Effect of preoperative renin-angiotensin system blockade on hypertension following coronary surgery.


:Renin-angiotensin system activation is suspected of being involved in postcoronary surgery hypertension, but appears to be useful in maintaining blood pressure during anesthesia and cardiopulmonary bypass. To clarify these points, 19 patients were compared: ten as a control group and nine who received captopril during two days before surgery. Anesthesia was the same for the two groups, and cardiopulmonary bypass ensured nonpulsatile flow rates. Anesthesia induced a slight decrease in the mean arterial blood pressure of the treated group (91.1 +/- 3.3 mm Hg to 83.3 +/- 3.9 mm Hg), which did not occur in the control group (89.9 +/- 5.8 mm Hg to 89.7 +/- 4.9 mm Hg). During cardiopulmonary bypass, the mean arterial blood pressure was maintained at comparable levels in the two groups (65.6 +/- 3.5 mm Hg in the control group, 72.6 +/- 3.0 mm Hg in the treated group), with same pump flow rates. After cardiopulmonary bypass, the mean arterial blood pressure returned nearly to prebypass values. Postoperatively, three patients in the control group and four in the treated group developed hypertension. Thus, preoperative renin-angiotensin system blockade by a converting-enzyme inhibitor did not impair blood pressure regulation during anesthesia and cardiopulmonary bypass, but failed to prevent hypertension following coronary surgery.






Colson P,Grolleau D,Chaptal PA,Ribstein J,Mimran A,Roquefeuil B




Has Abstract


1988-06-01 00:00:00
















  • Gaps in COPD Guidelines of Low- and Middle-Income Countries: A Systematic Scoping Review.

    abstract:BACKGROUND:Guidelines are critical for facilitating cost-effective COPD care. Development and implementation in low-and middle-income countries (LMICs) is challenging. To guide future strategy, an overview of current global COPD guidelines is required. RESEARCH QUESTION:We systematically reviewed national COPD guideli...


    pub_type: 杂志文章


    authors: Tabyshova A,Hurst JR,Soriano JB,Checkley W,Wan-Chun Huang E,Trofor AC,Flores-Flores O,Alupo P,Gianella G,Ferdous T,Meharg D,Alison J,Correia de Sousa J,Postma MJ,Chavannes NH,van Boven JFM

    更新日期:2020-10-08 00:00:00

  • The utility of 99mTc depreotide compared with F-18 fluorodeoxyglucose positron emission tomography and surgical staging in patients with suspected non-small cell lung cancer.

    abstract:STUDY OBJECTIVES:The findings from conventional imaging modalities, such as chest CT, are frequently unreliable in patients with lung cancer. This study was designed to compare the relative diagnostic accuracies and utility of the two most widely used functional imaging examinations, F-18-2-fluoro-2-deoxyglucose (FDG) ...


    pub_type: 杂志文章


    authors: Kahn D,Menda Y,Kernstine K,Bushnell D,McLaughlin K,Miller S,Berbaum K

    更新日期:2004-02-01 00:00:00

  • Treatment of bronchospasm by metered-dose inhaler albuterol in mechanically ventilated patients.

    abstract::beta 2-agonist bronchodilators delivered by metered-dose inhalers (MDI) are commonly used in the treatment of bronchospasm in both intubated and nonintubated patients. Substantial data support the effectiveness of MDI delivery systems in nonintubated patients. However, few studies have examined the effectiveness of MD...


    pub_type: 杂志文章


    authors: Manthous CA,Chatila W,Schmidt GA,Hall JB

    更新日期:1995-01-01 00:00:00

  • Radionuclide localization of massive pulmonary hemorrhage.

    abstract::Lung scans with technetium sulfur colloid were performed in ten patients with life-threatening hemoptysis and nondiagnostic chest roentgenograms. Localized deposition of radionuclide was demonstrated in five of the six patients who were studied during active bleeding. These abnormalities were confirmed bronchoscopical...


    pub_type: 杂志文章


    authors: Haponik EF,Rothfeld B,Britt EJ,Bleecker ER

    更新日期:1984-08-01 00:00:00

  • Two-year follow-up in patients treated with emphysematous lung sealant for advanced emphysema.

    abstract::Endoscopic lung volume-reduction therapy for emphysema has been associated with therapeutic responses smaller in magnitude and less durable than surgical volume reduction (LVRS). Bronchoscopic emphysematous lung sealant (ELS) therapy has been shown to produce improvements in pulmonary function similar to surgery at 1 ...


