Abstract:
:Pulmonary function studies were conducted one to two days prior to, two weeks after, and an average of 116 days after coronary artery revascularization surgery. Preoperation it was found that 11 of 19 patients had mild to moderate obstruction, 8 of 17 had diffusing capacity less than 80 percent of predicted, and 9 of 17 had mild hypoxemia. Many of these abnormalities seemed related to smoking. After surgery, significant reductions in volumes, diffusion and PaO2 were found at two weeks. By the last study, there was improvement in volumes and diffusion, but they remained significantly reduced in comparison to preoperative levels. Arterial oxygen tension (PaO2) had returned to preoperative levels. Correction of diffusion for volume showed there to be no change in any of the study periods suggesting chest wall alteration is a major component of the abnormality. It is concluded that close monitoring of pulmonary function is indicated before and after operation in this patient population even if the patient is asymptomatic.
journal_name
Chestjournal_title
Chestauthors
Braun SR,Birnbaum ML,Chopra PSdoi
10.1378/chest.73.3.316subject
Has Abstractpub_date
1978-03-01 00:00:00pages
316-20issue
3eissn
0012-3692issn
1931-3543pii
S0012-3692(16)38040-0journal_volume
73pub_type
杂志文章相关文献
CHEST文献大全abstract:BACKGROUND:The long-term clinical course of asthma in patients with eosinophilic granulomatosis with polyangiitis (EGPA) remains unclear. We aimed to characterize long-term asthma in EGPA and to identify baseline predictors of long-term asthma severity. METHODS:This retrospective cohort study included patients who ful...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2019.11.045
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Contemporary clinical risk stratification schemata for predicting stroke and thromboembolism (TE) in patients with atrial fibrillation (AF) are largely derived from risk factors identified from trial cohorts. Thus, many potential risk factors have not been included. METHODS:We refined the 2006 Birmingham/Na...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.09-1584
更新日期:2010-02-01 00:00:00
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:BACKGROUND:Both pulmonary hypertension and pulmonary overflow are associated with functional and structural changes of the pulmonary arterial wall. Current techniques to evaluate the pulmonary vasculature neglect the pulsatile nature of pulmonary flow. STUDY OBJECTIVES:To determine whether the dynamic properties of th...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.2.549
更新日期:2002-08-01 00:00:00
abstract::Two patients are described who had congestive heart failure with loculated interlobar air-fluid collections. Although pseudotumor (interlobar effusion) is a well-known finding in congestive heart failure, the additional presence of air is unique. Both are somewhat related to the underlying failure. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.74.6.681
更新日期:1978-12-01 00:00:00
abstract::A 64-year-old patient was admitted to the hospital with a history of two syncopal episodes. The results of the physical examination, resting electrocardiogram and His-bundle study were all normal. Study with a 24-hour ECG monitor (Holter) was at first interpreted as demonstrating periods of sinus arrest. However, more...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.4.582
更新日期:1975-10-01 00:00:00
abstract:BACKGROUND:The Parent Cough-Specific Quality-of-Life questionnaire (PC-QOL) has relevance and clinical utility as a cough-specific QOL measure for pediatric use. Its validity has been demonstrated. This study sought to determine the minimally important difference (MID) for the PC-QOL completed by parents of young child...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-1476
更新日期:2011-03-01 00:00:00
abstract::Individuals continue to smoke despite its numerous proven adverse health effects. Now viewed as a chronic medical condition, health-care professionals are more involved in cessation efforts. Physicians are often the first line of defense, providing intervention through prescription management and counseling. Some insu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.130.4.1231
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:Little is known about factors determining the pathogenesis and severity of asthma in Latin American countries. Costa Rica, one of the most prosperous Latin American nations, has a very high asthma prevalence. OBJECTIVE:To examine the relation between potential risk factors and childhood asthma in Costa Rica...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.120.3.785
更新日期:2001-09-01 00:00:00
abstract::Clonidine was given to patients with essential hypertension, renovascular hypertension, and hypertension with parenchymal renal disease. The drug was effective in all groups but was more effective in patients with high plasma renin concentration. Renal function did not deteriorate when the drug was used, and there was...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.83.2_supplement.383
更新日期:1983-02-01 00:00:00
abstract::In an effort to characterize the effectiveness of cardiology consultation, the outcomes of consultants' recommendations for diagnostic actions and cardiac drugs were quantitatively examined in 394 cases. Drug recommendations were made more frequently (49 percent) than diagnostic recommendations (38 percent) and were a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.79.1.16
更新日期:1981-01-01 00:00:00
abstract::Platelet-derived growth factor (PDGF) was shown to modulate fibroblast activity in interstitial lung diseases like idiopathic pulmonary fibrosis (IPF). The role of PDGF in fibrosing mechanisms in histiocytosis X is unclear. Eight patients with histiocytosis X, five patients with idiopathic pulmonary fibrosis (IPF), an...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.3.701
更新日期:1995-03-01 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
pub_type: 杂志文章
doi:10.1016/j.chest.2018.05.006
更新日期:2018-10-01 00:00:00
abstract::A bird fancier who had only been exposed to native birds, mostly owls, developed a sever hypersensitivity pneumonitis with a very insidious onset. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.106.4.1269
更新日期:1994-10-01 00:00:00
