Treatment of chronic obstructive pulmonary disease with corticosteroids. Comparison of daily vs alternate-day therapy.

abstract：:Previous work has shown that with increasing airway obstruction in chronic obstructive pulmonary disease, the decrement in the maximum midexpiratory flow (MMEF) is exponential. Therefore, with severe obstructive disease the decrease in the MMEF as the disease progresses is difficult to discern. This work points out th...

journal_title：Chest

authors： Sobol BJ,Emirgil C

更新日期：1977-07-01 00:00:00

abstract：:A 64-year-old woman with ovarian carcinoma that had been treated with high-dose chemotherapy and autologous bone marrow transplantation presented with a maculopapular rash on the extremities and miliary infiltrates evident on chest roentgenogram. Transbronchial biopsy specimens revealed caseating granulomas, and cultu...

journal_title：Chest

authors： Peters EJ,Morice R

更新日期：1991-11-01 00:00:00

abstract：:A pulmonary arteriovenous malformation was embolized in a patient with hereditary hemorrhagic telangiectasia. Several unusual complications, including early deflation of a detachable balloon, migration of a coil, and development of severe pulmonary hypertension, occurred. Pulmonary hypertension was attributed to a coe...

journal_title：Chest

authors： Haitjema T,ten Berg JM,Overtoom TT,Ernst JM,Westermann CJ

更新日期：1996-05-01 00:00:00

abstract：BACKGROUND:C-reactive protein (CRP) has been well recognized as a strong independent predictor of short-term and long-term mortality after non-ST-segment elevation acute coronary syndromes. However, limited studies have been conducted correlating CRP levels within 6 h following the onset of ST-segment elevation (ST-se)...

journal_title：Chest

authors： Yip HK,Hang CL,Fang CY,Hsieh YK,Yang CH,Hung WC,Wu CJ

更新日期：2005-03-01 00:00:00

abstract：:With aging, the heart, kidneys, liver, lungs, and brain lose mass. While not inherently impaired, the reserve capacity of the older individual to compensate for stress, metabolic derangement, and drug metabolism is increasingly limited. Functional disability occurs faster and takes longer to remediate, necessitating e...

journal_title：Chest

authors： Oskvig RM

更新日期：1999-05-01 00:00:00

abstract：:Unresectable carcinoma of the lung has traditionally been recognized as a contraindication to surgery in massive hemoptysis. A 60-year-old man had massive hemoptysis. At surgery an unresectable neoplastic mass invading the mediastinum and great vessels was encountered. Subtotal resection was accomplished using a stapl...

journal_title：Chest

authors： Hargrove WC 3rd,Harken AH

更新日期：1979-08-01 00:00:00

abstract：BACKGROUND:After patients recovering from respiratory failure have successfully completed a spontaneous breathing trial (SBT), clinicians must determine whether an artificial airway is still required. We hypothesized that cough strength and the magnitude of endotracheal secretions affect extubation outcomes. METHODS:W...

journal_title：Chest

authors： Khamiees M,Raju P,DeGirolamo A,Amoateng-Adjepong Y,Manthous CA

更新日期：2001-10-01 00:00:00

abstract：:Patients with cystic fibrosis (CF) and advanced pulmonary disease have pulmonary limitation of exercise, often associated with arterial oxygen desaturation. Improving oxygenation during exercise by providing supplemental oxygen may improve exercise performance in these patients. To test this, we performed graded exerc...

journal_title：Chest

authors： Marcus CL,Bader D,Stabile MW,Wang CI,Osher AB,Keens TG

更新日期：1992-01-01 00:00:00

abstract：:Hyperinflation with intrinsic positive end-expiratory pressure (PEEPi) loads the respiratory muscles and causes dyspnea in obstructive lung disease. Continuous positive airway pressure (CPAP) has shown some efficacy in reducing inspiratory work and dyspnea. However, in obstructive lung disease, inspiratory work and dy...

journal_title：Chest

authors： Fessler HE,Brower RG,Permutt S

更新日期：1995-08-01 00:00:00

abstract：STUDY OBJECTIVE:We undertook the present study to investigate the perception of dyspnea (with respect to changes in end-inspiratory and end-expiratory lung volumes), during four different levels of high-intensity constant work rate exercise (CWRE) in patients with severe COPD. DESIGN:Crossover descriptive study with c...

journal_title：Chest

authors： Puente-Maestu L,García de Pedro J,Martínez-Abad Y,Ruíz de Oña JM,Llorente D,Cubillo JM

