Abstract:
:We performed autonomic function testing in 68 patients, 34 with diabetes mellitus (group A) and 34 without (group B), at 72 h after a first acute myocardial infarction (MI) to determine the prevalence of autonomic dysfunction in these patients. Heart rate (HR) variation during 6 breaths/min obtained from mean of longest RR interval during expiration(E)/mean of shortest RR interval during inspiration (I) (E:I ratio), immediate HR response to standing = RR at 30th beat/RR at 15th beat (30:15 ratio) and postural fall of blood pressure were evaluated. In group A, 25 (78 percent) of 32 patients had an abnormal expiration-inspiration ratio compared with 28 (85 percent) of 33 in group B. Twenty-six (76 percent) patients in group A and 16 (47 percent) in group B had an abnormal 30:15 ratio. Abnormal postural fall of blood pressure was seen in 16 (47 percent) patients in group A compared with ten (29 percent) in group B. During follow-up, four women in group A with an initial autonomic dysfunction died, and in group B, three patients with a normal autonomic function died. Thus, autonomic dysfunction does not seem to contribute to the high mortality among diabetics after an acute MI.
journal_name
Chestjournal_title
Chestauthors
Bhatnagar SK,Al-Yusuf AR,Al-Asfoor ARdoi
10.1378/chest.92.5.849subject
Has Abstractpub_date
1987-11-01 00:00:00pages
849-52issue
5eissn
0012-3692issn
1931-3543pii
S0012-3692(16)30851-0journal_volume
92pub_type
杂志文章相关文献
CHEST文献大全abstract:STUDY OBJECTIVES:To evaluate the differences in the clinical, radiologic, and laboratory features of pulmonary tuberculosis (TB) in older patients, as compared to younger patients. DESIGN:A meta-analysis (the Schmidt-Hunter method) of published works found in MEDLINE and other sources was performed. A total of 12 stud...
journal_title:Chest
pub_type: 杂志文章,meta分析
doi:10.1378/chest.116.4.961
更新日期:1999-10-01 00:00:00
abstract::At the cardiac sympathetic nerve terminal the alpha 2-adrenoceptor is presynaptic and appears to be located at an extrasynaptic site. This is suggested by (1) absence of evidence of autoinhibitory feedback at physiologic stimulus levels up to about 50 percent of the maximum chronotropic response in the isolated guinea...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.83.2_supplement.345
更新日期:1983-02-01 00:00:00
abstract::We investigated the utility of a noninvasive respiratory inductive plethysmograph (RIP) to continuously monitor and record the breathing pattern of 44 patients who had been mechanically ventilated. Seven patients deteriorated on intermittent mandatory ventilatory rate of zero; seven deteriorated within 48 h following ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.2.254
更新日期:1988-08-01 00:00:00
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::The relationship between coffee consumption and the prevalence of bronchial asthma has been evaluated using data from the 1983 Italian National Health Survey, based on 72,284 individuals aged over 15 years randomly selected within strata of geographic area, size of the place of residence and of the household in order ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.2.386
更新日期:1988-08-01 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:A comprehensive evaluation of temporal trends in the treatment of patients who have DVT may assist with identification of modifiable factors that contribute to short-term outcomes. METHODS:We assessed temporal trends in length of hospital stay and use of pharmacological and interventional therapies among 26...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2016.03.046
更新日期:2016-08-01 00:00:00
abstract::There is renewed interest in the classification and methods of recording adventitious pulmonary sounds. This is a study of the importance of fine crackles (rales) in the diagnosis and estimation of the severity of diffuse infiltrative pulmonary disease. Among 272 cases documented by lung biopsy, bilateral fine crackle...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.3.333
更新日期:1978-03-01 00:00:00
abstract::Impedance measurement of the respiratory system by forced oscillations is a sensitive and accurate method to detect mechanical parameters, especially in normal subjects. The effects of inhalation of 0.2 mg of fenoterol and 0.02 mg of ipratropium bromide on the impedance of the respiratory system was studied in 20 heal...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.5.1137
更新日期:1990-05-01 00:00:00
abstract:BACKGROUND:N-terminal pro-brain natriuretic peptide (NT-proBNP) is a byproduct of the brain natriuretic peptide (BNP) that was shown to be of prognostic value in pulmonary hypertension (PH). The role of NT-proBNP in PH has to be determined, especially under the influence of renal impairment that might lead to an accumu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.06-1758
更新日期:2007-02-01 00:00:00
abstract::Chemical sclerosis of the pleural space is used to prevent recurrence of spontaneous pneumothorax. To test whether sclerosis restricts diaphragmatic excursion, we measured diaphragmatic excursion by ultrasonography in subjects with unilateral pleural sclerosis and compared it with diaphragmatic excursions in normal su...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.2.374
更新日期:1989-02-01 00:00:00
abstract::Postoperative cardiac tamponade due to localized compression of the atria occurred in a 64-year-old man after aortic valve replacement and repair of an ascending aortic dissection. The clinical findings were subtle and the echocardiographic findings were unusual. Color Doppler flow imaging assisted in making the diagn...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.4.1003
更新日期:1990-04-01 00:00:00
abstract::Based on the theory that obstructive (OSA) and central (CSA) sleep apneas share common pathophysiologic mechanisms, we attempted to treat eight patients with predominantly CSA by continuous positive airway pressure (CPAP). All patients exhibited repetitive episodes of CSA and mixed sleep apneas (MSA) in the supine pos...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.90.2.165
更新日期:1986-08-01 00:00:00
abstract:BACKGROUND:Much controversy persists regarding the place of statin drugs in the treatment of patients with COPD. This systematic review and meta-analysis sought to determine the clinical efficacy of statin therapy in COPD. METHODS:We searched MEDLINE, EMBASE, the Cochrane Database, and PubMed for relevant clinical stu...