    pub_type: 临床试验,杂志文章


    authors: Kramer MR,Refaely Y,Maimon N,Rosengarten D,Fruchter O

    更新日期:2013-11-01 00:00:00

  • Transesophageal echocardiographic diagnosis of anomalous left coronary artery from the right aortic sinus.

    abstract::Patients with anomalous left main coronary artery arising from the right sinus of Valsalva and coursing posteriorly between the aorta and the pulmonary artery are prone to sudden death. We present a patient with this entity in whom the diagnosis was made by transesophageal two-dimensional echocardiography and coronary...


    pub_type: 杂志文章


    authors: Alam M,Brymer J,Smith S

    更新日期:1993-05-01 00:00:00

  • Preventing ARDS: progress, promise, and pitfalls.

    abstract::Advances in critical care practice have led to a substantial decline in the incidence of ARDS over the past several years. Low tidal volume ventilation, timely resuscitation and antimicrobial administration, restrictive transfusion practices, and primary prevention of aspiration and nosocomial pneumonia have likely co...


    pub_type: 杂志文章


    authors: Beitler JR,Schoenfeld DA,Thompson BT

    更新日期:2014-10-01 00:00:00

  • Adjunctive therapy of allergic bronchopulmonary aspergillosis with itraconazole.

    abstract::Itraconazole is a new orally active antifungal triazole with impressive activity against Aspergillus spp. Six patients with allergic bronchopulmonary aspergillosis (ABPA), aged 14 to 49 years, were treated with oral itraconazole (200 mg twice daily) for a mean of 3.9 months (range, one to six months; three patients co...


    pub_type: 杂志文章


    authors: Denning DW,Van Wye JE,Lewiston NJ,Stevens DA

    更新日期:1991-09-01 00:00:00

  • Synchronized intermittent mandatory ventilation with and without pressure support ventilation in weaning patients with COPD from mechanical ventilation.

    abstract::This prospective study compared two weaning modalities in COPD patients requiring mechanical ventilation (MV) for acute respiratory failure. Nineteen patients with COPD were studied when their precipitating illness was controlled. Although they satisfied the conventional bedside weaning criteria, they could not tolera...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Jounieaux V,Duran A,Levi-Valensi P

    更新日期:1994-04-01 00:00:00

  • Incidence of VTE and Bleeding Among Hospitalized Patients With Coronavirus Disease 2019: A Systematic Review and Meta-analysis.

    abstract:BACKGROUND:Individual studies have reported widely variable rates for VTE and bleeding among hospitalized patients with coronavirus disease 2019 (COVID-19). RESEARCH QUESTION:What is the incidence of VTE and bleeding among hospitalized patients with COVID-19? METHODS:In this systematic review and meta-analysis, 15 st...


    pub_type: 杂志文章


    authors: Jiménez D,García-Sanchez A,Rali P,Muriel A,Bikdeli B,Ruiz-Artacho P,Le Mao R,Rodríguez C,Hunt BJ,Monreal M

    更新日期:2020-11-17 00:00:00

  • Effects of additional minocycline pleurodesis after thoracoscopic procedures for primary spontaneous pneumothorax.

    abstract:STUDY OBJECTIVE:To evaluate the safety and efficacy of additional minocycline pleurodesis after thoracoscopic treatment of primary spontaneous pneumothorax. DESIGN:Retrospective comparative study with a historical control. SETTING:Thoracic surgical division of a university-affiliated tertiary medical center. PATIENT...


    pub_type: 杂志文章


    authors: Chen JS,Hsu HH,Kuo SW,Tsai PR,Chen RJ,Lee JM,Lee YC

    更新日期:2004-01-01 00:00:00

  • Combined pulmonary fibrosis and emphysema syndrome: a review.

    abstract::There is increasing clinical, radiologic, and pathologic recognition of the coexistence of emphysema and pulmonary fibrosis in the same patient, resulting in a clinical syndrome known as combined pulmonary fibrosis and emphysema (CPFE) that is characterized by dyspnea, upper-lobe emphysema, lower-lobe fibrosis, and ab...


    pub_type: 杂志文章,评审


    authors: Jankowich MD,Rounds SIS

    更新日期:2012-01-01 00:00:00

  • Follow-up of patients with tuberculosis treated in a general hospital program. Treatment largely as outpatients by community physicians.

