Indications for surgery based on lung biopsy in cases of ventricular septal defect and/or patent ductus arteriosus with severe pulmonary hypertension.

abstract：CASE PRESENTATION:A man in his 20s presented to the ED after several months of progressive dyspnea, dry cough, and night sweats. He had no chest pain, fevers, weight loss, or sick contacts. He was previously healthy and took no medications. Social history was notable for 5 pack-years of tobacco use. The patient was sex...

journal_title：Chest

authors： Sonnick MA,Weisman S,Borczuk AC,Turetz ML

更新日期：2019-12-01 00:00:00

abstract：:Part 2 of this review of ICU scoring systems examines how scoring system data should be used to assess ICU performance. There often are two different consumers of these data: lCU clinicians and quality leaders who seek to identify opportunities to improve quality of care and operational efficiency, and regulators, pay...

journal_title：Chest

authors： Breslow MJ,Badawi O

更新日期：2012-02-01 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

authors： Voelkel NF,Tuder R

更新日期：2000-05-01 00:00:00

abstract：:Tube thoracostomy is an invasive procedure that carries a risk of complications. We report a patient with liver cirrhosis, ascites and large left-sided pleural effusion, in whom a trocar type chest tube was inserted at the seventh left intercostal space in the midaxillary line. Chest roentgenogram revealed that the dr...

journal_title：Chest

authors： Foresti V,Villa A,Casati O,Parisio E,De Filippi G

更新日期：1992-07-01 00:00:00

abstract：:The effectiveness of cardiopulmonary support (CPS) as a rescue method following failed angioplasty is unknown. The proximal left anterior descending (LAD) was occluded for 20 min in 21 dogs. Group 1 animals (n=15) were given CPS and group 2 animals (n=6) served as controls. During coronary occlusion, animals receiving...

journal_title：Chest

authors： Ward HB,McFalls EO,Baldwin D,Nemzek TG,Gornick CC

更新日期：1996-03-01 00:00:00

abstract：:Right-sided chest lead ECGs (V3R to V6R) were recorded in 110 normal male subjects who were between the ages of 17 and 22 years old (mean, 17.9 years). The prevalence of the rS pattern decreased from V3R (89 percent) to V6R (37 percent). However, the opposite was the case for the rSr pattern (10 percent in V3R and 36 ...

journal_title：Chest

authors： Tan CC,Hiew TM,Chia BL

更新日期：1990-03-01 00:00:00

abstract：:The preponderance of evidence indicates that high airway pressure is not by itself injurious to the lung. Rather, overdistention of the lung appears to be the fundamental mechanism underlying VALI. The physician must bear in mind the factors (ie, flow-resistive pressure losses, respiratory muscle activity, and abnorma...

journal_title：Chest

authors： Manning HL

更新日期：1994-01-01 00:00:00

abstract：:On the occasion of this Fourth World Conference on Lung Cancer, I am privileged to present the opening keynote address. This presentation has been sponsored by the Ontario Cancer Treatment and Research Foundation. In 1952, the Foundation established an annual lectureship in memory of one of their prominent physicians....

journal_title：Chest

authors： Pearson FG

更新日期：1986-04-01 00:00:00

abstract：:A case of double-orifice mitral valve in a 16-year-old Japanese boy is presented. Two-dimensional echocardiography, including transesophageal approach, showed two approximately equal orifices with three papillary muscles. Color Doppler echocardiography showed a mild mitral regurgitation from both orifices. No other ca...

journal_title：Chest

authors： Hashimoto H

更新日期：1993-11-01 00:00:00

abstract：:There is heightened concern that older adults and individuals with occult or known heart disease are exercising at fitness facilities that do not provide adequate cardiovascular screening and emergency procedures, as outlined in contemporary recommendations. To evaluate adherence to these standards, we surveyed 122 ra...

journal_title：Chest

authors： McInnis K,Herbert W,Herbert D,Herbert J,Ribisl P,Franklin B

更新日期：2001-07-01 00:00:00

abstract：BACKGROUND:While the beneficial effect of exercise capacity on mortality is well-accepted, its effect on health-care costs remains uncertain. This study investigates the relationship between exercise capacity and health-care costs. METHODS:The Veterans Affairs Health Care System recently implemented a Decision Support...