journal_title:Chest
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.chest.2017.08.015
更新日期:2017-12-01 00:00:00
abstract::The incidence of distal esophageal adenocarcinoma and primary proximal gastric carcinoma has increased substantially in the past 15 years, particularly in North America and in some European countries. Patients with curatively resected cancer consistently have a 10 to 20% 5-year survival rate. Radiation therapy alone s...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.113.1_supplement.112s
更新日期:1998-01-01 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
pub_type: 杂志文章
doi:10.1378/chest.102.1_supplement.44s
更新日期:1992-07-01 00:00:00
abstract::To determine if the timing of interposed abdominal compressions (IAC) affects the augmented blood flow during this form of cardiopulmonary resuscitation (CPR), we performed early-onset or late-onset abdominal compressions at three vascular volumes in nine dogs. Early-onset IAC began immediately following chest compres...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.93.6.1206
更新日期:1988-06-01 00:00:00
abstract::The most examined tumor markers in lung cancer patients are CEA, hormonal peptides, and some neurogenic enzymes in small cell carcinoma. Calcitonin, ACTH, ADH, CEA, neurophysin, oxytocin, beta-endorphin, neuron-specific enolase, and CK BB are elevated in serum specimens in 25-75% of cases of small cell carcinoma. The ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.89.4_supplement.219s
更新日期:1986-04-01 00:00:00
abstract::The effects of six weeks of threshold pressure inspiratory muscle training (IMT) on inspiratory muscle performance, breathing pattern and exercise performance were studied in eight patients with severe airflow obstruction. The results indicated that IMT improved inspiratory muscle performance but did not affect exerci...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.3.535
更新日期:1989-03-01 00:00:00
abstract::Forty-eight elderly patients with uncomplicated mild essential hypertension entered two drug regimens. In group 1, clonidine monotherapy (n = 15), clonidine was titrated to achieve goal blood pressure (less than 90 mm Hg diastolic) in dosages of 0.05 mg twice daily to 0.2 mg three times daily. Blood pressure decreased...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.83.2.410
更新日期:1983-02-01 00:00:00
abstract::Between January 1990 and August 1991, there were 37 patients admitted to our Department of Internal Medicine with hematologic malignancies or solid tumors who showed colonization of the respiratory tract with Pseudomonas cepacia. Extensive surveillance cultures of the environmental surfaces and respiratory equipment o...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.6.1706
更新日期:1993-06-01 00:00:00
abstract::Recurrent pericardial effusion or tamponade can complicate malignant disease. The medical approach with pharmacologic agents has a high recurrence rate. Balloon pericardiotomy (BP) may provide a less invasive alternative to surgery. We performed BP in ten high-risk patients with malignant pericardial tamponade (MPT). ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.6.1499
更新日期:1995-12-01 00:00:00
abstract::We carried out a study to assess the prevalence of respiratory disease in lead miners and to investigate the roles of silica and lead. We used a questionnaire for symptoms and examinations for signs of respiratory disease, chest roentgenograms, and spirometric study in 45 lead miners. Six underwent bronchoscopy and tr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.96.1.18
更新日期:1989-07-01 00:00:00
abstract:STUDY OBJECTIVES:To describe the health-related quality of life (HRQL) and mental health of persons with sarcoidosis, as well as to assess physician-patient agreement about the presence of sarcoidosis symptoms. DESIGN AND SETTING:Cross-sectional study at three university medical center outpatient pulmonary clinics. P...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.125.3.997
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:The longitudinal associations between depression or anxiety and COPD, and their comorbid effect on prognosis, have not been adequately addressed by previous reviews. We aimed to systematically assess these associations to inform guidelines and practice. METHODS:We searched electronic databases for articles ...
journal_title:Chest
pub_type: 杂志文章,meta分析,评审
doi:10.1378/chest.12-1911
更新日期:2013-09-01 00:00:00
abstract::A 21-year follow-up after tricuspid valve replacement (TVR) with a Starr-Edwards caged-ball prosthesis in a ten-year old boy is described. TVR is performed for Ebstein's anomaly, with strict indications in childhood. Despite the current preference for bioprostheses, good performance can be expected from the Starr-Edwa...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.5.1096
更新日期:1988-11-01 00:00:00
abstract:BACKGROUND:In addition to affecting the oxygen supply to the brain, pulmonary function is a marker of multiple insults throughout life (including smoking, illness, and socioeconomic deprivation). In this meta-analysis of existing longitudinal studies, the hypothesis that lower pulmonary function and respiratory illness...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2019.12.012
更新日期:2020-06-01 00:00:00
abstract:STUDY OBJECTIVES:The purpose of this 12-week study was to evaluate the efficacy and safety of adjunct modafinil to treat excessive sleepiness in patients with obstructive sleep apnea (OSA) who experience residual sleepiness despite regular nasal continuous positive airway pressure (nCPAP) use. DESIGN:Twelve-week, open...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1378/chest.124.6.2192
更新日期:2003-12-01 00:00:00
abstract::Stage IIIA non-small cell lung cancer represents a relatively heterogeneous group of patients with metastatic disease to the ipsilateral mediastinal (N2) lymph nodes and also includes T3N1 patients. Presentations of disease range from apparently resectable tumors with occult microscopic nodal metastases to unresectabl...
journal_title:Chest
pub_type: 指南,杂志文章,实务指引,评审
doi:10.1378/chest.123.1_suppl.202s
更新日期:2003-01-01 00:00:00