A 34-Year-Old Woman With Hoarseness of Voice and an Abnormal Echocardiogram.

Abstract:

CASE PRESENTATION:A 34-year-old woman presented for evaluation of several months of a hoarse voice and dyspnea on exertion that progressed over the last 3 years. She had a clinical diagnosis of asthma that had been treated with bronchodilators and inhaled corticosteroids for a few years. She continued to use her inhalers but with minimal symptomatic improvement. The patient was a lifelong nonsmoker with no history of drug abuse. She worked as a college professor and denied any significant environmental exposures or recent travel.

journal_name

Chest

journal_title

Chest

authors

Jalil BA,Smith JS,El-Kersh K

doi

10.1016/j.chest.2019.01.021

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

e163-e166

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(19)30136-9

journal_volume

155

pub_type

杂志文章

相关文献

CHEST文献大全
  • Is it possible to differentiate malignant mediastinal nodes from benign nodes by size? Reevaluation by CT, transesophageal echocardiography, and nodal specimen.

    abstract:STUDY OBJECTIVE:To reevaluate whether it is possible to reliably differentiate malignant mediastinal lymph nodes from benign nodes by size, and to determine the frequency of metastases to normal-sized mediastinal lymph nodes that directly affects the sensitivity for detecting malignant mediastinal lymph nodes (N2 nodes...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.110.4.1004

    authors: Arita T,Matsumoto T,Kuramitsu T,Kawamura M,Matsunaga N,Sugi K,Esato K

    更新日期:1996-10-01 00:00:00

  • Congenital intrathoracic left ventricular diverticulum in an adult.

    abstract::A 53-year-old woman without any risk factors for coronary artery disease was found to have a congenital intrathoracic left ventricular diverticulum with a narrow long connection to the left ventricular cavity. Coronary angiography revealed normal coronary arteries. The diverticulum was resected and showed three normal...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.3.750

    authors: Suilen C,Friedli B,Rutishauser W

    更新日期:1990-09-01 00:00:00

  • Noninvasive positive-pressure ventilation facilitates tracheal extubation after laryngotracheal reconstruction in children.

    abstract::Tracheal extubation after laryngotracheal reconstruction in children may be complicated by postoperative tracheal edema and pulmonary dysfunction. The replacement of a tracheal tube in this situation may exacerbate the existing injury to the tracheal mucosa, complicating subsequent attempts at tracheal extubation. We ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.1.260

    authors: Hertzog JH,Siegel LB,Hauser GJ,Dalton HJ

    更新日期:1999-07-01 00:00:00

  • Advancing a multilevel framework for epidemiologic research on asthma disparities.

    abstract::Our understanding of asthma epidemiology is growing increasingly complex. Asthma outcomes are clearly socially patterned, with asthma ranking as a leading cause of health disparities among minority and low socioeconomic groups. Yet, the increasing prevalence and marked disparities in asthma remain largely unexplained ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.07-1904

    authors: Wright RJ,Subramanian SV

    更新日期:2007-11-01 00:00:00

  • Plasma and BAL fluid concentrations of antimicrobial peptides in patients with Mycobacterium avium-intracellulare infection.

    abstract:STUDY OBJECTIVES:To investigate the roles of human alpha-defensin (HAD), human beta-defensin (HBD)-1, and HBD-2, novel antimicrobial peptides, in patients with Mycobacterium avium-intracellulare infection (MAI). PATIENTS:The study included 25 patients (10 men) with MAI who visited our hospital between June 1998 and Au...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.119.4.1131

    authors: Ashitani J,Mukae H,Hiratsuka T,Nakazato M,Kumamoto K,Matsukura S

    更新日期:2001-04-01 00:00:00

  • Expanded clinical presentation of community-acquired methicillin-resistant Staphylococcus aureus pneumonia.

    abstract:BACKGROUND:Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) has been documented to cause community-acquired pneumonias (CAP), notable for necrotizing features. The frequency of occurrence, risk factors, and optimal treatment of CA-MRSA CAP are unclear. METHODS:This was a retrospective analysis ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-1562

    authors: Lobo LJ,Reed KD,Wunderink RG

    更新日期:2010-07-01 00:00:00

  • Percutaneous transfemoral coronary arteriography; prevention of morbid complication.

