Persisting symptoms despite permanent pacing. Incidence, causes, and follow-up.

Abstract:

:Persisting symptoms, consisting of palpitations, dizziness, or syncope, were found in 49 of 570 consecutively followed patients (8.6 percent) with permanent pacemakers (PM). Among 540 patients with ventricular PM, 19 had syncope and 24 dizziness; among 30 patients with dual-chamber PM, five had palpitations and one dizziness. Symptoms were PM-related in 17, caused by tachyarrhythmias in 12, of noncardiac origin in 16, and of unknown origin in four patients. Holter monitoring was necessary for evaluating the persisting symptoms in 36 patients and helpful in 32 studies (89 percent). Symptoms were relieved in all patients with PM-related causes but only in 6/16 patients (38 percent) with syncope or dizziness of noncardiac origin despite various therapeutic measures. In patients with either documented tachyarrhythmias or unknown cause of syncope or dizziness, antiarrhythmic drugs led to symptomatic improvement in 11 of 12 treated patients during an average follow-up of 15 months. We concluded that: (1) persistent syncope, dizziness, or palpitations occurred in 8.6 percent of 570 patients after PM-implantation; (2) symptoms were more frequent but less severe in patients with dual-chamber PM than in those with ventricular PM; (3) tachyarrhythmias as a possible cause of symptoms were found in 25 percent of patients; (4) symptomatic improvement was noted in 28 of 29 patients when a PM-related cause or tachyarrhythmias were treated.

journal_name

Chest

journal_title

Chest

authors

Hoffman A,Jost M,Pfisterer M,Burkart F,Burckhardt D

doi

10.1378/chest.85.2.207

subject

Has Abstract

pub_date

1984-02-01 00:00:00

pages

207-10

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)40178-3

journal_volume

85

pub_type

杂志文章

相关文献

CHEST文献大全
  • Electrocardiographic findings in brain death; description and presumed mechanism.

    abstract::Electrocardiogram changes and pharmacologic responses were studied in 28 cases of brain death. Cardiac activity in this condition is possibly determined by the dynamic balance between the depressant action of hypothermia and the stimulating action of the sympathetic nervous system (without any vagal or central influen...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.67.4.425

    authors: Drory Y,Ouaknine G,Kosary IZ,Kellermann JJ

    更新日期:1975-04-01 00:00:00

  • Diaphragmatic contraction during assisted mechanical ventilation.

    abstract::Indirect evidence from airway pressure recordings in mechanically ventilated patients suggests that the diaphragm exhibits contractile activity beyond that required to trigger a ventilator-assisted breath. We used the diaphragmatic EMG to provide direct evidence of persistent contractile activity and studied the effec...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.96.1.130

    authors: Flick GR,Bellamy PE,Simmons DH

    更新日期:1989-07-01 00:00:00

  • Inhaled diuretics attenuate acid-induced cough in children with asthma.

    abstract::To evaluate the effect of inhaled diuretics, furosemide and amiloride, on cough induced by acid inhalation challenge in asthmatic children, a double-blind, randomized, placebo-controlled study was conducted. On separate days, 12 asthmatic children (10.3 +/- 0.7 [SEM] years) underwent acetic acid (AD) inhalation challe...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.107.2.413

    authors: Mochizuki H,Shimizu T,Morikawa A,Kuroume T

    更新日期:1995-02-01 00:00:00

  • Pulmonary hypertension associated with congenital heart disease: pulmonary vascular disease: the global perspective.

    abstract::The incidence of congenital heart disease is approximately 8/1,000 live births and appears to be constant around the world. The currently accepted paradigm for the development of pulmonary vascular disease associated with congenital heart disease maintains that increased pulmonary blood flow and pressure trigger unfav...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-2861

    authors: Adatia I,Kothari SS,Feinstein JA

    更新日期:2010-06-01 00:00:00

  • The Vital Capacity Is Vital: Epidemiology and Clinical Significance of the Restrictive Spirometry Pattern.

    abstract::Epidemiologic research has revealed a substantial portion of the general population with abnormal spirometry results that are characterized by decreased FEV1 and FVC but a preserved FEV1/FVC ratio. This restrictive spirometry pattern (RSP) is inconsistently defined in the literature and not well addressed by current g...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.15-1045

    authors: Godfrey MS,Jankowich MD

    更新日期:2016-01-01 00:00:00

  • Surgically curable peripheral lung carcinoma: correlation of thin-section CT findings with histologic prognostic factors and survival.

    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

    authors: Shimizu K,Yamada K,Saito H,Noda K,Nakayama H,Kameda Y,Nakata K

    更新日期:2005-03-01 00:00:00

  • Management of pediatric acute hypoxemic respiratory insufficiency with bilevel positive pressure (BiPAP) nasal mask ventilation.

    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

    authors: Fortenberry JD,Del Toro J,Jefferson LS,Evey L,Haase D

    更新日期:1995-10-01 00:00:00

  • Reperfusion adequacy and functional recovery.

    abstract::Ischemic myocardium undergoes many physiologic changes, including alterations in contractile function, histologic condition, and oxygen utilization. Reperfusion of ischemic myocardium may reverse some of these changes; however, the level of reperfusion needed for adequate functional recovery, as opposed to myocyte sal...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.112.4.1075

    authors: Rohs TJ Jr,Benedict MB,Bolling SF

    更新日期:1997-10-01 00:00:00

  • Effectiveness of an Opt-Out Electronic Heath Record-Based Tobacco Treatment Consult Service at an Urban Safety Net Hospital.

