Transmitral flow changes during dipyridamole-induced ischemia. A Doppler-echocardiographic study.

Abstract:

:Myocardial ischemia results in altered left ventricular (LV) diastolic compliance, reflected by an abnormal mitral inflow pattern on Doppler echocardiography. To investigate the relationship of Doppler echocardiography and regional myocardial systolic function during dipyridamole infusion, we evaluated transmitral flow changes detected by pulsed Doppler technique during a high-dose dipyridamole echocardiography test (DET, two-dimensional echo monitoring with dipyridamole infusion, up to 0.84 mg/kg over 10 min). The DET response produced two groups: group 1 (34 patients) with negative DET, and group 2 (35 patients) with positive DET, defined as the development of a newly onset LV regional asynergy. The E/A values overlapped at baseline (1.07 +/- .32 vs .92 +/- .22; p = NS) but differed at peak changes (.92 +/- .26 vs. 75 +/- .25; p less than .01). Heart rate changes could not account for the observed Doppler changes, since the values of R-R interval were similar in the groups, both basally (.927 +/- .226 vs .867 +/- .143 s; p = NS) and at peak dipyridamole (.754 +/- .100 vs. 681 +/- .112; p = NS). Transient myocardial ischemia induced by dipyridamole administration is accompanied by changes in transmitral flow, which consist of an increase in the relative atrial contribution to LV filling, possibly owing to an acute impairment in LV relaxation.

journal_name

Chest

journal_title

Chest

authors

Lattanzi F,Picano E,Masini M,De Prisco F,Distante A,L'Abbate A

doi

10.1378/chest.95.5.1037

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

1037-42

issue

5

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)30397-X

journal_volume

95

pub_type

杂志文章

相关文献

CHEST文献大全
  • Fluid therapy in resuscitated sepsis: less is more.

    abstract::Fluid infusion may be lifesaving in patients with severe sepsis, especially in the earliest phases of treatment. Following initial resuscitation, however, fluid boluses often fail to augment perfusion and may be harmful. In this review, we seek to compare and contrast the impact of fluids in early and later sepsis; sh...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.07-1496

    authors: Durairaj L,Schmidt GA

    更新日期:2008-01-01 00:00:00

  • Acute pulmonary exacerbations of sarcoidosis.

    abstract::Exacerbations of sarcoidosis are common. In particular, exacerbations of pulmonary sarcoidosis are reported in more than one-third of patients. Despite their frequent occurrence, there is little medical evidence concerning the definition, diagnosis, and treatment of pulmonary exacerbations of sarcoidosis. In this arti...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.12-1060

    authors: Panselinas E,Judson MA

    更新日期:2012-10-01 00:00:00

  • Endovascular therapy for left main compression syndrome. Case report and literature review.

    abstract::Extrinsic compression of the left main coronary artery (LMCA) can occur in patients with severe pulmonary hypertension and enlarged pulmonary artery trunk. It has been usually described in the setting of congenital defects such as atrial septal defect, ventricular septal defect, and, more rarely, isolated persistent d...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.08-2922

    authors: Caldera AE,Cruz-Gonzalez I,Bezerra HG,Cury RC,Palacios IF,Cockrill BA,Inglessis-Azuaje I

    更新日期:2009-06-01 00:00:00

  • A rare cause of postoperative hypotension.

    abstract::A 62-year-old woman presented with a 3-month history of abdominal distension and decreased exercise tolerance. A chest radiograph showed a probable left pleural effusion (Fig 1). A CT scan of the abdomen revealed a solid ovarian mass with omental caking and a large volume of ascites; there was also confirmation of a l...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-2245

    authors: Salinas PD,Toth LN,Manning HL

    更新日期:2015-05-01 00:00:00

  • Long-term recording and automatic analysis of cough using filtered acoustic signals and movements on static charge sensitive bed.

    abstract::Reliable long-term assessment of cough is necessary in many clinical and scientific settings. A new method for long-term recording and automatic analysis of cough is presented. The method is based on simultaneous recording of two independent signals: high-pass filtered cough sounds and cough-induced fast movements of ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.5.970

    authors: Salmi T,Sovijärvi AR,Brander P,Piirilä P

    更新日期:1988-11-01 00:00:00

  • A comparison of inhaled ipratropium, oral theophylline plus inhaled beta-agonist, and the combination of all three in patients with COPD.

