Abstract:
CASE PRESENTATION:A 62-year-old woman with a history of partially treated Graves disease and hypertension presented with approximately 3 weeks of worsening fatigue, lower extremity myalgias, and shortness of breath. Her medical history included a thyroid radiofrequency ablation several years earlier. Following the ablation, she was found to have some residual thyroid activity, negating the need for therapy. She was lost to follow-up after months of normal thyroid-stimulating hormone values. On this presentation, the patient was noted to be in atrial fibrillation with a rapid ventricular rate, and although she presented alert and oriented initially, she developed progressive inattentiveness and confusion while in the ED. The patient was transferred to the medical ICU for further management of her rapid heart rate and progressive delirium.
journal_name
Chestjournal_title
Chestauthors
Park BD,Lyn-Kew K,Granchelli A,Mehta Adoi
10.1016/j.chest.2019.09.041subject
Has Abstractpub_date
2020-03-01 00:00:00pages
e75-e78issue
3eissn
0012-3692issn
1931-3543pii
S0012-3692(19)34217-5journal_volume
157pub_type
相关文献
CHEST文献大全abstract:BACKGROUND:Recent studies have suggested a relationship between asthma and obesity. Despite these reports, the effect of being underweight or overweight as a risk factor for airway obstructive diseases (AODs) is not clear. OBJECTIVES:To determine whether a relation of body mass index (BMI) to asthma, chronic bronchiti...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.4.1256
更新日期:2002-10-01 00:00:00
abstract::The association of complex congenital heart disease with asplenia syndrome and congenital AV block is described in a newborn. Cardiovascular lesions were right atrial isomerism, d-loop, discordant ventriculoarterial connection, pulmonary stenosis, total anomalous pulmonary venous drainage, absent right pulmonary arter...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.85.4.578
更新日期:1984-04-01 00:00:00
abstract:OBJECTIVES:The objectives of this study were to determine the prevalence of Aspergillus fumigatus and Candida albicans in the sputa of patients with cystic fibrosis (CF), to assess serologic IgE responses of these patients to the presence of fungi in the sputum, to evaluate what effect this may have on clinical status,...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.3.782
更新日期:2002-03-01 00:00:00
abstract:STUDY OBJECTIVES:Although videothoracoscopic (VTS) resection of Masaoka stage I thymoma has been reported to be a less invasive method than open thoracotomy and to achieve a comparable surgical outcome, the usefulness of this method in the treatment of stage II thymoma has not yet been prospectively evaluated. We there...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.4.3010
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:To review statistics on smoking prevalence and to analyze whether the implementation of national tobacco control legislation had an association with the prevalence of smoking, and thereby, with the occurrence of smoking-related lung diseases. DESIGN:Smoking prevalence rates (from 1960 to 2000), lung cancer ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.126.6.1825
更新日期:2004-12-01 00:00:00
abstract:STUDY OBJECTIVES:To define characteristics of surgically curable, early cancers of the lung, we retrospectively studied relationships between thin-section CT (TS-CT) scans, pathologic features, and outcome data in 287 patients with resected small-diameter (< 20 mm) peripheral lung carcinoma. Cases included 260 adenocar...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.3.871
更新日期:2005-03-01 00:00:00
abstract:STUDY OBJECTIVE:We assessed whether transpleural methods for diagnosing peripheral lung cancer, such as needle aspiration or tumor excision, affect relapse and prognosis, because these techniques have potential to spread malignant cells from the tumor. DESIGN:A retrospective study. SETTING:National referral hospital....
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.120.5.1595
更新日期:2001-11-01 00:00:00
abstract::We are probably observing a recrudescent epidemic of RLF which has elicited surprisingly little attention from the medical community. Given present data, it is not unreasonable to conclude that there is a true epidemic and that its etiologic basis involves a population of infants with high susceptibility to oxygen tox...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.4.576
更新日期:1986-04-01 00:00:00
abstract:STUDY OBJECTIVES:We set out to determine whether there is a difference in postoperative pain and recovery after the patient undergoes the axillary muscle-sparing incision (ie, muscle-sparing thoracotomy [MT]) vs the modified posterolateral incision (ie, posterolateral thoracotomy [PT]). DESIGN:Analysis of a database o...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.128.4.2664
更新日期:2005-10-01 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::The role of cardiovascular and pulmonary limitation in performing maximal exercise is contrasted in patients with mitral valve disease (MVD) and chronic obstructive pulmonary disease (COPD). The ventilatory (VE) gas exchange (VO2 and VCO2) and heart rate (HR) responses to an incremental cycle ergometer exercise were m...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.83.3.446
更新日期:1983-03-01 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:BACKGROUND:Cilia line the surface of the respiratory tract and beat in a coordinated wave to protect the lungs against infection. Bardet Biedl Syndrome (BBS) is a rare condition attributed to cilia dysfunction. Murine models of BBS suggest a respiratory phenotype; however, no reports have studied the translation of the...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-2913
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:Lung expansion techniques (LETs) are widely used to prevent postoperative pulmonary complications (PPCs). However, the effects of each of these techniques on thoracoabdominal mechanics and PPC incidence after abdominal surgery remain unclear. The objective of this study was to compare the effects of LET on pu...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1378/chest.14-2696
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:We investigated factors related to the diagnostic sensitivity of CT-guided transbronchial biopsy (TBB) using an ultrathin bronchoscope and virtual bronchoscopy (VB) navigation for small peripheral pulmonary lesions. METHOD:We have performed this procedure on 83 patients with 85 small peripheral pulmonary le...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.06-0786
