Abstract:
:A 3-month-old infant was brought to clinic for evaluation of recurrent apparent life-threatening events (ALTEs). Two ALTE episodes occurred while the infant was sleeping in a safety car seat. The first one occurred when he was 4 weeks old. His mother noticed that he was not breathing; he appeared limp with full body cyanosis. His mother picked him up from the car seat, and he started breathing spontaneously and without any sign of distress. His skin color returned to normal. He was evaluated at the ED where the physical examination was normal. He was hospitalized 1 day for observation. During this time, workup, including ECG and chest radiograph, was normal. The parents were instructed on cardiorespiratory resuscitation and recommended to change car seats. The infant was discharged with an apnea monitor. He wore the apnea monitor while in the car seat. A second similar episode occurred at 10 weeks of age for which he was seen at the ED and referred to our clinic for further evaluation. Neither episode was related to feeding.
journal_name
Chestjournal_title
Chestauthors
DelRosso LMdoi
10.1378/chest.14-1595subject
Has Abstractpub_date
2015-04-01 00:00:00pages
e152-e155issue
4eissn
0012-3692issn
1931-3543pii
S0012-3692(15)38980-7journal_volume
147pub_type
杂志文章相关文献
CHEST文献大全abstract:STUDY OBJECTIVE:Estimating lung volume using inspiratory capacity (IC) maneuvers is a useful way of tracking dynamic hyperinflation. An understanding of the repeatability of the IC in a clinical setting is important when evaluating an individual's response to a therapeutic intervention that might influence lung volume....
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.3.708
更新日期:2002-03-01 00:00:00
abstract::A 72-year-old man presented with malaise, weight loss, and cough. Chest radiograph revealed bilateral pleural effusions. On thoracentesis, the left effusion was a clear yellow exudate with more than 90% lymphocytes, and the right effusion was a grossly bloody exudate with more than 90% neutrophils. Cultures of both ef...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.110.3.849
更新日期:1996-09-01 00:00:00
abstract::A 32-year-old man who presented with symptoms suggesting empyema was found at thoracotomy to have infarction of an extralobar pulmonary sequestration. He was completely relieved by excision of the sequestration after securing the systemic vascular pedicle which had undergone torsion. Recognition of the anomalous blood...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.1.98
更新日期:1975-07-01 00:00:00
abstract:BACKGROUND:To improve communication and decision making related to cardiopulmonary resuscitation (CPR), a greater understanding of the perspectives of hospitalized patients with advanced diseases and their family members are needed. METHODS:In five Canadian hospitals, we administered a face-to-face questionnaire to ol...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.130.2.419
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:In recent years, the population of patients with pulmonary arterial hypertension (PAH) has changed dramatically, including more advanced age at diagnosis. We hypothesized that older patients have a distinct clinical profile with different disease characteristics and response to intervention. METHODS:All pre...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2015.11.008
更新日期:2016-05-01 00:00:00
abstract::We describe a case of unsuspected infrahepatic interruption of the inferior vena cava with hemiazygos continuation in a 67-year-old man presenting with chest pain and evidence of mitral regurgitation. He had no persistent superior vena cava, with the hemiazygos draining directly into the right superior vena cava. Poly...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.106.5.1626
更新日期:1994-11-01 00:00:00
abstract::Acute pulmonary illness compatible with previously described nitrofurantoin toxicity and requiring hospitalization occurred three times among 16,101 first courses of therapy with nitrofurantoin. One case of fatal pulmonary fibrosis was ascribed to long-term use of nitrofurantoin among 742 observed recipients of ten or...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.96.3.512
更新日期:1989-09-01 00:00:00
abstract:BACKGROUND:Amphiregulin, a member of the epidermal growth factor family, has been shown to promote the growth of fibroblasts, to be associated with the T-helper type 2 cell adaptive immune response, and to up-regulate mucin gene expression. We aimed to determine whether sputum amphiregulin is expressed at elevated leve...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.08-2972
更新日期:2009-09-01 00:00:00
abstract:PURPOSE:To assess whether the presence and duration of air leaks after lobectomy are associated with an increased incidence of cardiopulmonary complications. METHODS:Propensity score analysis was used on 726 patients undergoing pulmonary lobectomy from 1995 through 2004 to form three well-matched pairs of patients: pa...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.130.4.1150
更新日期:2006-10-01 00:00:00
abstract::Esophageal malposition is a potentially disastrous complication of attempted airway intubation. We report an unusual case in which a promptly recognized esophageal intubation aided detection of a perforated gastric ulcer. After the endotracheal tube was repositioned and the ulcer was surgically repaired, our patient h...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.2.625
更新日期:1993-02-01 00:00:00
abstract::Targeted temperature management (TTM) has been investigated experimentally and used clinically for over 100 years. The initial rationale for the clinical application of TTM, historically referred to as therapeutic hypothermia, was to decrease the metabolic rate, allowing the injured brain time to heal. Subsequent rese...
