Pulse transit time improves detection of sleep respiratory events and microarousals in children.

Abstract:

OBJECTIVES:To evaluate the additional information provided by pulse transit time (PTT), a noninvasive tool, when using during polysomnography for the diagnosis of sleep breathing disorders in a pediatric population. MAIN FINDINGS:Respiratory and microarousals events were scored twice. The first scoring was performed using nasal pressure, thermistors, thoracic and abdominal movements, and oxygen saturation. The second scoring, blinded to the first scoring, was performed using PTT in combination with all the other signals. Microarousals were scored once visually on the EEG trace (cortical arousals [CAs]) and once using the PTT signal (autonomic arousals [AAs]) blinded to EEG. For the whole group of 16 children studied (mean age, 9.5 years), there was no significant difference between the respiratory disturbance index (RDI) with or without PTT analysis (22.4 +/- 13.5/h vs 20.4 +/- 14.3/h; not significant [mean +/- SD]). Among the children exhibiting a "without PTT" RDI < 30/h, 5 of 12 children (41.66%) showed a clinically significant >/= 5/h increase in RDI when using PTT. AAs detected by PTT were significantly more frequent than CAs during rapid eye movement (REM) sleep (7.4 +/- 3.9/h vs 3.2 +/- 2.3/h; p < 0.001) and slow wave sleep (SWS) [6.0 +/- 4.3/h vs 0.6 +/- 0.5/h; p < 0.0001]. CONCLUSIONS:The quantification of respiratory effort using PTT improves the detection of respiratory events in children. The detection of microarousals is improved particularly in REM and SWS.

journal_name

Chest

journal_title

Chest

authors

Pépin JL,Delavie N,Pin I,Deschaux C,Argod J,Bost M,Levy P

doi

10.1378/chest.127.3.722

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

722-30

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)31077-1

journal_volume

127

pub_type

杂志文章

相关文献

CHEST文献大全
  • Pharmacodynamics of levofloxacin in patients with acute exacerbation of chronic bronchitis.

    abstract:STUDY OBJECTIVES:Levofloxacin is a fluoroquinolone antimicrobial agent for which pharmacodynamic relationships between the maximum serum antibiotic concentration (Cmax)/minimum inhibitory concentration (MIC) ratio and/or the area under the serum concentration-time curve during a 24-h dosing period (AUC(0-24))/MIC ratio...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.128.4.2093

    authors: Cazzola M,Matera MG,Donnarumma G,Tufano MA,Sanduzzi A,Marchetti F,Blasi F

    更新日期:2005-10-01 00:00:00

  • Patterns of Use of Adjunctive Therapies in Patients With Early Moderate to Severe ARDS: Insights From the LUNG SAFE Study.

    abstract:BACKGROUND:Adjunctive strategies are an important part of the management of ARDS. However, their application in clinical practice remains inconsistent. RESEARCH QUESTION:We wished to determine the frequency and patterns of use of adjunctive strategies in patients with moderate to severe ARDS (Pao2/Fio2 [P/F ratio] < 1...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.01.041

    authors: Duggal A,Rezoagli E,Pham T,McNicholas BA,Fan E,Bellani G,Rubenfeld G,Pesenti AM,Laffey JG,LUNG SAFE Investigators and the ESICM Trials Group.

    更新日期:2020-06-01 00:00:00

  • Thrombolytic therapy of pulmonary embolism: a comprehensive review of current evidence.

    abstract::Pulmonary embolism (PE) is a common disorder that is accompanied by significant morbidity and mortality. Although anticoagulation is the standard treatment for PE, thrombolytic therapy, with its ability to produce rapid clot lysis, has long been considered an attractive alternative. Although many studies have been per...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.115.6.1695

    authors: Arcasoy SM,Kreit JW

    更新日期:1999-06-01 00:00:00

  • Factitious methemoglobinemia caused by hyperlipemia.

    abstract::Hyperlipemia in an acyanotic patient with diabetic ketoacidosis, alcoholism, and pancreatitis produced a falsely elevated concentration of methemoglobin (19 percent) and a lower-than-expected oxygen saturation measured with an automated spectrophotometer (IL-282 CO-Oximeter). In addition, there was a "normal" hemoglob...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.86.1.84

    authors: Spurzem JR,Bonekat HW,Shigeoka JW

    更新日期:1984-07-01 00:00:00

  • Oropharyngeal Crowding Closely Relates to Aggravation of OSA.