abstract::A 32-year-old woman with a one-year history of progressive shortness of breath and chest pain was found to have a grade 4/6 systolic murmur at the base of the heart and left sternal border. Right ventricular enlargement was found by physical examination, ECG, and chest roentgenogram. Cardiac catheterization showed ele...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.75.4.522
更新日期:1979-04-01 00:00:00
abstract:BACKGROUND:There is an increasing demand for home mechanical ventilation (HMV) in patients with chronic respiratory insufficiency. At present, noninvasive ventilation is exclusively initiated in a clinical setting at all four centers for HMV in the Netherlands. In addition to its high societal costs and patient discomf...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.07.007
更新日期:2020-12-01 00:00:00
abstract::Among 1,700 primary tumors of the lung, there were 53 cases of bronchial adenoma (3.1 percent); 38 (72 percent) of the 53 were typical carcinoids, and the remaining 15 were of a higher grade of malignant neoplasm. There was a slight predominance of female patients, and the age of greatest incidence was between 30 and ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.77.1.81
更新日期:1980-01-01 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:STUDY OBJECTIVES:To compare upper airway collapsibility during sleep between patients with upper airway resistance syndrome (UARS), normal subjects, and patients with obstructive sleep apnea/hypopnea syndrome (OSA/H). DESIGN:A descriptive study of a series of clinical patients and a cohort of normal control subjects. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.5.1531
更新日期:2002-05-01 00:00:00
abstract::Congenital diaphragmatic hernia (CDH) is associated with a variety of cardiac anomalies. However, its association with hypoplastic left heart syndrome (HLHS) is rare. We treated a female newborn with CDH, HLHS, and omphalocele. The operation for omphalocele and the diaphragmatic defect was successful, although the pat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.1.263
更新日期:1992-01-01 00:00:00
abstract::Peripheral undefined pulmonary nodules have become a favorable indication for the videoendoscopic approach in thoracic surgery. In our latest experience, we also successfully applied this technique in centrally located lesions of the lung. In reviewing our first 29 cases, we looked for preoperative features of videoen...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.106.5.1570
更新日期:1994-11-01 00:00:00
abstract:BACKGROUND:Pulmonary disease due to Mycobacterium avium complex (MAC-PD) radiographically resembles that due to tuberculosis; it preferentially affects elderly white men with predisposing pulmonary disorders (PDPD). METHODS:Twenty-nine patients with MAC-PD were identified from a community-based population, and the med...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.6.1605
更新日期:1992-06-01 00:00:00
abstract::A total of 161 patients with chronic obstructive pulmonary disease (COPD) plus 100 control subjects (identified during a study of heart disease in 6,860 Japanese-American men aged 52 to 75 years who were residing in Hawaii) were analyzed for phenotype in search of the antitrypsin gene Z, which has been shown to be ass...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.4.489
更新日期:1977-10-01 00:00:00
abstract:BACKGROUND:Limited data are available on the impact of time to ICU admission and outcomes for patients with severe community acquired pneumonia (CAP). Our objective was to examine the association of time to ICU admission and 30-day mortality in patients with severe CAP. METHODS:A retrospective cohort study of 161 ICU ...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.09-1547
更新日期:2010-03-01 00:00:00
abstract:STUDY OBJECTIVE:To determine whether standard clinical and transthoracic echocardiographic criteria considered to be suggestive of the presence of endocarditis-associated paravalvular abscess are predictive of which patients would benefit from reliable but invasive transesophageal echocardiographic investigations for a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.4.898
更新日期:1995-04-01 00:00:00
abstract:PURPOSE:To examine the individual and joint effect of various pretreatment clinical characteristics on the survival of patients with mesothelioma treated by the Cancer and Leukemia Group B (CALGB). PATIENTS AND METHODS:Between June 1984 and September 1994, 337 patients with malignant mesothelioma and no prior chemothe...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.113.3.723
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:Central sleep apnea (CSA) is common among patients with heart failure (HF) and is promoted by elevated CO2 chemosensitivity. Left atrial size is a marker of the hemodynamic severity of HF. The aim of this study was to determine if left atrial size predicts chemosensitivity to CO2 and CSA in patients with HF....
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-0309
更新日期:2014-07-01 00:00:00
abstract::Postoperative bronchial stump failure is a life-threatening complication, and several surgical approaches and procedures have been developed to close the stump. In this report, we describe a case of left mainstem bronchial stump diastasis after pneumonectomy for lung cancer, in which the bronchial stump was re-closed ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.3.884
更新日期:2000-03-01 00:00:00
abstract:STUDY OBJECTIVES:To assess the consequences of nitrate withdrawal in angina-free and hemodynamically stable coronary patients. DESIGN:Prospective, open, intervention study. SETTING:Cardiology outpatient clinic of a university-affiliated municipal hospital. PATIENTS:Angina-free patients who were hemodynamically stabl...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0012-3692(15)33392-4
更新日期:2003-11-01 00:00:00
abstract::To assess the role of open lung biopsy in patients with the acquired immunodeficiency syndrome (AIDS), we retrospectively reviewed the cases of 42 patients with AIDS who underwent this procedure for the diagnosis of pulmonary infiltrates. Four patients had no preceding bronchoscopy because the severity of the respirat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.91.5.659
更新日期:1987-05-01 00:00:00