes PJ,Agusti A

更新日期：2016-07-01 00:00:00

abstract：OBJECTIVE:To assess late outcome following percutaneous tracheostomy using the Portex kit (Hythe, Kent, UK). DESIGN:Prospective observational cohort study. SETTING:Teaching hospital. PATIENTS:Forty-nine consecutive patients who underwent percutaneous tracheostomy in the ICU using the Portex kit and who survived 6 mo...

journal_title：Chest

authors： Leonard RC,Lewis RH,Singh B,van Heerden PV

更新日期：1999-04-01 00:00:00

abstract：STUDY OBJECTIVES:Asymptomatic HIV-infected individuals are increasingly recruited for studies involving invasive procedures such as bronchoscopy. We sought to determine the response to and outcome of a request for a research bronchoscopy in HIV-positive individuals with no respiratory disease, and whether this would ad...

journal_title：Chest

authors： Lipman MC,Stobbs D,Madge S,Miller R,Johnson MA

更新日期：1998-07-01 00:00:00

abstract：BACKGROUND:Periodic leg movements (PLMs) may appear during nasal CPAP titration, persisting despite the elimination of hypopneas. METHODS:Systematic recordings of expiratory abdominal muscles on the right and left sides with surface electromyographic (EMG) electrodes lateral to navel, and close from the lateral side o...

journal_title：Chest

authors： Seo WH,Guilleminault C

更新日期：2012-07-01 00:00:00

abstract：:To evaluate the efficacy of mask-mode digital subtraction angiography in selective coronary arteriography, we compared computer-based digital subtraction angiograms to standard film-based angiograms in 77 patients. Digital angiography was performed utilizing a 512(2) matrix and a framing rate of 30 frames/second. Radi...

journal_title：Chest

authors： Goldberg HL,Moses JW,Fisher J,Tamari I,Borer JS

更新日期：1986-12-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the dipyridamole stress test (DSST) in predicting > or = 50% obstruction of an internal mammary artery or new native coronary artery disease (CAD) compared with saphenous vein graft obstru...

journal_title：Chest

authors： Deluca AJ,Cusack E,Aronow WS,Monsen CE

更新日期：2004-10-01 00:00:00

abstract：:If we hope to repair damaged lung tissue associated with a variety of acquired and developmental diseases, we must first gain a full appreciation of normal lung development. As an approach, we have utilized Affymetrix (Santa Clara, CA) high-density, oligonucleotide-based microarrays to generate an expression profile o...

journal_title：Chest

authors： Mariani TJ,Shapiro SD

更新日期：2002-03-01 00:00:00

abstract：:Postural drainage has usually been shown to be an effective component of chest physical therapy; there is currently no data showing a beneficial effect of percussion or vibration; directed coughing may be as efficacious as postural drainage (Table 3); the forced expiration technique may increase sputum clearance with ...

journal_title：Chest

authors： Kirilloff LH,Owens GR,Rogers RM,Mazzocco MC

更新日期：1985-09-01 00:00:00

abstract：STUDY OBJECTIVES:To ascertain whether inspiratory pressure support (IPS) can be triggered reliably from and targeted at esophageal pressures (Pes), and to compare the work of breathing and time delay to initiation of inspiratory flow between conventional pressure support and esophageal-directed pressure support (EDPS)....

journal_title：Chest

authors： Barnard M,Shukla A,Lovell T,Goldstone J

更新日期：1999-02-01 00:00:00

abstract：:Tracheal extubation after laryngotracheal reconstruction in children may be complicated by postoperative tracheal edema and pulmonary dysfunction. The replacement of a tracheal tube in this situation may exacerbate the existing injury to the tracheal mucosa, complicating subsequent attempts at tracheal extubation. We ...

journal_title：Chest

authors： Hertzog JH,Siegel LB,Hauser GJ,Dalton HJ

更新日期：1999-07-01 00:00:00

abstract：STUDY OBJECTIVES:To validate capnometric recirculating gas tonometry (CRGT) for continuously monitoring gut intramucosal PCO2 (PiCO2) in a septic shock model, and to compare gastric vs esophageal PCO2 vs intramucosal-arterial PCO2 gradients. INTERVENTIONS:CRTG catheters were placed in the stomach and esophagus of six ...

journal_title：Chest

authors： Guzman JA,Lacoma FJ,Kruse JA

更新日期：1998-04-01 00:00:00