更新日期：2005-08-01 00:00:00

abstract：BACKGROUND:Interferon-γ release assays (IGRAs) have been incorporated into several national guidelines for latent TB infection (LTBI) diagnosis. However, their optimal application is still controversial and evolving. The aim of this study is to evaluate the performance of confirmatory IGRAs in addition to tuberculin sk...

journal_title：Chest

authors： Song S,Jeon D,Kim JW,Kim YD,Kim SP,Cho JS,Lee SE,Cho WH,Park HK,Kim YS,Lee MK,Lee JH

更新日期：2012-04-01 00:00:00

abstract：:We report the findings of ventilation and perfusion scintiscanning performed in three untreated patients with acute tropical pulmonary eosinophilia (TPE). In a 26-year-old man whose arterial blood gas values were normal, the lung scan showed normal radioactivity. The scintigrams of a 20-year-old woman who had hypoxemi...

journal_title：Chest

authors： Ray D,Jayachandran CA

更新日期：1993-08-01 00:00:00

abstract：:Immediate responses of hypersensitivity to skin testing with purified derivative of tuberculin (PPD) were observed in 2.3 percent of 3,248 patients seen in an allergy clinic, and the relationship to delayed responses was questioned. Immediate cutaneous reactions to testing with PPD appeared in all age groups and occur...

journal_title：Chest

authors： Tarlo SM,Day JH,Mann P,Day MP

更新日期：1977-01-01 00:00:00

abstract：BACKGROUND:Altitude-induced pulmonary hypertension has been suggested to cause left ventricular (LV) diastolic dysfunction due to ventricular interaction. In this study, we evaluate the effects of exercise- and altitude-induced increase in pulmonary artery pressures on LV diastolic function in an interventional setting...

journal_title：Chest

authors： Bernheim AM,Kiencke S,Fischler M,Dorschner L,Debrunner J,Mairbäurl H,Maggiorini M,Brunner-La Rocca HP

更新日期：2007-08-01 00:00:00

abstract：BACKGROUND:The Centers for Medicare and Medicaid Services stipulate shared decision-making (SDM) counseling as a prerequisite to lung cancer screening (LCS) reimbursement, despite well-known challenges implementing SDM in practice. RESEARCH QUESTION:How have health-care organizations implemented SDM for LCS? STUDY DE...

journal_title：Chest

authors： Alishahi Tabriz A,Neslund-Dudas C,Turner K,Rivera MP,Reuland DS,Elston Lafata J

更新日期：2021-01-01 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

authors： Kronzon I,Schloss M,Bear G

更新日期：1975-10-01 00:00:00

abstract：:The adult respiratory distress syndrome (ARDS) is a devastating clinical illness characterized by refractory hypoxemia and high-permeability pulmonary edema. Reactive oxygen species such as hydrogen peroxide and hypochlorous acid may play a key role in the pathogenesis of the acute lung injury. Glutathione (GSH) is a ...

journal_title：Chest

authors： Pacht ER,Timerman AP,Lykens MG,Merola AJ

更新日期：1991-11-01 00:00:00

abstract：BACKGROUND:Comorbidities can affect disease progression and/or response to treatment in various conditions. Comorbid conditions are prevalent in patients with pulmonary arterial hypertension (PAH); however, their effect on patient outcomes remains unknown. METHODS:We evaluated the effect on functional class (FC), 6-mi...

journal_title：Chest

authors： Poms AD,Turner M,Farber HW,Meltzer LA,McGoon MD

更新日期：2013-07-01 00:00:00

abstract：:Bronchopulmonary endometriosis is a rare cause of hemoptysis. We describe a woman with catamenial hemoptysis which was localized with chest CAT scanning and treated successfully with danazol. The proposed pathogenesis and manifestations of thoracic endometriosis are reviewed, and the use of new diagnostic and therapeu...

journal_title：Chest

authors： Elliot DL,Barker AF,Dixon LM

更新日期：1985-05-01 00:00:00

abstract：:We report three cases of organophosphate (OP) poisoning. One patient was a 19-year-old woman who drank OP compounds in an attempt at suicide. The other two patients became intoxicated on the way to the hospital during mouth-to-mouth breathing. The first patient died in the emergency department, and the other two were ...

journal_title：Chest

authors： Koksal N,Buyukbese MA,Guven A,Cetinkaya A,Hasanoglu HC

更新日期：2002-08-01 00:00:00

abstract：:Elevated endorphin levels in patients with COPD may act to diminish the sensation of dyspnea. Exogenous opioids decrease exertional dyspnea and increase exercise capacity in COPD patients. The purpose of this study was to determine the effects of endogenous opioids on the exercise capacity and control of breathing in ...