    abstract:BACKGROUND:Obesity is known to be an important risk factor for OSA; however, OSA can also be seen in nonobese patients with a small maxilla and/or mandible as well as in all obese patients with such features. Thus, we hypothesized that regional factors, oropharyngeal crowding associated with fat deposition, and maxillo...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2016.03.005

    authors: Ito E,Tsuiki S,Maeda K,Okajima I,Inoue Y

    更新日期:2016-08-01 00:00:00

  • Treatment failure in community-acquired pneumonia.

    abstract::Treatment failure (TF) is defined as a clinical condition with inadequate response to antimicrobial therapy. Clinical response should be evaluated within the first 72 h of treatment, whereas infiltrate images may take up to 6 weeks to resolve. Early failure is considered when ventilatory support and/or septic shock ap...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.06-1995

    authors: Menendez R,Torres A

    更新日期:2007-10-01 00:00:00

  • Interferon-related bronchiolitis obliterans organizing pneumonia.

    abstract::We present an unusual case of a patient with chronic hepatitis C who experienced dyspnea, fever, and cough after 2 1/2 months' treatment with interferon. His radiograph demonstrated diffuse pulmonary infiltrates and bronchoalveolar lavage fluid showed an increase in lymphocytes, especially CD8-positive cells. The lung...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.2.612

    authors: Ogata K,Koga T,Yagawa K

    更新日期:1994-08-01 00:00:00

  • Physical development of surgically treated patients with primary spontaneous pneumothorax.

    abstract:STUDY OBJECTIVES:There have been many studies on the physical characteristics at the time of contraction of a primary spontaneous pneumothorax (PSP), but it has not been shown when and how such physical characteristics develop. These issues were investigated. PATIENTS AND DESIGN:Physical development of 27 male patient...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.4.899

    authors: Fujino S,Inoue S,Tezuka N,Hanaoka J,Sawai S,Ichinose M,Kontani K

    更新日期:1999-10-01 00:00:00

  • A comparative study of two angiogenic factors: vascular endothelial growth factor and angiogenin in induced sputum from asthmatic children in acute attack.

    abstract:BACKGROUND:Angiogenesis is a prerequisite for airway remodeling in bronchial asthma. Several factors may play important roles in inflammation and angiogenesis through effects on inflammatory cell infiltration or neovascularization. OBJECTIVES:(1) To determine the levels of vascular endothelial growth factor (VEGF) and...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.2.266

    authors: Abdel-Rahman AM,el-Sahrigy SA,Bakr SI

    更新日期:2006-02-01 00:00:00

  • Oxidative DNA damage and somatic mutations: a link to the molecular pathogenesis of chronic inflammatory airway diseases.

    abstract:BACKGROUND:Acquired somatic mutations induced by oxidative stress may contribute to the molecular pathogenesis of chronic inflammatory airway diseases. The objective of this study was to assess the intensity of oxidative DNA damage and the presence of microsatellite DNA instability (MSI), a marker of acquired somatic m...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-1653

    authors: Tzortzaki EG,Dimakou K,Neofytou E,Tsikritsaki K,Samara K,Avgousti M,Amargianitakis V,Gousiou A,Menikou S,Siafakas NM

    更新日期:2012-05-01 00:00:00

  • Diagnostic value of medical thoracoscopy in pleural disease: a 6-year retrospective study.

    abstract:STUDY OBJECTIVES:Unlike thoracocentesis and closed pleural biopsy (CPB), medical thoracoscopy permits biopsy with direct visualization. In a 6-year retrospective study of patients having undergone at least one medical thoracoscopy, we analyzed the diagnostic yield of thoracoscopy and its value in the management of pleu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.5.1677

    authors: Blanc FX,Atassi K,Bignon J,Housset B

    更新日期:2002-05-01 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

  • Flock worker's lung disease: natural history of cases and exposed workers in Kingston, Ontario.