    abstract::To evaluate the role of inhaled ipratropium bromide alone vs oral theophylline plus inhaled beta-agonist or the combination of all three in patients with stable COPD, the following double-blind, placebo-controlled study was conducted. Forty-eight patients with stable COPD (mean age, 61.8 years, with mean baseline FEV1...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.105.4.1089

    authors: Karpel JP,Kotch A,Zinny M,Pesin J,Alleyne W

    更新日期:1994-04-01 00:00:00

  • 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

  • Establishment of the cardio-ankle vascular index in patients with obstructive sleep apnea.

    abstract:BACKGROUND:An arterial stiffness parameter, the cardio-ankle vascular index (CAVI), has been developed. CAVI is adjusted for BP and can be used to measure arterial stiffness with little influence of BP. The purpose of this study was to evaluate the reproducibility, validity, and clinical usefulness of CAVI among patien...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-0178

    authors: Kumagai T,Kasai T,Kato M,Naito R,Maeno KI,Kasagi S,Kawana F,Ishiwata S,Narui K

    更新日期:2009-09-01 00:00:00

  • Chronic tuberculous empyema with bronchopleural fistula resulting in treatment failure and progressive drug resistance.

    abstract::We treated five patients with a past history of tuberculous pleural infection that led to chronic, quiescent, loculated empyema. Reactivation of TB was associated with formation of BPF and recovery of drug-susceptible Mycobacterium tuberculosis from sputum. All patients had recurrence of positive sputum cultures that ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.1.124

    authors: Iseman MD,Madsen LA

    更新日期:1991-07-01 00:00:00

  • Outcomes up to 5 years after severe, acute respiratory failure.

    abstract:STUDY OBJECTIVE:To use an existing database from a large cohort study with follow-up as long as 5.5 years to assess the extended prognosis of patients who survived their hospitalizations for severe acute respiratory failure (ARF). DESIGN, SETTING, AND PATIENTS:Secondary analysis of an inception cohort of 1,722 patient...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.6.1897

    authors: Garland A,Dawson NV,Altmann I,Thomas CL,Phillips RS,Tsevat J,Desbiens NA,Bellamy PE,Knaus WA,Connors AF Jr,SUPPORT Investigators.

    更新日期:2004-12-01 00:00:00

  • Emergency room intubations--complications and survival.

    abstract::Forty-three consecutive patients requiring endotracheal intubation in an emergency room were studied prospectively to define the complications associated with intubation and the survival of these patients, and to evaluate emergency room policies. The indications for intubation were acute respiratory failure (ARF) in 2...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.5.541

    authors: Taryle DA,Chandler JE,Good JT Jr,Potts DE,Sahn SA

    更新日期:1979-05-01 00:00:00

  • Ultrastructural subtypes of pulmonary adenocarcinoma. A correlation with patient survival.

    abstract::A retrospective study of 34 patients (33 male and one female) was conducted to evaluate a potential correlation between patient survival, propensity to metastasize and specific subtypes of pulmonary adenocarcinomas as determined by ultrastructural examination. Previous electron microscopic studies of pulmonary adenoca...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.84.5.581

    authors: Herrera GA,Alexander CB,DeMoraes HP

    更新日期:1983-11-01 00:00:00

  • High level of interferon gamma in tuberculous pleural effusion.

    abstract::It has been observed that T-lymphocytes of patients with tuberculosis produce interferon gamma (IFN gamma) in vitro. Based on this idea, we studied IFN gamma in pleural fluid and serum. We studied 80 patients with pleural effusion; 30 patients with tuberculous pleurisy had high IFN gamma concentrations in pleural flui...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.2.308

    authors: Ribera E,Ocaña I,Martinez-Vazquez JM,Rossell M,Español T,Ruibal A

    更新日期:1988-02-01 00:00:00

  • Pericardial abnormalities predict the presence of echocardiographically defined pulmonary arterial hypertension in systemic sclerosis-related interstitial lung disease.