    abstract::During a six-year experience involving 3,089 selective coronary arteriograms (99 percent by the percutaneous transfemoral method), modifications of technique have reduced the incidence of morbid complications. Modifications have involved guidewire technique, systemic heparinization, attention to spontaneous catheter b...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.67.2.221

    authors: Page HL Jr,campbell WB

    更新日期:1975-02-01 00:00:00

  • Increased levels of outdoor air pollutants are associated with reduced bronchodilation in children with asthma.

    abstract:BACKGROUND:Increased outdoor air pollution levels are associated with more frequent use of rescue inhalers in subjects with asthma. However, it is unknown whether this phenomenon is explained by an air pollution-mediated increase in respiratory symptom severity or whether air pollutants decrease the efficacy of short-a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-1463

    authors: Hernández-Cadena L,Holguin F,Barraza-Villarreal A,Del Río-Navarro BE,Sienra-Monge JJ,Romieu I

    更新日期:2009-12-01 00:00:00

  • The clinical profile of unresolved pulmonary embolism.

    abstract::Nearly all patients with pulmonary embolism (PE) have complete clinical and hemodynamic and at least near complete roentgenographic and angiographic resolution within four to six weeks of the acute event. To classify the syndrome of unresolved pulmonary embolism we reviewed our experience and that of the English liter...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.84.6.669

    authors: Benotti JR,Ockene IS,Alpert JS,Dalen JE

    更新日期:1983-12-01 00:00:00

  • Depression is more common in girls with nonatopic asthma.

    abstract:BACKGROUND:Asthma may increase the risk of comorbid depressive disorders in children. Children suffering from asthma or depression are more often overweight. We examined whether depression was more likely in children with atopic and nonatopic asthma, independent of abdominal adiposity. METHODS:A cross-sectional analys...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-0219

    authors: Bahreinian S,Ball GDC,Colman I,Becker AB,Kozyrskyj AL

    更新日期:2011-11-01 00:00:00

  • Safety of over-the-counter inhalers for asthma: report of the council on scientific affairs.

    abstract::The occasional use of over-the-counter (OTC) epinephrine inhalers appears to be safe and effective when used according to labeled instruction by individuals with mild, intermittent asthma. However, gross misuse of these products can cause severe adverse reactions, including death. Limited survey data suggest that appr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.2.522

    authors: Dickinson BD,Altman RD,Deitchman SD,Champion HC

    更新日期:2000-08-01 00:00:00

  • Kyphoscoliosis and respiratory failure. A patient treated with assisted ventilation for 27 years.

    abstract::A 62-year-old woman had had kyphoscoliosis since age 12 years. Respiratory failure developed at age 35 years following a respiratory infection. A tracheostomy was done and she required assisted ventilation using a respiratory (Bird). Many attempts at weaning her from the ventilator were unsuccessful. She has remained ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.5.1297

    authors: Woolf CR

    更新日期:1990-11-01 00:00:00

  • Tuberculous pneumonia with the syndrome of inappropriate secretion of antidiuretic hormone: cause of the adult respiratory distress syndrome.

    abstract::Bilateral tuberculous pneumonia with the syndrome of inappropriate secretion of antidiuretic hormone was the cause of the adult respiratory distress syndrome in an elderly patient. Early recognition and prompt therapy enabled the patient to make a complete recovery without the necessity for mechanical ventilation. Wit...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.72.5.678

    authors: Sahn SA,Skeff KM

    更新日期:1977-11-01 00:00:00

  • The role of bacteria in exacerbations of COPD. A constructive view.

    abstract::The role of infection in exacerbations of COPD remains controversial and incompletely understood. Although some investigators believe that bacteria are not important for patients with exacerbation, we disagree and believe that patients with at least two of the three cardinal symptoms of exacerbation should receive ant...

    journal_title:Chest

    pub_type: 评论,杂志文章,评审

    doi:10.1378/chest.118.1.204

    authors: Murphy TF,Sethi S,Niederman MS

    更新日期:2000-07-01 00:00:00

  • Left lung asthma.