journal_title：Chest

authors： Weiss JP,Froelicher VF,Myers JN,Heidenreich PA

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:IV fluid represents a basic therapeutic intervention for septic shock. Unfortunately, the optimal administration of IV fluid to maximize patient outcomes and prevent complications is largely unknown. METHODS:Patients with septic shock admitted to the medical ICUs of Barnes-Jewish Hospital (January to Decemb...

journal_title：Chest

authors： Chen C,Kollef MH

更新日期：2015-12-01 00:00:00

abstract：:In two patients a documented Texas A2 influenza infection was associated with the development of interstitial pulmonary disease. One patient had an acute fulminating process resulting in respiratory failure and necessitating ventilatory assistance. Open lung biopsy revealed a histologic picture consistent with usual i...

journal_title：Chest

authors： Pinsker KL,Schneyer B,Becker N,Kamholz SL

更新日期：1981-08-01 00:00:00

abstract：BACKGROUND:The airways in patients with cystic fibrosis (CF) are characterized by the accumulation of tenacious, dehydrated mucus that is a precursor for chronic infection, inflammation, and tissue destruction. The clearance of mucus is an integral component of daily therapy. Inhaled mannitol is an osmotic agent that i...

journal_title：Chest

authors： Jaques A,Daviskas E,Turton JA,McKay K,Cooper P,Stirling RG,Robertson CF,Bye PTP,LeSouëf PN,Shadbolt B,Anderson SD,Charlton B

更新日期：2008-06-01 00:00:00

abstract：BACKGROUND:To assess the factors associated with reintubation in patients who had successfully passed a spontaneous breathing trial. METHODS:We used logistic regression and recursive partitioning analyses of prospectively collected clinical data from adults admitted to ICUs of 37 hospitals in eight countries, who had ...

journal_title：Chest

authors： Frutos-Vivar F,Ferguson ND,Esteban A,Epstein SK,Arabi Y,Apezteguía C,González M,Hill NS,Nava S,D'Empaire G,Anzueto A

更新日期：2006-12-01 00:00:00

abstract：:The potential for significant interaction between PEEP and the peripheral microcirculations is not as well appreciated as are its central circulatory effects. Therefore, we studied the effects of PEEP, 15 mm Hg, on microvascular fluid flux in the hindlimb of ten mature sheep. Changes in prefemoral lymph flow (QL) and ...

journal_title：Chest

authors： Hersch M,Bersten A,Robertson S,Rutledge F,Sibbald WJ

更新日期：1989-11-01 00:00:00

abstract：:A 51-year-old man developed fever, cough, and dyspnea 5 days after completing murine monoclonal anti-CD3 antibody (OKT3) treatment for acute cardiac allograft rejection. Samples of BAL fluid grew influenza A virus. Progressive pulmonary infiltrates, respiratory compromise, and hypoxia developed, and the patient ultima...

journal_title：Chest

authors： Embrey RP,Geist LJ

更新日期：1995-11-01 00:00:00

abstract：:Cidofovir, a nucleoside analog antiviral agent, has been used with moderate success in the treatment of juvenile laryngeal papillomatosis (JLP) by direct intralesional injection. We report the first case where IV cidofovir was used successfully to treat a rare but lethal multicystic lung disease complicating JLP. A 35...

journal_title：Chest

authors： Dancey DR,Chamberlain DW,Krajden M,Palefsky J,Alberti PW,Downey GP

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:An obesity paradox, wherein patients who are obese have lower mortality, has been described in cardiopulmonary diseases, including pulmonary arterial hypertension (PAH). Our objective was to determine whether obesity and BMI are associated with mortality in patients with PAH. METHODS:We assessed incident pa...

journal_title：Chest

authors： Weatherald J,Huertas A,Boucly A,Guignabert C,Taniguchi Y,Adir Y,Jevnikar M,Savale L,Jaïs X,Peng M,Simonneau G,Montani D,Humbert M,Sitbon O

更新日期：2018-10-01 00:00:00

abstract：OBJECTIVES:To investigate the time course and the relation to prognosis of coagulation and fibrinolytic abnormalities in patients with septic shock. PATIENTS AND METHODS:Forty-eight consecutive patients admitted to the medical ICU with the diagnosis of septic shock (diagnosed by defined criteria) were studied. Mortali...

