Abstract:
STUDY OBJECTIVE:To establish the prevalence of pulmonary embolism (PE) in autopsy material at a tertiary cardiac referral center and its importance as a cause of death in patients with heart disease (HD). DESIGN:Case series. SETTING:National Heart Institute, Mexico City. PATIENTS:One thousand thirty-two patients who died at our institution from 1985 to 1994 in whom an autopsy study was performed. MEASUREMENTS AND RESULTS:Of the 1,032 autopsies reviewed, 231 cases (24.4%) of PE were found; 100 of these patients had a diagnosis of massive PE. Massive PE (obstruction of either of the main pulmonary arteries or more than two lobar arteries) was found to be the third cause of death in this HD population. By age-group distribution, the global prevalence of massive events was higher in patients < 10 years old. Clinical suspicion (premortem) was raised in only 18% of the cases. CONCLUSIONS:PE was a frequent cause of morbidity and mortality in patients with HD who underwent autopsies. The incidence of massive PE was high in children.
journal_name
Chestjournal_title
Chestauthors
Pulido T,Aranda A,Zevallos MA,Bautista E,Martínez-Guerra ML,Santos LE,Sandoval Jdoi
10.1378/chest.129.5.1282subject
Has Abstractpub_date
2006-05-01 00:00:00pages
1282-7issue
5eissn
0012-3692issn
1931-3543pii
S0012-3692(15)50708-3journal_volume
129pub_type
杂志文章相关文献
CHEST文献大全abstract:OBJECTIVES:To report observations on preserved regular atrial electrical and mechanical systole during ventricular fibrillation (VF) and to quantitate blood flow generated by atrial contractions in this setting. METHODS:In 10 rats, right atrial pressure pulses were continuously recorded before and for an interval of 8...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.4.1118
更新日期:2000-04-01 00:00:00
abstract::A 41-year-old woman with end-stage mitral and aortic stenosis developed the cycle of low cardiac output, peripheral vasoconstriction, increased core temperature, and cardiac decompensation. This was interrupted by core cooling utilizing iced gastric lavage. We propose that her severe hyperthermia was caused or abetted...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.1.107
更新日期:1977-07-01 00:00:00
abstract::Patient-focused or patient-centered care is not a new concept, but its value has been overlooked in preference to the technology-based, disease-centered model that has prevailed in medicine for the last 50 years. Patient-focused care includes four broad areas of intervention: communication with patients, partnerships,...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.130.1_suppl.73S
更新日期:2006-07-01 00:00:00
abstract::A 60-pack-year smoker presented with cough, dyspnea and orthopnea of three months' duration. Spirometry revealed severe reduction in maximal expiratory flow; CT of the chest and bronchoscopy demonstrated expiratory collapse of a mid-tracheal segment, and a presumptive diagnosis of tracheomalacia was made. A right late...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.4.939
更新日期:1990-04-01 00:00:00
abstract:BACKGROUND:Comorbidities can affect disease progression and/or response to treatment in various conditions. Comorbid conditions are prevalent in patients with pulmonary arterial hypertension (PAH); however, their effect on patient outcomes remains unknown. METHODS:We evaluated the effect on functional class (FC), 6-mi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.11-3241
更新日期:2013-07-01 00:00:00
abstract:STUDY OBJECTIVES:COPD patients run a risk of developing nocturnal oxygen desaturation. When evaluating patients with nocturnal hypoxemia, an unfamiliar hospital environment and the monitoring equipment may cause sleep disturbances. It was hypothesized that increased sleep disruption will lead to fewer instances of desa...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.119.6.1820
更新日期:2001-06-01 00:00:00
abstract::The purpose of this study was to assess the ability of continuous nocturnal oximetry to detect sleep apnea syndrome (SAS) and to recognize nonapneic oxyhemoglobin desaturations. Oxygen saturation oscillations, related to successive apneas in SAS or to apneic episodes in COPD or restrictive patients, were quantified us...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.99.5.1151
更新日期:1991-05-01 00:00:00
abstract:BACKGROUND:Current functional assessments do not allow a reliable assessment of small airways, which are a major site of disease in COPD. Single-breath washout (SBW) tests are feasible and reproducible methods for evaluating small airway disease. Their relevance in COPD remains unknown. METHODS:We performed a cross-se...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.chest.2016.05.019
更新日期:2016-11-01 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
pub_type: 杂志文章
doi:10.1378/chest.110.2.339
更新日期:1996-08-01 00:00:00
abstract::The relationship between coffee consumption and the prevalence of bronchial asthma has been evaluated using data from the 1983 Italian National Health Survey, based on 72,284 individuals aged over 15 years randomly selected within strata of geographic area, size of the place of residence and of the household in order ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.2.386
更新日期:1988-08-01 00:00:00
abstract::We report the occurrence of an unusual variant of congenital adenomatoid malformation (CAM) of the lung in a 16-year-old male. Abundant cartilage in the walls of malformed bronchioles, an extremely rare finding in CAM, distinguishes this lesion from the usual forms. We present the roentgenographic, computed tomographi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.92.3.514
更新日期:1987-09-01 00:00:00
abstract::We report the findings of ventilation and perfusion scintiscanning performed in three untreated patients with acute tropical pulmonary eosinophilia (TPE). In a 26-year-old man whose arterial blood gas values were normal, the lung scan showed normal radioactivity. The scintigrams of a 20-year-old woman who had hypoxemi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.2.497
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND:Sleep disorders are increasingly associated with insulin resistance, glucose intolerance, and type 2 diabetes mellitus. Whether the metabolic toll imposed by sleep-related disorders is caused by poor-quality sleep or due to other confounding factors is not known. The objective of this study was to examine wh...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-0791
更新日期:2010-01-01 00:00:00
abstract::A V/Q lung scan was obtained in a patient with LLL collapse who was receiving IPPV and PEEP. This revealed absent ventilation and hyperperfusion to the collapsed lobe. After a reduction in PEEP from 12 to 5 cm H2O, a repeat V/Q scan showed a more even distribution of pulmonary perfusion. Arterial hypoxemia improved. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.99.4.1034