    abstract::The chest radiograph of a woman with acute asthma showed signs of obstructive emphysema of the left lung. Fiberoptic bronchoscopy excluded obstruction of a large bronchus. The signs disappeared after antiasthmatic treatment, suggesting that they were caused by airway closure. In usual asthma, airway closure affects bo...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.6.1919

    authors: DiFrancia M,Barbier D,Orehek J

    更新日期:1993-12-01 00:00:00

  • Giant cell carcinoma of the lung. Clinical and roentgenographic manifestations.

    abstract::Giant cell carcinoma of the lung is an unusual form of pulmonary malignancy that follows an extremely aggressive clinical course. We report the clinical and roentgenographic manifestations of 14 patients with pathologically proven giant cell carcinoma of the lung, and compare our data to other reports in the literatur...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.3.366

    authors: Shin MS,Jackson LK,Shelton RW Jr,Greene RE

    更新日期:1986-03-01 00:00:00

  • Reversibility of airways injury over a 12-month period following smoking cessation.

    abstract::In this investigation, we examined changes in exfoliated tracheobronchial cells in sputum in 46 individuals (mean age = 49.2 years; mean packyears = 48.7) who discontinued smoking and 37 individuals (mean age = 54.9 years; mean packyears = 65.2) who continued to smoke over a 12-month period after participation in the ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.3.607

    authors: Swan GE,Hodgkin JE,Roby T,Mittman C,Jacobo N,Peters J

    更新日期:1992-03-01 00:00:00

  • Impact of a bronchiolitis guideline: a multisite demonstration project.

    abstract:STUDY OBJECTIVES:The purpose of this study was to determine the impact of a multisite implementation of an evidence-based clinical practice guideline for bronchiolitis. DESIGN:Before and after study. SETTING:Eleven Child Health Accountability Initiative (CHAI) study hospitals. PATIENTS:Children < 12 months of age wi...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.121.6.1789

    authors: Kotagal UR,Robbins JM,Kini NM,Schoettker PJ,Atherton HD,Kirschbaum MS

    更新日期:2002-06-01 00:00:00

  • The Accuracy of Repeated Sleep Studies in OSA: A Longitudinal Observational Study With 14 Nights of Oxygen Saturation Monitoring.

    abstract:BACKGROUND:Strong evidence exists for clinically relevant night-to-night variability of respiratory events in patients with suspected OSA. RESEARCH QUESTION:How many sleep study nights are required to diagnose OSA accurately? STUDY DESIGN AND METHODS:Patients with suspected OSA underwent up to 14 nights of pulse oxim...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.09.098

    authors: Roeder M,Sievi NA,Bradicich M,Grewe F,Siegfried S,Gaisl T,Kohler M

    更新日期:2020-09-25 00:00:00

  • Ultrasonic visualization of the posterior thoracic aorta in long axis: diagnosis of a saccular mycotic aneurysm.

    abstract::A saccular aneurysm arising from the descending thoracic aorta was identified ultrasonically in a 60-year-old man with a subsequent pathologic diagnosis of a Listeria monocytogenes mycotic aneurysm. A cross-sectional scanning technique, which permitted visualization of the descending thoracic aorta in long axis, demon...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.4.470

    authors: Come PC,Sacks B,Vine H,McArdle C,Koretsky S,Weintraub R

    更新日期:1981-04-01 00:00:00

  • Screening of pediatric sleep-disordered breathing: a proposed unbiased discriminative set of questions using clinical severity scales.

    abstract:BACKGROUND:Identification of sleep-disordered breathing (SDB) using questionnaires is critical from a clinical and research perspective. However, which questions to use and how well such questionnaires perform has thus far been fraught with substantial uncertainty. We aimed at delineating the usefulness of a set of que...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-3164

    authors: Spruyt K,Gozal D

    更新日期:2012-12-01 00:00:00

  • Hypoxic pulmonary vasoconstriction and gas exchange during exercise in chronic obstructive pulmonary disease.

    abstract::In patients with chronic obstructive pulmonary disease (COPD) studied at rest, nifedipine releases hypoxic pulmonary vasoconstriction (HPV) and worsens gas exchange. During exercise, this drug lowers pulmonary hypertension, but the effects of this lower pulmonary vascular tone on ventilation-perfusion (VA/Q) relations...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.2.268

    authors: Agustí AG,Barberá JA,Roca J,Wagner PD,Guitart R,Rodriguez-Roisín R

    更新日期:1990-02-01 00:00:00

  • Eliminating asthma disparities: introduction to the Chicago story.