journal_title：Chest

authors： Lorente JA,García-Frade LJ,Landín L,de Pablo R,Torrado C,Renes E,García-Avello A

更新日期：1993-05-01 00:00:00

abstract：:Body position can lead to respiratory symptoms and affect gas exchange in disease states. We describe a patient with carcinoma of the left lung in whom dyspnea and oxygen desaturation developed in the right lateral position only. Fiberoptic bronchoscopic study demonstrated a tumor mass protruding into the left main-st...

journal_title：Chest

authors： Mahler DA,Snyder PE,Virgulto JA,Loke J

更新日期：1983-05-01 00:00:00

abstract：:The disease concept of idiopathic BOOP has emerged from a study of many open lung biopsy cases of diffuse infiltrative lung disease. The histopathologic features of idiopathic BOOP have several components: bronchiolitis obliterans, organizing pneumonia, accumulation of foamy cells in the peripheral air spaces, and int...

journal_title：Chest

authors： Kitaichi M

更新日期：1992-07-01 00:00:00

abstract：:A 20-year-old woman developed severe shortness of breath 4 h after a cesarean section. Chest roentgenogram showed a pleural effusion and tension pneumothorax; insertion of a chest tube drained liquid stool. At surgery she was found to have a left diaphragmatic defect with herniation, strangulation, and perforation of ...

journal_title：Chest

authors： Lacayo L,Taveras JM 3rd,Sosa N,Ratzan KR

更新日期：1993-03-01 00:00:00

abstract：:Takayasu's arteritis is a vasculitis characterized by inflammation and obliteration of large- and medium-sized arteries and has not been previously associated with interstitial pulmonary fibrosis. A patient with Takayasu's arteritis was shown to have interstitial pulmonary fibrosis and mesangial glomerulonephritis, su...

journal_title：Chest

authors： Greene NB,Baughman RP,Kim CK

更新日期：1986-04-01 00:00:00

abstract：BACKGROUND:Gender differences in the prevalence of various manifestations of obstructive sleep apnea syndrome (OSAS) is not as great as previously believed. The aim of the present study was to clarify the clinical patient characteristics of Japanese women and men with OSAS. METHODS:A cross-sectional case-match control...

journal_title：Chest

authors： Yukawa K,Inoue Y,Yagyu H,Hasegawa T,Komada Y,Namba K,Nagai N,Nemoto S,Sano E,Shibusawa M,Nagano N,Suzuki M

更新日期：2009-02-01 00:00:00

abstract：:Idiopathic bronchiolitis obliterans with organizing pneumonia (BOOP) is a clinicopathologic syndrome characterized by an indolent course and favorable prognosis. This report describes five patients with a fulminating and life-threatening variant of this syndrome. Four patients presented with respiratory failure requir...

journal_title：Chest

authors： Nizami IY,Kissner DG,Visscher DW,Dubaybo BA

更新日期：1995-07-01 00:00:00

abstract：:Allergic bronchopulmonary aspergillosis (ABPA) is an immunologic pulmonary disorder caused by hypersensitivity to Aspergillus fumigatus. Clinically, a patient presents with chronic asthma, recurrent pulmonary infiltrates, and bronchiectasis. The population prevalence of ABPA is not clearly known, but the prevalence in...

journal_title：Chest

authors： Agarwal R

更新日期：2009-03-01 00:00:00

abstract：STUDY OBJECTIVES:The goal of this study was to determine whether the survival of patients with pulmonary hypertension related to systemic sclerosis (SScPH) was different from that of patients with other forms of pulmonary arterial hypertension. DESIGN:Retrospective cohort study. SETTING:Tertiary care medical center. ...

journal_title：Chest

authors： Kawut SM,Taichman DB,Archer-Chicko CL,Palevsky HI,Kimmel SE

更新日期：2003-02-01 00:00:00

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

authors： Spurzem JR,Bonekat HW,Shigeoka JW

更新日期：1984-07-01 00:00:00

abstract：:Mitral, aortic, and coronary arterial disease have been described in the various mucopolysaccharidoses. We report the first successful combined aortic and mitral valve replacement in an adult female patient with severe aortic and mitral stenosis due to Scheie's syndrome, a mucopolysaccharide storage disease. Both annu...

journal_title：Chest

authors： Butman SM,Karl L,Copeland JG

更新日期：1989-07-01 00:00:00