Abstract:
:We report a case of nearly fatal cardiovascular collapse attributable to an idiopathic anaphylactic reaction in a 76-year-old man. The event began with gastrointestinal symptoms of abdominal cramps, diarrhea, nausea, and vomiting as manifestations of IA. The patient subsequently progressed to develop urticaria, flushing, cardiovascular symptoms of chest pain, hypotension, and eventually cardiovascular collapse and myocardial infarction over a five-hour interval. This case emphasizes that the potential for life-threatening cardiovascular events from IA exists in patients without previously defined cardiac risk factors.
journal_name
Chestjournal_title
Chestauthors
Wong S,Greenberger PA,Patterson Rdoi
10.1378/chest.98.2.501subject
Has Abstractpub_date
1990-08-01 00:00:00pages
501-3issue
2eissn
0012-3692issn
1931-3543pii
S0012-3692(16)31686-5journal_volume
98pub_type
杂志文章相关文献
CHEST文献大全abstract::Extensive surgery for all of the mechanical complications of ischemic heart disease is feasible with early diagnosis, catheterization, and aggressive medical and surgical therapy. A patient is report who, after recovering from cardiogenic shock, required a coronary bypass, closure of ventricular septal defects, mitral...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.71.1.85
更新日期:1977-01-01 00:00:00
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
更新日期:1999-01-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the role of microaspiration in gastroesophageal reflux-induced bronchoconstriction. DESIGN:Prospective study blinded to the subject. SETTING:Outpatient laboratory of a 908-bed university hospital. PARTICIPANTS:Thirty nonsmoking adults divided into two groups: asthmatics with reflux (AR), ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.5.1220
更新日期:1995-11-01 00:00:00
abstract::We report two cases of pneumothorax detected by echographic examination immediately after ultrasonically guided aspiration biopsy and confirmed by chest x-ray film. The pneumothorax was characterized by the disappearance of the lung tumor. In the real-time image, the respiratory excursions of the visceral pleura also ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.3.855
更新日期:1992-03-01 00:00:00
abstract::The effect of intravenous (IV) amiodarone (300 mg) on heart rate was investigated in 22 patients with acute myocardial infarction (18) or ischemia (4) and sinus tachycardia. There were 11 men and 11 women (age range, 48 to 83 years; mean, 63.5). Amiodarone IV slowed the mean heart rate from 109 +/- 14 beats/min to 94 ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.3.584
更新日期:1988-09-01 00:00:00
abstract:CASE PRESENTATION:A 32-year-old Nigerian woman, who became pregnant after undergoing in vitro fertilization, was admitted with nausea and abdominal pain. She had a history of two miscarriages and infertility because of tubal blockage treated by salpingectomy. One week prior, she presented to an outside hospital with pr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2018.10.001
更新日期:2019-04-01 00:00:00
abstract:RATIONALE:Malnutrition in patients with COPD is associated with an impaired pulmonary status, reduced diaphragmatic mass, lower exercise capacity, and higher mortality rate when compared to adequately nourished individuals with COPD. Nutritional support may therefore be a useful part of their comprehensive care. PURPO...
journal_title:Chest
pub_type: 临床试验,杂志文章,meta分析,随机对照试验
doi:10.1378/chest.117.3.672
更新日期:2000-03-01 00:00:00
abstract:STUDY OBJECTIVE:Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation. DESIGN:Retrospective review of extubation failures in the trauma ICU. SETTING:University hospital and regional trauma center. PATIENTS:Four hundred five patients arriving intubated or requiring intubation ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.110.6.1577
更新日期:1996-12-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the extent to which a mixture of human gastric juice and enteral formula stained with two concentrations of FD&C Blue No. 1 food dye (0.8 and 1.5 mL/L) is visible in suctioned tracheobronchial secretions following three forced small-volume pulmonary aspirations over a 6-h period in an anima...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.1.276
更新日期:2002-07-01 00:00:00
abstract::In two patients with acute dissection of the ascending aorta, the diagnosis was made with two-dimensional echocardiography and confirmed by aortography. The echocardiograms localized the intimal flap and false channel in both cases. Although clinical evaluation and indicated radiologic studies remain the primary modal...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.80.5.587
更新日期:1981-11-01 00:00:00
abstract:BACKGROUND:The relationship between gastroesophageal reflux disease (GERD) and idiopathic pulmonary fibrosis (IPF) is controversial. Current guidelines recommend that clinicians use regular antacid treatment, while two recent meta-analyses of antacid therapy in IPF were inconclusive. The objective of this study was to ...
journal_title:Chest
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.chest.2018.07.038
更新日期:2019-01-01 00:00:00
abstract:STUDY OBJECTIVES:Hyperinflation in patients with severe COPD is associated with an increased anteroposterior (AP) rib cage diameter. We sought to determine whether bilateral lung volume reduction surgery (LVRS) affects bony thorax configuration. DESIGN:Prospective of clinical data collection before and after LVRS. SE...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.116.1.30
更新日期:1999-07-01 00:00:00
abstract:STUDY OBJECTIVES:To define the clinical characteristics of the patients showing bronchoscopic findings of bronchial narrowing or obliteration with black pigmentation on overlying mucosa (we named this finding as "anthracofibrosis"), and to determine the association of anthracofibrosis with tuberculosis. PATIENTS AND M...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.113.2.344
更新日期:1998-02-01 00:00:00
abstract::Histochemical quantification of goblet cells and measurements of the epithelial thickness were made in the trachea of male and female rats exposed to fresh whole tobacco smoke for 30 consecutive days. Exposure to tobacco smoke resulted in an increase in the total goblet cell count in both sexes, with the female rats d...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.4.515
更新日期:1978-04-01 00:00:00
abstract:STUDY OBJECTIVES:Poor dental hygiene has been linked to respiratory pathogen colonization in residents of long-term care facilities. We sought to investigate the association between dental plaque (DP) colonization and lower respiratory tract infection in hospitalized institutionalized elders using molecular genotyping....