    abstract::The problem of inner-city asthma, as studied in Chicago, IL, is introduced. Chicago has a high incidence of asthma, but prevalence, morbidity, and mortality rates vary by neighborhood and are highest in neighborhoods with the lowest socioeconomic status. Efforts in Chicago to mitigate these gaps have been extraordinar...

    journal_title:Chest

    pub_type:

    doi:10.1378/chest.07-1929

    authors: Weiss KB

    更新日期:2007-11-01 00:00:00

  • Intravegetation antimicrobial distribution in aortic endocarditis analyzed by computer-generated model. Implications for treatment.

    abstract::The distribution of antibiotics into cardiac valvular tissues is incompletely understood. By integrative computer modeling, we have used previously obtained pharmacokinetic data in experimental endocarditis to characterize aminoglycoside distribution within various geographic sectors of aortic vegetations of rabbits a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.3.611

    authors: Bayer AS,Crowell D,Nast CC,Norman DC,Borrelli RL

    更新日期:1990-03-01 00:00:00

  • The early detection of second primary lung cancers by sputum immunostaining. LCEWDG Investigators. Lung Cancer Early Detection Group.

    abstract:STUDY OBJECTIVE:To determine whether monoclonal antibody (Mab) detection of tumor-associated antigen expressed on sputum epithelial cells precedes clinical presentation of second primary lung cancer. DESIGN SETTING/PARTICIPANTS: Eleven oncology centers collaborate in the accrual of 1,000 patients with stage I non-small...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.106.6_supplement.385s

    authors: Tockman MS,Erozan YS,Gupta P,Piantadosi S,Mulshine JL,Ruckdeschel JC

    更新日期:1994-12-01 00:00:00

  • Variability and Misclassification of Sleep Apnea Severity Based on Multi-Night Testing.

    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

    authors: Punjabi NM,Patil S,Crainiceanu C,Aurora RN

    更新日期:2020-07-01 00:00:00

  • Management of adult acute epiglottitis by tracheal intubation.

    abstract::We present a case of adult acute epiglottitis that was successfully managed by endotracheal intubation without the need for subsequent tracheostomy. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.71.1.93

    authors: Ward CF,Benumof JL,Shapiro HM

    更新日期:1977-01-01 00:00:00

  • Atmospheric pressure changes and outdoor temperature changes in relation to spontaneous pneumothorax.

    abstract:STUDY AIMS:To examine the influence of atmospheric pressure (AP) and temperature changes on the incidence of idiopathic spontaneous pneumothorax (SP). METHODS:From December 1991 through November 1993, 115 consecutive SP cases were selected. Patients were included after being in Amsterdam at least 1 full day before con...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.3.676

    authors: Smit HJ,Devillé WL,Schramel FM,Schreurs JM,Sutedja TG,Postmus PE

    更新日期:1999-09-01 00:00:00

  • Effects of long-term treatment with corticosteroids in COPD.

    abstract:STUDY OBJECTIVE:To determine the effectiveness of treatment with corticosteroids in patients with COPD. METHODS:In this study, we investigated the effect of a 2-year treatment with corticosteroids on clinical symptoms and the decline of lung function in 58 nonallergic patients with COPD. Subjects were treated in a dou...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.109.5.1156

    authors: Renkema TE,Schouten JP,Koëter GH,Postma DS

    更新日期:1996-05-01 00:00:00

  • Comparison of Two Lidocaine Administration Techniques on Perceived Pain From Bedside Procedures: A Randomized Clinical Trial.

    abstract:BACKGROUND:Lidocaine is used to alleviate procedural pain but paradoxically increases pain during injection. Pain perception can be modulated by non-noxious stimuli such as temperature or touch according to the gate control theory of pain. We postulated that lidocaine dripped onto the skin prior to injection would cool...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.chest.2018.04.018

    authors: Patel BK,Wendlandt BN,Wolfe KS,Patel SB,Doman ER,Pohlman AS,Hall JB,Kress JP

    更新日期:2018-10-01 00:00:00