    abstract:OBJECTIVES:To determine the prevalence and significance of pericardial abnormalities in systemic sclerosis (SSc)-related interstitial lung disease (ILD). METHODS:Retrospective study of 41 subjects with SSc-related ILD who underwent evaluation including thoracic high-resolution CT (HRCT) imaging, transthoracic echocard...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.06-2317

    authors: Fischer A,Misumi S,Curran-Everett D,Meehan RT,Ulrich SK,Swigris JJ,Frankel SK,Cosgrove GP,Lynch DA,Brown KK

    更新日期:2007-04-01 00:00:00

  • Figure-eight kinking of the aorta (pseudocoarctation) coexistent with coarctation.

    abstract::An asymptomatic young man presented with a cardiac murmur and hypertension only in the right arm. Angiograms showed kinking of the aortic arch with a figure-eight appearance consistent with pseudocoarctation. Before the kinked segment, also demonstrated were a stenotic lesion in the aortic arch proximal to the left ca...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.5.1239

    authors: Tsai LM,Fu M,Chang CH,Hung JS

    更新日期:1990-05-01 00:00:00

  • The role of computer games in measuring spirometry in healthy and "asthmatic" preschool children.

    abstract:STUDY OBJECTIVES:To explore the role of respiratory interactive computer games in teaching spirometry to preschool children, and to examine whether the spirometry data achieved are compatible with acceptable criteria for adults and with published data for healthy preschool children, and whether spirometry at this age c...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.3.1146

    authors: Vilozni D,Barak A,Efrati O,Augarten A,Springer C,Yahav Y,Bentur L

    更新日期:2005-09-01 00:00:00

  • Clinical significance of nontuberculous mycobacteria isolated from respiratory specimens in Korea.

    abstract:STUDY OBJECTIVES:Precise epidemiologic data regarding nontuberculous mycobacterial (NTM) lung infection in many Asian countries have been relatively unavailable. In order to determine the clinical significance of NTM isolated from respiratory specimens, we reviewed medical records from all patients from whom NTM isolat...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.2.341

    authors: Koh WJ,Kwon OJ,Jeon K,Kim TS,Lee KS,Park YK,Bai GH

    更新日期:2006-02-01 00:00:00

  • Treatment and prevention of heparin-induced thrombocytopenia: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.

    abstract:BACKGROUND:Heparin-induced thrombocytopenia (HIT) is an antibody-mediated adverse drug reaction that can lead to devastating thromboembolic complications, including pulmonary embolism, ischemic limb necrosis necessitating limb amputation, acute myocardial infarction, and stroke. METHODS:The methods of this guideline f...

    journal_title:Chest

    pub_type: 杂志文章,实务指引,评审

    doi:10.1378/chest.11-2303

    authors: Linkins LA,Dans AL,Moores LK,Bona R,Davidson BL,Schulman S,Crowther M

    更新日期:2012-02-01 00:00:00

  • Nutritional status and lung function in patients with emphysema and chronic bronchitis.

    abstract::This study compared the nutritional status of patients with emphysema and chronic bronchitis and examined the relationship between lung dysfunction and nutritional depletion in patients with emphysema. There was no evidence of nutritional depletion in patients with chronic bronchitis (n = 4). In contrast, patients wit...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.83.1.17

    authors: Openbrier DR,Irwin MM,Rogers RM,Gottlieb GP,Dauber JH,Van Thiel DH,Pennock BE

    更新日期:1983-01-01 00:00:00

  • The effects of flosequinan on hemodynamics and oxygen delivery in cor pulmonale.

    abstract::The hemodynamic effects of a new orally active vasodilator, flosequinan, were compared with placebo (single blind) over 24 h in eight patients with pulmonary hypertension secondary to severe chronic obstructive pulmonary disease. Mean pulmonary artery pressure was reduced by 5.1 (3.4, 6.7) mm Hg (mean 95 percent CI) (...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.102.4.1155

    authors: Elborn JS,Richardson G,Murphy P,MacMahon J

    更新日期:1992-10-01 00:00:00

  • Incidence and natural history of phrenic neuropathy occurring during open heart surgery.