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.126.5.1575
更新日期:2004-11-01 00:00:00
abstract:STUDY OBJECTIVES:Although percutaneous transluminal coronary angioplasty (PTCA) is known to have beneficial effects on exercise capacity, its effects on the cardiovascular response during the onset of exercise have not been clarified. The present study was undertaken to determine the effects of PTCA on the kinetics of ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.118.2.329
更新日期:2000-08-01 00:00:00
abstract::A patient presented with multisystem disease due to a very aggressive malignant thymoma. The case was complicated by the triad of cardiac tamponade, superior vena cava (SVC) syndrome, and disseminated intravascular coagulation (DIC). A review of the English literature reveals this to be a unique constellation of clini...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.105.3.941
更新日期:1994-03-01 00:00:00
abstract::Sacrococcygeal teratoma is rarely diagnosed in adults. Pulmonary mass as the presenting clinical form of the malignant variety of this germ-cell tumor is exceptional. We report herein such a case with the noticeable peculiarity of showing the air meniscus sign on chest roentgenographic examination. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.2.562
更新日期:1991-08-01 00:00:00
abstract:BACKGROUND:Exhaled nitric oxide (eNO) is a convenient noninvasive marker for airway inflammation in several pulmonary diseases. However, external factors such as nitrate-rich nutrition can affect the levels of eNO and thus compromise its diagnostic value. STUDY OBJECTIVES:The objective of this investigation was to hav...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.4.2465
更新日期:2005-10-01 00:00:00
abstract::In a double-blind study the fiberoptic bronchoscope was contaminated with five pathogenic organisms, each at a concentration of 10(9) organisms per milliliter. The shaft and inner channel of the bronchoscope were cleansed with five antiseptic regimens. Each regimen included equal 120-ml aliquots of one, two, or three ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.1.10
更新日期:1977-07-01 00:00:00
abstract::Learning resource centers (LRC) are areas designed for individual study which contain a variety of self-instructional materials. To evaluate the use of LRC in teaching pulmonary medicine, a survey was conducted of medical school pulmonary sections; responses were obtained from 30 sections with an NHLBI pulmonary Acade...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.82.5.639
更新日期:1982-11-01 00:00:00
abstract:BACKGROUND:The diagnosis of sarcoidosis is made by the combination of clinical features and biopsy results. The clinical features of sarcoidosis can be quite variable. We developed a Sarcoidosis Diagnostic Score (SDS) to summarize the clinical features of patients with possible sarcoidosis. METHODS:Biopsy-confirmed pa...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2018.05.003
更新日期:2018-11-01 00:00:00
abstract::Relationships were investigated between chronic bronchitis and plant dust exposure assessed by quantification of barn threshing and cattle foddering and chronic bronchitis and acute respiratory syndromes after plant mold dust exposure. Two groups of male dairy farmers were studied in the Doubs region, France: 197 with...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.2.417
更新日期:1993-02-01 00:00:00
abstract::Follow-up of patients with subclinical inflammatory alveolitis associated with systemic diseases may represent the best opportunity to study the mechanisms responsible for the development of interstitial lung disease. We report a seven-year sequential pulmonary evaluation of one patient with clinically isolated gastri...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.96.4.931
更新日期:1989-10-01 00:00:00
abstract::From March 1, 1979 thru September 30, 1984 we performed 56 cardiac transplants (Tx). The first 32 patients received conventional immunosuppression therapy consisting of azathioprine/prednisone (I/P), while the subsequent 24 patients received cyclosporine/prednisone (C/P). Twenty-one of 32 I/P patients ages 39 +/- 3 ye...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.90.1.29
更新日期:1986-07-01 00:00:00
abstract:BACKGROUND AND AIM:ARDS can occur from the following two pathogenetic pathways: a direct pulmonary injury (ARDSp); and an indirect injury (ARDSexp). The predisposing clinical factor can influence the pathogenesis and clinical outcome of ARDS. This metaanalysis was aimed at evaluating whether there is any difference in ...
journal_title:Chest
pub_type: 杂志文章,meta分析,评审
doi:10.1378/chest.07-2182
更新日期:2008-06-01 00:00:00
abstract::The history of the use of beta-blockers for congestive heart failure, beginning with the innovative seminal study by the Swedish group in 1975 to studies in 1995, is reviewed and shows that almost all trials favored the use of beta-blockers. They tended to demonstrate an increase in ejection fraction, a decrease in le...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.113.3.800
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:The Centers for Medicare and Medicaid Services stipulate shared decision-making (SDM) counseling as a prerequisite to lung cancer screening (LCS) reimbursement, despite well-known challenges implementing SDM in practice. RESEARCH QUESTION:How have health-care organizations implemented SDM for LCS? STUDY DE...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.07.078
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Postnasal drip (PND) is a common symptom associated with upper respiratory tract disorders. It occurs without other symptoms or combined with chronic rhinosinusitis. However, the pathophysiology of PND is debated to this day, and an objective definition of PND has not been established. Therefore, we aimed to...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2019.04.133
更新日期:2019-10-01 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
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.10-0289
更新日期:2010-08-01 00:00:00