    abstract:BACKGROUND:The natural history of flock worker's lung (FWL) and longitudinal lung function changes in nylon flock-exposed workers have not been well characterized. METHODS:Symptoms, pulmonary function testing, and chest radiographs from five index cases, subsequent case referrals, and screened employees of a flocking ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-0920

    authors: Turcotte SE,Chee A,Walsh R,Grant FC,Liss GM,Boag A,Forkert L,Munt PW,Lougheed MD

    更新日期:2013-06-01 00:00:00

  • Release of lipopolysaccharide toxicity-modulating proteins in patients undergoing cardiopulmonary bypass using noncoated and heparin-coated extracorporeal circuits. A clinical pilot study.

    abstract:STUDY OBJECTIVE:Cardiopulmonary bypass (CPB) induces a generalized inflammatory response, including activation of leukocytes, contributing to postoperative morbidity. The inflammatory pathways leading to this systemic inflammatory response syndrome are considered identical to those involved in septic shock. Therefore, ...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.111.3.577

    authors: Bouma M,Maessen J,Weerwind P,Dentener M,Fransen E,de Jong D,Buurman W

    更新日期:1997-03-01 00:00:00

  • The diagnosis and management of supraventricular tachycardia by transesophageal cardiac stimulation and recording.

    abstract::Twenty-two consecutive patients underwent esophageal stimulation and recording for the diagnosis and management of supraventricular tachycardia. In 13 of these patients, the resting electrocardiogram was normal and in nine it showed pre-excitation. Of the 13 patients with a normal resting electrocardiogram, supraventr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.2.339

    authors: Harte MT,Teo KK,Horgan JH

    更新日期:1988-02-01 00:00:00

  • Complications of general anesthesia for Nd:YAG laser resection of endobronchial tumors.

    abstract::We studied the incidence and mechanisms of cardiovascular complications and postoperative respiratory insufficiency associated with GA and Nd:YAG laser endobronchial tumor resection. The records of 73 patients undergoing 87 procedures were reviewed. Preoperative status, anesthetic methods and perioperative complicatio...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.1.72

    authors: Hanowell LH,Martin WR,Savelle JE,Foppiano LE

    更新日期:1991-01-01 00:00:00

  • Hemoptysis due to MDI therapy in a patient with permanent tracheostomy: treatment with mask AeroChamber.

    abstract::Persistent minor hemoptysis resulted from extensive granulation tissue on the main carina and adjacent bronchi due to frequent spraying of metered-dose inhaler (MDI)-generated aerosol medications directly into a permanent tracheostomy. Salbutamol, containing oleic acid, was considered the most likely cause. After an A...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.115.1.279

    authors: Newhouse MT

    更新日期:1999-01-01 00:00:00

  • Hypercalcemia due to talc granulomatosis.

    abstract::Pulmonary disease due to talc, a group of hydrous magnesium silicates, is almost exclusively encountered after occupational exposure. One form of this rare disorder is talc granulomatosis. In varying degrees, hypercalcemia is typical of granulomatous disease but has not yet been reported in talcosis. We report the cas...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.117.4.1195

    authors: Woywodt A,Schneider W,Goebel U,Luft FC

    更新日期:2000-04-01 00:00:00

  • Cholesterol in pleural effusions. A diagnostic aid.

    abstract::In this prospective study of 70 patients with pleural effusion, the underlying disease could be identified in 62 cases. By predefined criteria, 31 of these effusions were classified as transudates and 31 as exudates. Pleural fluid protein content, LDH activity and cholesterol level were measured to investigate their u...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.2.296

    authors: Hamm H,Brohan U,Bohmer R,Missmahl HP

    更新日期:1987-08-01 00:00:00

  • Double coronary arteriovenous fistula.

    abstract::Coronary arteriovenous fistula is an uncommon, although not rare, congenital cardiac malformation, especially in the adult. Most such reported such cases have involved but a single coronary vessel. This report documents the second case of coronary arteriovenous fistulae involving the right and circumflex coronary vess...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.72.5.656

    authors: Babb JD,Field JM

    更新日期:1977-11-01 00:00:00

  • Cytomegalovirus infection with idiopathic pulmonary fibrosis. Diagnosis suggested by bronchoalveolar lavage.