    abstract:OBJECTIVE:To study the incidence of phrenic neuropathy following coronary artery bypass grafting and determine long-term outcome. DESIGN:Prospective observational. SETTING:Surgical ICU in a university hospital, out-patient follow-up. PATIENTS:Ninety-two consecutive patients undergoing open heart surgery. INTERVENTI...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.3.850

    authors: DeVita MA,Robinson LR,Rehder J,Hattler B,Cohen C

    更新日期:1993-03-01 00:00:00

  • Congenital unilateral absence of the left pulmonary artery. Echocardiography in reverse.

    abstract::This study demonstrates that when the heart is markedly displaced posteriorly to the left, or perhaps to the right, the posterior approach may make echocardiographic evaluation possible. Thus, in a patient with congenital unilateral absence of the left pulmonary artery, with marked displacement of the heart posteriorl...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.77.1.106

    authors: Borgeson E,Vogel JH

    更新日期:1980-01-01 00:00:00

  • Decreased Serum Sirtuin-1 in COPD.

    abstract:BACKGROUND:The protein deacetylase sirtuin-1 (SIRT1) is an antiaging molecule that is decreased in the lung in patients with COPD. Recently, SIRT1 was reported to be detectable in serum, but serum SIRT1 (s120S) levels have not yet been reported in patients with COPD. METHODS:Serum SIRT1 protein of all samples was meas...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2017.05.004

    authors: Yanagisawa S,Papaioannou AI,Papaporfyriou A,Baker JR,Vuppusetty C,Loukides S,Barnes PJ,Ito K

    更新日期:2017-08-01 00:00:00

  • High-intensity physical training in adults with asthma. A 10-week rehabilitation program.

    abstract::Twenty-six adults (23 to 58 years) with mild to moderate asthma underwent a 10-week supervised rehabilitation program, with emphasis on physical training. In the first 2 weeks, they exercised daily in an indoor swimming pool (33 degrees C) and received education about asthma, medication, and principles of physical tra...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.109.2.323

    authors: Emtner M,Herala M,Stålenheim G

    更新日期:1996-02-01 00:00:00

  • Expression of CXC chemokine receptors 1 and 2 in human bronchial epithelial cells.

    abstract:INTRODUCTION:CXC chemokine receptor 1 (CXCR1) and CXC chemokine receptor 2 (CXCR2) have been shown to play an important role in transepithelial migration of neutrophil granulocytes during inflammation in various tissues. This study investigated the regulation of gene expression and surface expression of CXCR1 and CXCR2...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.5.3724

    authors: Farkas L,Hahn MC,Schmoczer M,Jentsch N,Krätzel K,Pfeifer M,Schulz C

    更新日期:2005-11-01 00:00:00

  • Acute diverticulitis following cardiac surgery.

    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

    authors: Burton NA,Albus RA,Graeber GM,Lough FC

    更新日期:1986-05-01 00:00:00

  • Antinuclear antibodies in pleural fluid.

    abstract::Systemic lupus erythematosus (SLE) frequently involves the pleura with resultant pleural effusion. Previous studies have reported that detection of antinuclear antibodies (ANA) in pleural fluid using animal tissue as substrate was a sensitive and specific method for distinguishing SLE pleural effusions from other etio...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.3.866

    authors: Khare V,Baethge B,Lang S,Wolf RE,Campbell GD Jr

    更新日期:1994-09-01 00:00:00

  • Pulmonary findings in patients with chagasic megaesophagus. Study of autopsied cases.

    abstract::We studied retrospectively 69 cases of chagasic megaesophagus (group 1) and 207 cases of chronic chagasic myocardiopathy (CCM) without megaesophagus (group 2) by autopsy in the Pathology Department of the Federal University of Bahia, Brazil, from 1953 to 1975. It was shown that pulmonary tuberculosis was significantly...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.83.1.87

    authors: Camara EJ,Lima JA,Oliveira GB,Machado AS

    更新日期:1983-01-01 00:00:00

  • A comprehensive review of spontaneous pneumothorax complicating sarcoma.

    abstract:BACKGROUND:Spontaneous pneumothorax (SPTX) is an uncommon phenomenon in the general population and is most commonly associated with prior bulbous emphysema, cystic parenchymal lung disease, and tuberculous lung disease. A rare cause of SPTX is malignant disease, either in the form of primary lung or pleural cancers, or...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.09-2292

    authors: Hoag JB,Sherman M,Fasihuddin Q,Lund ME

    更新日期:2010-09-01 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