    abstract::As of December 1975, there had been 5 to 8 1/2 years of observation on 263 patients with bacteriologically proven tuberculosis who were initially admitted to a general hospital and were treated largely as outpatients by community physicians from July 1967 through December 1970. Ten patients died during hospitalization...


    pub_type: 杂志文章


    authors: Dutt AK,Miller DL,Reagan WP,Swindoll HS,Jones LS,Stead WW

    更新日期:1978-07-01 00:00:00

  • Pulmonary embolism as a cause of death in patients with heart disease: an autopsy study.

    abstract:STUDY OBJECTIVE:To establish the prevalence of pulmonary embolism (PE) in autopsy material at a tertiary cardiac referral center and its importance as a cause of death in patients with heart disease (HD). DESIGN:Case series. SETTING:National Heart Institute, Mexico City. PATIENTS:One thousand thirty-two patients who...


    pub_type: 杂志文章


    authors: Pulido T,Aranda A,Zevallos MA,Bautista E,Martínez-Guerra ML,Santos LE,Sandoval J

    更新日期:2006-05-01 00:00:00

  • Impact of a hospital-based home-care program on the management of COPD patients receiving long-term oxygen therapy.

    abstract:STUDY OBJECTIVES:To analyze the influence of a hospital-based home-care program (HCP) on the management of patients with COPD receiving long-term oxygen therapy. DESIGN AND SETTING:Randomized, controlled study in a 1,000-bed university hospital. INTERVENTION:The HCP applied to patients in the intervention group (HCP ...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Farrero E,Escarrabill J,Prats E,Maderal M,Manresa F

    更新日期:2001-02-01 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 ...


    pub_type: 杂志文章


    authors: Lobo LJ,Reed KD,Wunderink RG

    更新日期:2010-07-01 00:00:00

  • Hyperventilation-induced T-wave changes in the limb lead electrocardiogram.

    abstract::Seventy-two healthy young individuals were subjected to controlled, moderate hyperventilation with room air and with 4.9 percent CO2 in air, and monitored electrocardiographically. Significant summed frontal T-wave changes with hyperventilation (sigmaT1,2,3 larger than or equal to 1.5 mm) were observed in 12 patients....


    pub_type: 杂志文章


    authors: Golden GS,Golden LH,Beerel FR

    更新日期:1975-01-01 00:00:00

  • Formoterol suspension aerosol. Comparison with formoterol solution aerosol for 12 weeks in asthmatic patients.

    abstract:UNLABELLED:Formoterol solution aerosol has proved to be a fast and long-acting beta 2-sympathicomimetic drug in many clinical trials. The physical stability, however, was such that storage needed to be at 4 degrees C to 8 degrees C before first use; afterwards, the aerosol could be used for another three months at room...


    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Maesen FP,Nakratzas G,Bantje TA,Prins J,Zweers PG

    更新日期:1992-11-01 00:00:00

  • Bronchial response to methacholine in "healthy" children of asthmatic parents. Effect of treatment with cromolyn sodium.

    abstract::Cumulative dose response curves to inhaled methacholine were established in 24 "healthy" children of asthmatic parents and 7 healthy children of healthy parents. Atopic children of asthmatic parents demonstrated higher bronchial hyperreactivity (BHR) than nonatopic children. The BHR was about ten times less than in th...


    pub_type: 杂志文章


    authors: Bruderman I,Cohen R,Schachter J

    更新日期:1990-02-01 00:00:00

  • The effects of helium-hyperoxia on 6-min walking distance in COPD: a randomized, controlled trial.

    abstract:BACKGROUND:We hypothesized that breathing helium-hyperoxia (HeO2) would significantly improve 6-min walking test (6MWT) distance in COPD subjects. METHODS:This was a blinded, randomized crossover study. At visit 1, we assessed pulmonary function, exercise capacity, and 6MWT distance. Visits 2 and 3 consisted of four 6...


    pub_type: 杂志文章,随机对照试验


    authors: Marciniuk DD,Butcher SJ,Reid JK,MacDonald GF,Eves ND,Clemens R,Jones RL

    更新日期:2007-06-01 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 ...


    pub_type: 杂志文章


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

    更新日期:1999-07-01 00:00:00

  • A pooled analysis of FEV1 decline in COPD patients randomized to inhaled corticosteroids or placebo.