    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

    pub_type: 杂志文章

    doi:10.1378/chest.84.4.500

    authors: Martin WJ 2nd,McDougall JC

    更新日期:1983-10-01 00:00:00

  • A pooled analysis of FEV1 decline in COPD patients randomized to inhaled corticosteroids or placebo.

    abstract:BACKGROUND:There is controversy about whether therapy with inhaled corticosteroids (ICSs) modifies the natural history of COPD, characterized by an accelerated decline in FEV(1). METHODS:The Inhaled Steroids Effect Evaluation in COPD (ISEEC) study is a pooled study of patient-level data from seven long-term randomized...

    journal_title:Chest

    pub_type: 杂志文章,meta分析

    doi:10.1378/chest.06-1696

    authors: Soriano JB,Sin DD,Zhang X,Camp PG,Anderson JA,Anthonisen NR,Buist AS,Burge PS,Calverley PM,Connett JE,Petersson S,Postma DS,Szafranski W,Vestbo J

    更新日期:2007-03-01 00:00:00

  • Percutaneous balloon pericardiotomy for malignant pericardial tamponade.

    abstract::Recurrent pericardial effusion or tamponade can complicate malignant disease. The medical approach with pharmacologic agents has a high recurrence rate. Balloon pericardiotomy (BP) may provide a less invasive alternative to surgery. We performed BP in ten high-risk patients with malignant pericardial tamponade (MPT). ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.6.1499

    authors: Galli M,Politi A,Pedretti F,Castiglioni B,Zerboni S

    更新日期:1995-12-01 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

  • Unilateral segmental hyperhidrosis associated with pulmonary adenocarcinoma.

    abstract::This is the report of a 38-year-old man with unilateral dermatomal hyperhidrosis documented by a starch-iodine technique; a subsequent diagnosis was made of a generalized pulmonary adenocarcinoma. The association of unilateral hyperhidrosis and a malignant tumor is reviewed. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.4.1215

    authors: Slabbynck H,Bedert L,De Deyn PP,Galdermans D,Coolen D

    更新日期:1998-10-01 00:00:00

  • Mediastinal abscess due to passage of a broncholith.

    abstract::We report a case of a 32-year-old woman who, after passage of broncholiths, developed a mediastinal abscess that required surgical drainage for treatment. Previously reported infectious complications resulting from broncholiths include obstructive pneumonitis and recurrent aspiration pneumonitis secondary to bronchoes...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.1.296

    authors: Studer SM,Heitmiller RF,Terry PB

    更新日期:2002-01-01 00:00:00

  • Massive hemoptysis from a pulmonary artery aneurysm associated with an emphysematous bulla.

    abstract::A 66-year-old man with a history of COPD and Aspergillus fumigatus infection developed massive hemoptysis. Pulmonary artery angiography revealed an aneurysm which was successfully treated with coil embolization. This is the first known report of a pulmonary artery aneurysm causing massive hemoptysis in a patient with ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.4.1130

    authors: Bowler RP,Durham J,Schwarz MI

    更新日期:1998-04-01 00:00:00

  • Advancing a multilevel framework for epidemiologic research on asthma disparities.

    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

    authors: Wright RJ,Subramanian SV

    更新日期:2007-11-01 00:00:00

  • Idiopathic Pulmonary Fibrosis: Prospective, Case-Controlled Study of Natural History and Circulating Biomarkers.

    abstract:BACKGROUND:Idiopathic pulmonary fibrosis (IPF) is a fatal lung disease with 3 to 5 years' survival. Although FVC is used to assess disease progression and treatment response, identifying predictive circulating blood biomarkers could help identify specific biologic pathways for treatment. An international, prospective, ...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.chest.2018.08.1083

    authors: Raghu G,Richeldi L,Jagerschmidt A,Martin V,Subramaniam A,Ozoux ML,Esperet CA,Soubrane C

    更新日期:2018-12-01 00:00:00

  • Diagnosis of superior vena caval obstruction by transesophageal echocardiography.

    abstract::Superior vena caval (SVC) syndrome may be caused by extravascular compression or intravascular obstruction. Knowing the mechanism of SVC syndrome enables the physician to choose appropriate treatment. Transesophageal echocardiography (TEE) is a safe bedside procedure that is excellent for evaluating the SVC and its su...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.3.874

    authors: Ayala K,Chandrasekaran K,Karalis DG,Parris TM,Ross JJ Jr

    更新日期:1992-03-01 00:00:00