journal_title:Chest
pub_type: 历史文章,杂志文章,评审
doi:10.1378/chest.12-3025
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:Patients with COPD are at risk for cardiovascular events. This is attributed to increased systemic inflammation. The course of COPD is punctuated by exacerbations, which further increase systemic inflammation, but the risk of vascular events in the postexacerbation period has never been defined. METHODS:We a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-2029
更新日期:2010-05-01 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
pub_type: 杂志文章
doi:10.1378/chest.74.2.226
更新日期:1978-08-01 00:00:00
abstract:OBJECTIVE:In patients with acute myocardial infarctions (MIs), cholesterol levels are no longer valid after 24 h from presentation because acute MI causes a rapid decline in serum levels of total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol. The objective of thi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.120.4.1196
更新日期:2001-10-01 00:00:00
abstract::A renewed interest in the clinical and pathogenic aspects of COPD exacerbation is timely in view of national and global COPD initiatives. The three big problems regarding COPD continue to be the following: prevention of the disease; slowing progression of the disease once diagnosis has been established; and prevention...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.117.5_suppl_2.376s
更新日期:2000-05-01 00:00:00
abstract::Various malformations of the aortic arch and great vessels have been reported in the literature, which reflects the complexity of their embryologic development. Most of them are of incidental finding and remain asymptomatic but can be responsible for respiratory or digestive symptoms and be associated with congenital ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-2244
更新日期:2010-08-01 00:00:00
abstract::Twenty-five patients who have suffered a near miss asthma death (NMAD) have undergone a comprehensive psychiatric evaluation on average 13 months following this event. Forty percent of the patients were judged to have psychiatric disorders at the time of assessment. All patients had very high levels of denial and foll...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.6.1298
更新日期:1989-06-01 00:00:00
abstract::Microbubble formation has been accepted as the mechanism producing contrast echoes. Comparisons of the contrast effects of various agents have been studied extensively, but the importance of gas-mixing has been less appreciated. To test the hypothesis that good gas-mixing, by facilitating microbubble formation, would ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.5.723
更新日期:1986-05-01 00:00:00
abstract:BACKGROUND:We evaluated the association between hemodynamic parameters of chronic congestive heart failure (CHF) and mediastinal lymphadenopathy (MLA) in heart transplantation (HT) candidates and the effect of HT on MLA. We also described the results of lymph node (LN) biopsies of MLA in the patients. METHODS:Patients...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-1386
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Portable monitoring is a convenient means for diagnosing sleep apnea. However, data on whether one night of monitoring is sufficiently precise for the diagnosis of sleep apnea are limited. RESEARCH QUESTION:The current study sought to determine the variability and misclassification in disease severity over ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.01.039
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Central venous pressure (CVP) is used almost universally to guide fluid therapy in hospitalized patients. Both historical and recent data suggest that this approach may be flawed. OBJECTIVE:A systematic review of the literature to determine the following: (1) the relationship between CVP and blood volume, (...
journal_title:Chest
pub_type: 杂志文章,meta分析,评审
doi:10.1378/chest.07-2331
更新日期:2008-07-01 00:00:00
abstract::Tracheal aspirates from four previously healthy infants with acute pulmonary hemorrhage, and small volume bronchial lavages from children undergoing flexible fiberoptic bronchoscopy were examined for pulmonary alveolar macrophages (PAM) containing hemosiderin. Hemosiderin formation was also studied in vitro. Macrophag...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.86.3.409
更新日期:1984-09-01 00:00:00
abstract::Thromboendarterectomy is the treatment of choice for chronic large vessel thromboembolic pulmonary hypertension. To identify the mechanisms responsible for the improvement in gas exchange following thromboendarterectomy, we studied nine patients with chronic thromboembolic pulmonary hypertension before and eight to 18...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.1.14
更新日期:1990-07-01 00:00:00
abstract::Irwin and co-workers have designed an anatomic approach to the diagnosis and treatment of cough. In their hands, diagnosis was consistently determined and treatment successful almost without exception, if sustained. We reviewed the results of a similar approach in 139 consecutive and unselected patients referred to pu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.4.723
更新日期:1989-04-01 00:00:00
abstract:BACKGROUND:The US Centers for Disease Control and Prevention has implemented a new, multitiered definition for ventilator-associated events (VAEs) to replace their former definition of ventilator-associated pneumonia (VAP). We hypothesized that the new definition could be implemented in an automated, efficient, and rel...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-2255
更新日期:2014-12-01 00:00:00
abstract::As of December 1975, there had been 5 to 8 1/2 years of observation on 263 patients with bacteriologically proven tuberculosis who were initially admitted to a general hospital and were treated largely as outpatients by community physicians from July 1967 through December 1970. Ten patients died during hospitalization...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.74.1.19
更新日期:1978-07-01 00:00:00
abstract::To assess the clinical correlates and therapeutic outcome of new postoperative supraventricular tachyarrhythmias, 916 patients who were in sinus rhythm throughout the course of surgery were prospectively followed after major noncardiac surgery. The 35 patients (4 percent) who developed new postoperative supraventricul...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.4.450
更新日期:1978-04-01 00:00:00
abstract:BACKGROUND:Proton pump inhibitors (PPIs) and histamine type 2 receptor blockers (H2Bs) are used for stress ulcer prophylaxis. Although the PPIs have greater potency for acid suppression, their relative effectiveness for preventing clinically important GI bleeding (CIGIB) has not been established. The goal of this study...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2018.05.015
更新日期:2018-09-01 00:00:00
abstract::Point-of-care ultrasonography is a key skill for the critical care clinician and is gaining widespread acceptance by clinicians in all areas of medicine. In addition to mastery of image acquisition, image interpretation, and clinical application, intensivists need to be adept with billing for their scanning activity. ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2019.06.006
更新日期:2019-10-01 00:00:00
abstract::The value of home spirometry in detecting acute lung rejection and opportunistic infections was studied in 15 heart-lung transplant recipients over a six-month period. The patients measured their FEV1 and FVC twice daily at home using a portable turbine spirometer. The records were then reviewed in relation to the res...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.2.353
更新日期:1990-02-01 00:00:00