更新日期:1991-04-01 00:00:00
abstract:BACKGROUND:COPD is often associated with changes of the structure and the function of the heart. Although functional abnormalities of the right ventricle (RV) have been well described in COPD patients with severe hypoxemia, little is known about these changes in patients with normoxia and mild hypoxemia. STUDY OBJECTI...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.6.1898
更新日期:2005-06-01 00:00:00
abstract::The authors believe this to be the first case report of atrial fibrillation following pulse methylprednisolone therapy in an adult. The literature regarding the complications of pulse methylprednisolone therapy is reviewed, with particular emphasis on the incidence and pathogenesis of arrhythmias. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.2.622
更新日期:1993-08-01 00:00:00
abstract::Actinomyces israelii is a rare cause of pericarditis. Infection spreads to pericardium from an intrathoracic focus. Branching gram-positive filaments are seen on microscopic examination of clinical specimens. Cultures should be performed under anaerobic conditions. Both surgical drainage and antibiotics (penicillin) a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.5.680
更新日期:1976-05-01 00:00:00
abstract::Epidemiologic research has revealed a substantial portion of the general population with abnormal spirometry results that are characterized by decreased FEV1 and FVC but a preserved FEV1/FVC ratio. This restrictive spirometry pattern (RSP) is inconsistently defined in the literature and not well addressed by current g...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.15-1045
更新日期:2016-01-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the role of quantitative cultures of BAL for diagnosing nosocomial pneumonia in mechanically ventilated patients. DESIGN:Cohort study. SETTING:Medical ICU, Hôpital Bichat, Paris, France, an academic tertiary care center. PATIENTS:A total of 141 episodes of suspected lung infection in 84 c...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.111.2.411
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVES:This study was designed to determine the incidence rate, define risk factors, and suggest proper management protocols for pulmonary artery (PA) rupture associated with Swan-Ganz catheters. DESIGN:This is a retrospective chart-review study. SETTING:This study involved 32,442 inpatients requiring hemodynamic...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.5.1349
更新日期:1995-11-01 00:00:00
abstract:STUDY OBJECTIVES:Clinical prediction models for the diagnosis of obstructive sleep apnea (OSA) have lacked the accuracy necessary to confidently replace polysomnography (PSG). Artificial neural networks are computer programs that can be trained to predict outcomes based on experience. This study was conducted to test t...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.116.2.409
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:Participant retention is a major challenge in clinical research, especially in studies with multiple, longitudinal research assessments. Despite the importance of retention methods, there is little empirical research on how cohort retention efforts are perceived by study participants. RESEARCH QUESTION:To e...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.02.050
更新日期:2020-08-01 00:00:00
abstract:STUDY OBJECTIVES:The Fas-Fas ligand (FasL) pathway is a representative system of apoptosis-signaling receptor molecules. We previously described that this pathway may play an important role in the pathogenesis of fibrosing lung diseases. In this study, we hypothesized that soluble form of Fas (sFas) and FasL (sFasL) ma...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.118.2.451
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:To assess whether severe gastroesophageal reflux (GER) is associated with abnormalities in lung function including measures of lung volume and gas diffusion. METHODS:Data from 147 patients with obesity (body mass index [BMI] range, 31.7 to 70 kg/m(2)) who presented for obesity surgery was analyzed retrospect...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.123.6.1932
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND:Productivity loss is an overlooked aspect of the burden of chronic health conditions. While modern guidelines emphasize achieving clinical control in asthma management, few studies have reported on the relationship between asthma control and productivity loss. We calculated the productivity loss that can be ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-1619
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:COPD is associated with significant morbidity primarily driven by acute exacerbations. Relative pulmonary artery (PA) enlargement, defined as a PA to ascending aorta (A) diameter ratio greater than one (PA:A>1) identifies patients at increased risk for exacerbations. However, little is known about the correl...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-1422
更新日期:2014-04-01 00:00:00
abstract::At the time of bronchoscopic observation, 28 of 31 patients proved to have aspirated gastric contents by the presence of gastric contents in the trachea or by direct observation of gastric aspiration followed by respiratory distress and erythema of subsegmental bronchi. Since gastric aspiration is a difficult diagnosi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.4.458
更新日期:1976-10-01 00:00:00
abstract::Gastrointestinal complications requiring surgical correction following cardiopulmonary bypass most frequently involve the upper gastrointestinal tract. Surgical diseases of the colon are quite unusual in this setting. We recently performed cardiac surgery on three patients who developed acute diverticulitis requiring ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.5.756
更新日期:1986-05-01 00:00:00
abstract:BACKGROUND:Electromagnetic navigation in bronchoscopy is a novel method for assisting in the localization of peripheral lung lesions. STUDY OBJECTIVE:To assess the usability, accuracy, and safety of electromagnetic navigation during flexible bronchoscopy in a clinical setting. DESIGN:Prospective evaluation. PATIENTS...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.1.382
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Small cell lung carcinoma (SCLC) continues to have a poor prognosis, with a 2-year survival of < 20%. Studies have suggested that SCLC may affect the immune system to allow it to evade immunologic responses. We hypothesized that any such effect would be characterized by a decrease in the lymphoid cells assoc...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.12-0681
更新日期:2013-01-01 00:00:00