journal_title：Chest

authors： Kirsch JL,Muro JR,Stansbury DW,Fischer CE,Monfore R,Light RW

更新日期：1989-10-01 00:00:00

abstract：STUDY OBJECTIVES:Patients with COPD are at risk of experiencing a deterioration in arterial oxygen saturation (SaO2) during sleep, which is generally most pronounced during rapid eye movement (REM) sleep. Increased cholinergic tone has been suggested as a contributing factor to this decrease in SaO2. Therefore, we inve...

journal_title：Chest

authors： Martin RJ,Bartelson BL,Smith P,Hudgel DW,Lewis D,Pohl G,Koker P,Souhrada JF

更新日期：1999-05-01 00:00:00

abstract：:A female patient was treated with high-dose inhaled fluticasone propionate for her asthma. Over 2 years, she developed features of Cushing's syndrome with proximal myopathy, osteopenia, hypertension, depressive psychosis, and cushingoid appearance. She had biochemical evidence of marked adrenal suppression with a 9:00...

journal_title：Chest

authors： Wilson AM,Blumsohn A,Jung RT,Lipworth BJ

更新日期：2000-02-01 00:00:00

abstract：:This study analyzes the use of PAC in a registry comprising 5,841 hospitalized patients with AMI. A total of 371 patients received PAC. In-hospital mortality was higher in patients with CHF who received PAC, while there was no difference in patients with cardiogenic shock or persistent hypotension. Mortality in patien...

journal_title：Chest

authors： Zion MM,Balkin J,Rosenmann D,Goldbourt U,Reicher-Reiss H,Kaplinsky E,Behar S

更新日期：1990-12-01 00:00:00

abstract：STUDY OBJECTIVE:To examine the relation between left atrial (LA) function and exercise performance. DESIGN AND SETTING:Retrospective study at a referral cardiopulmonary exercise laboratory in a university hospital. PATIENTS:Forty-one patients with recent myocardial infarction. INTERVENTIONS:M-mode echocardiography a...

journal_title：Chest

authors： Jikuhara T,Sumimoto T,Tarumi N,Yuasa F,Hattori T,Sugiura T,Iwasaka T

更新日期：1997-04-01 00:00:00

abstract：:Negative pressure pulmonary edema (NPPE) is an important cause of noncardiogenic pulmonary edema but is rarely reported in the setting of bronchospasm. A 43-year-old woman with severe reactive airway disease suffered an episode of severe bronchospasm after endotracheal extubation following an otherwise uneventful gene...

journal_title：Chest

authors： Krodel DJ,Bittner EA,Abdulnour RE,Brown RH,Eikermann M

更新日期：2011-11-01 00:00:00

abstract：:Dobutamine stress echocardiography detects myocardial ischemia by inducing regional left ventricular systolic dysfunction. Augmentation of wall motion in hypokinetic segments has also been noted with low-dose dobutamine, suggesting myocardial viability. We report a case of regional ventricular improvement during high-...

journal_title：Chest

authors： Krauss D,Feldman T,Marcus RH,Resnekov L,Lang RM

更新日期：1994-07-01 00:00:00

abstract：:Cardiac dysfunction due to systemic sarcoidosis is most of ten due to severe restrictive pulmonary diseases. Although the diagnosis is frequently missed during life, direct granulomatous infiltration of the myocardium may occur with systemic sarcoidosis and, when present in the heart, is a major cause of death. To exp...

journal_title：Chest

authors： Bulkley BH,Rouleau JR,Whitaker JQ,Strauss HW,Pitt B

更新日期：1977-07-01 00:00:00

abstract：AIMS:We assessed early and long-term pulmonary function changes after percutaneous balloon mitral valvotomy (PBMV). METHODS AND RESULTS:Mitral area, lung function, and exercise capacity were evaluated before, immediately after, and 3 months, 6 months, and 12 months after successful PBMV in 24 patients. PBMV resulted i...

journal_title：Chest

authors： Gómez-Hospital JA,Cequier A,Romero PV,Cañete C,Ugartemendia C,Iràculis E,Esplugas E

更新日期：2005-01-01 00:00:00

abstract：:This study evaluated the influence of pregnancy as a relapse factor in pulmonary tuberculosis in 215 patients who recieved adequate chemotherapy. A comparison was made between the evolution of patients who had pregnancies and those who did not. On ending the period of observation (details are lacking with respect to o...

journal_title：Chest

authors： de March A P

更新日期：1975-12-01 00:00:00