更新日期:2007-02-01 00:00:00
abstract::Severe head injury often results in hypoxemia, but the pathophysiology of this phenomenon is unclear. We studied 24 patients hospitalized after severe head injury to determine whether the abnormality of oxygen transfer as measured by venous admixture (Qs/Qt) was associated with a reduction in functional residual capac...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.84.1.29
更新日期:1983-07-01 00:00:00
abstract:OBJECTIVES:To report observations on preserved regular atrial electrical and mechanical systole during ventricular fibrillation (VF) and to quantitate blood flow generated by atrial contractions in this setting. METHODS:In 10 rats, right atrial pressure pulses were continuously recorded before and for an interval of 8...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.4.1118
更新日期:2000-04-01 00:00:00
abstract::To evaluate whether epithelial damage of airways in asthma could be related to diminished levels of the low molecular weight bronchial leukocyte proteinase inhibitor (BLPI) in airways, we determined BLPI in bronchial washings of 13 asthma patients and 13 healthy subjects, using a sensitive enzyme-linked immunoassay. T...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.93.5.1008
更新日期:1988-05-01 00:00:00
abstract:STUDY OBJECTIVES:To investigate the efficacy and safety of amiodarone administered as the drug of first choice in the conversion of atrial fibrillation, regardless of its duration. DESIGN:: Prospective, randomized, controlled clinical study. SETTING:: Tertiary cardiac referral center. PATIENTS:Two-hundred eight cons...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.117.6.1538
更新日期:2000-06-01 00:00:00
abstract::A case of acute pneumonia due to Pasteurella multocida ssp multocida occurred in a young man with AIDS and chronic sinusitis. The pneumonia was diagnosed by bronchoscopy and responded to treatment with aztreonam. Epidemiologic investigation revealed the case was temporally related to nontraumatic exposure to cat secre...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.1.7
更新日期:1993-01-01 00:00:00
abstract::Before and after percutaneous transvenous mitral commissurotomy (PTMC), pulmonary function studies were performed in 25 patients with mitral stenosis, in order to determine the effects of pulmonary hemodynamics on pulmonary function in patients with mitral stenosis. After PTMC, dramatic improvements in pulmonary hemod...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.2.290
更新日期:1990-08-01 00:00:00
abstract::Superior vena caval (SVC) syndrome may be caused by extravascular compression or intravascular obstruction. Knowing the mechanism of SVC syndrome enables the physician to choose appropriate treatment. Transesophageal echocardiography (TEE) is a safe bedside procedure that is excellent for evaluating the SVC and its su...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.3.874
更新日期:1992-03-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the extent to which rapid on-site cytologic evaluation (ROSE) of transbronchial needle aspiration (TBNA) samples can safely and cost-effectively reduce the need for additional biopsy during bronchoscopy. SETTING:University Hospital in Long Island, NY. PATIENT AND METHODS:Forty-four bronch...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.2.869
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:COPD and hypertension both increase the risk of congestive heart failure (CHF). Current clinical trials do not inform the selection of combination antihypertensive therapy among patients with COPD. We performed a comparative effectiveness study to investigate whether choice of dual agent antihypertensive the...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.12-1770
更新日期:2013-05-01 00:00:00
abstract::We evaluated two patients with systemic cholesterol embolization (SCE) associated with the development of pleural effusions. These two patients had evidence of atherosclerosis and presented with livedo reticularis, renal insufficiency, and gangrenous cutaneous changes as manifestations of their SCE. In both cases, clo...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.103.3.792
更新日期:1993-03-01 00:00:00
abstract:BACKGROUND:Long-acting β2-agonists (LABAs) and long-acting muscarinic antagonists (LAMAs) are recommended as initial maintenance treatments for COPD, with their combination (LABA-LAMA) advocated as the disease progresses. Randomized trials comparing the effectiveness of this combination with the alternative combination...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2019.03.005
更新日期:2019-06-01 00:00:00
abstract::A 66-year-old woman was cared for at two referral institutions following a witnessed cardiac arrest in a local emergency department. Despite aggressive initial care, she failed to regain consciousness during a 28-day course. Based on an erroneous neurologic diagnosis of anoxic encephalopathy, pessimism regarding likel...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.08-0471
更新日期:2008-05-01 00:00:00
abstract:STUDY OBJECTIVES:To validate a previously developed multisystem organ failure (MSOF) score with and without the addition of the lactate dehydrogenase (LDH) level as a predictor of survival to hospital discharge in patients with AIDS-related Pneumocystis carinii pneumonia (PCP) and acute respiratory failure (ARF). DESI...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.114.1.199
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVES:To evaluate the efficacy and complications of noninvasive nasal mask bilevel continuous positive airway pressure ventilation in pediatric patients with hypoxemic respiratory insufficiency. DESIGN:Retrospective chart review. SETTING:Intensive care unit, university affiliated tertiary care children's hospita...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.4.1059
更新日期:1995-10-01 00:00:00
abstract:STUDY OBJECTIVES:To clarify the significance of a functional lung pattern characterized by a decreased vital capacity (VC) and an increased residual volume (RV), but with a normal FEV1/VC ratio. SETTING:A university teaching hospital. SUBJECTS:Patients with bronchial asthma, pulmonary emphysema, and small airways dis...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.116.1.231
更新日期:1999-07-01 00:00:00