    abstract:BACKGROUND:There is controversy about whether therapy with inhaled corticosteroids (ICSs) modifies the natural history of COPD, characterized by an accelerated decline in FEV(1). METHODS:The Inhaled Steroids Effect Evaluation in COPD (ISEEC) study is a pooled study of patient-level data from seven long-term randomized...


    pub_type: 杂志文章,meta分析


    authors: Soriano JB,Sin DD,Zhang X,Camp PG,Anderson JA,Anthonisen NR,Buist AS,Burge PS,Calverley PM,Connett JE,Petersson S,Postma DS,Szafranski W,Vestbo J

    更新日期:2007-03-01 00:00:00

  • Right chest electrocardiographic patterns in normal subjects.

    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 ...


    pub_type: 杂志文章


    authors: Tan CC,Hiew TM,Chia BL

    更新日期:1990-03-01 00:00:00

  • Is the duration of mechanical ventilation predictable?

    abstract:BACKGROUND:Prolonged mechanical ventilation (MV) is associated with high morbidity, mortality, and cost. However, few and limited data are available on the prediction of duration of MV. We conducted an observational cohort study to seek predictive criteria. METHODS:The study was performed in a surgical ICU (SICU) in a...


    pub_type: 杂志文章


    authors: Troché G,Moine P

    更新日期:1997-09-01 00:00:00

  • Simplified technique for permanent atrioventricular pacing via a single venipuncture.

    abstract::The use of physiologic pacing utilizing transvenous atrial and ventricular electrodes has recently taken on increased importance. A simple, safe, technique for electrode implantation has been used in 14 patients and enabled the implanting physicians to establish permanent atrioventricular (A-V) sequential pacing with ...


    pub_type: 杂志文章


    authors: Fox S,Toonder FG

    更新日期:1981-12-01 00:00:00

  • Coccidioidal pericarditis.

    abstract::A 26-year-old man developed coccidioidomycosis which resulted in myocarditis associated with congestive heart failure. A pericardial effusion developed and progressed to constrictive pericarditis. A pericardiectomy was performed and revealed that the pericarditis was due to Coccidioides immitis. The patient was subseq...


    pub_type: 杂志文章


    authors: Schwartz EL,Waldmann EB,Payne RM,Goldfarb D,Kinard SA

    更新日期:1976-11-01 00:00:00

  • Effect of 30 mg of morphine alone or with promethazine or prochlorperazine on the exercise capacity of patients with COPD.

    abstract:OBJECTIVE:We have shown that the administration of 0.8 mg/kg of morphine (M) to patients with COPD resulted in a 20% increase in the maximum oxygen consumption (Vo2max), but was associated with significant drowsiness and euphoria. The objective of the present study was to ascertain whether lower doses of M alone or in ...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Light RW,Stansbury DW,Webster JS

    更新日期:1996-04-01 00:00:00

  • Primary Streptococcus viridans pneumonia.

    abstract::We describe three cases of acute uncomplicated bacterial pneumonia due to viridans streptococci in previously healthy adults, which were indistinguishable from those caused by other well-known respiratory pathogens. On arrival, all of these patients were treated with IV aqueous penicillin based on Gram stain of sputum...


    pub_type: 杂志文章


    authors: Sarkar TK,Murarka RS,Gilardi GL

    更新日期:1989-10-01 00:00:00

  • Bilateral tuberculous pleural effusions with markedly different characteristics.

    abstract::A 72-year-old man presented with malaise, weight loss, and cough. Chest radiograph revealed bilateral pleural effusions. On thoracentesis, the left effusion was a clear yellow exudate with more than 90% lymphocytes, and the right effusion was a grossly bloody exudate with more than 90% neutrophils. Cultures of both ef...


    pub_type: 杂志文章


    authors: Murin S,Moritz E

    更新日期:1996-09-01 00:00:00

  • Thoracic splenosis presenting with hemoptysis.

    abstract::Thoracic splenosis (post-traumatic autotransplantation of splenic tissue) is rare and generally asymptomatic. We report a patient with thoracic splenosis presenting with repeated hemoptysis. The blood supply of the hypervascular splenic transplants originated from a bronchial and an intercostal artery. Hemoptysis impr...


    pub_type: 杂志文章


    authors: Cordier JF,Gamondes JP,Marx P,Heinen I,Loire R

    更新日期:1992-08-01 00:00:00