    abstract:BACKGROUND:To address the burden of tobacco use in underserved populations, our safety net hospital developed a tobacco treatment intervention consisting of an "opt-out" electronic health record-based best practice alert + order set, which triggers consultation to an inpatient tobacco treatment consult (TTC) service fo...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.04.062

    authors: Herbst N,Wiener RS,Helm ED,O'Donnell C,Fitzgerald C,Wong C,Bulekova K,Waite M,Mishuris RG,Kathuria H

    更新日期:2020-10-01 00:00:00

  • A Case of Lymphangiomatosis With Infected Lymphangiomas Effectively Treated by Thoracoscopic Debridement and Drainage.

    abstract::A 40-year-old woman with lymphangiomatosis also had an intrathoracic lymphangioma infection. Since the age of 8 years, the patient had undergone repeated abdominal and mediastinal cyst surgeries and had received a diagnosis of lymphangiomatosis. At this time, she showed a high fever of 38.5°C. Cultures of both blood a...

    journal_title:Chest

    pub_type:

    doi:10.1016/j.chest.2020.06.048

    authors: Minakata T,Suzuki T,Kamio Y,Kadokura M,Himuro N,Takei H

    更新日期:2020-11-01 00:00:00

  • Brain natriuretic peptide in the management of heart failure: the versatile neurohormone.

    abstract::Brain natriuretic peptide (BNP), also called B-type natriuretic peptide, is a member of a family of structurally related hormones, the natriuretic peptides. Current data suggest that measurement of BNP plasma concentrations is a useful tool in the diagnosis of acute heart failure in patients presenting to an emergency...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.125.2.652

    authors: de Denus S,Pharand C,Williamson DR

    更新日期:2004-02-01 00:00:00

  • Increasing doses of inhaled corticosteroids compared to adding long-acting inhaled beta2-agonists in achieving asthma control.

    abstract:BACKGROUND:Combination therapy with inhaled corticosteroids (ICSs) and long-acting beta(2)-agonists (LABAs), or treatment with high doses of ICSs alone improves asthma control when therapy with low-dose ICSs is not sufficient. However, it is not known which of these treatment options is more effective in sustaining ast...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.08-1018

    authors: O'Byrne PM,Naya IP,Kallen A,Postma DS,Barnes PJ

    更新日期:2008-12-01 00:00:00

  • Do hemodynamic responses to the valsalva maneuver reflect myocardial dysfunction?

    abstract::In 14 consecutive patients with varying myocardial function, evaluation of the Valsalva maneuver was performed using aortic pulse pressure decay to investigate a possible quantitative relationship between the pattern of response and the degree of myocardial dysfunction. The aortic pulse pressure response during strain...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.5.986

    authors: Bernardi L,Saviolo R,Spodick DH

    更新日期:1989-05-01 00:00:00

  • Effect of dry warm air on respiratory water loss in children with exercise-induced asthma.

    abstract::The variation in respiratory water loss (RWL) over time, expressed as the mass of water vapor lost per liter (body temperature and pressure, saturated) of ventilation (MH2O), was investigated in two groups: (1) children with exercise-induced asthma; and (2) healthy children. Children were matched for age and sex and w...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.1.81

    authors: Tabka Z,Ben Jebria A,Vergeret J,Guenard H

    更新日期:1988-07-01 00:00:00

  • Variable severity of pulmonary disease in adults with identical cystic fibrosis mutations.

    abstract::Adults with CF followed in a university center were assessed for the presence of the most common CF gene mutation, delta-F508. Excluding one member of a sibling pair, 29 of 55 subjects had two copies of delta-F508 (homozygotes), 23 had one copy of delta-F508 with the other CF mutation not identified (complex heterozyg...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.2.506

    authors: Burke W,Aitken ML,Chen SH,Scott CR

    更新日期:1992-08-01 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

  • Perforated aneurysm of the anterior mitral valve. A Doppler and two-dimensional echocardiographic report.

    abstract::Antemortem diagnosis of a perforated MV aneurysm by Doppler echocardiography, as well as two-dimensional echocardiography (2-DE), has not been reported. Herein we present such a case. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.3.753

    authors: Chua SO,Chiang CW,Lee YS,Chang CH,Hung JS

    更新日期:1990-03-01 00:00:00

  • Concordance between parental and children's reports of parental smoking prompts.

    abstract:STUDY OBJECTIVES:To describe the prevalence of parental prompting to smoke (eg, parent requests that their child light the parent's cigarette in his/her own mouth) in a sample of families, and to assess the agreement between child and parent reports of the prompting behaviors. DESIGN, SETTING, AND PARTICIPANTS:A total...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.2.429

    authors: Laniado-Laborín R,Candelaria JI,Villaseñor A,Woodruff SI,Sallis JF

    更新日期:2004-02-01 00:00:00

  • Gastric surgery for respiratory insufficiency of obesity.

    abstract::Morbid obesity is often associated with severe respiratory insufficiency, commonly known as the pickwickian syndrome. This can be divided into the following two primary breathing disorders which can affect patients alone or in combination: the obstructive sleep apnea syndrome (SAS); and the obesity-hypoventilation syn...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.1.81

    authors: Sugerman HJ,Fairman RP,Baron PL,Kwentus JA

    更新日期:1986-07-01 00:00:00

  • Pulmonary impairment after tuberculosis.

    abstract:BACKGROUND:Pulmonary impairment subsequent to a cure of pulmonary tuberculosis has been described only in selected populations. METHODS:We compared pulmonary function in a case-control study of 107 prospectively identified patients with pulmonary tuberculosis who had completed at least 20 weeks of therapy and 210 pati...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.06-2949

    authors: Pasipanodya JG,Miller TL,Vecino M,Munguia G,Garmon R,Bae S,Drewyer G,Weis SE

    更新日期:2007-06-01 00:00:00

  • Color Doppler features of left ventricular pseudoaneurysm.

    abstract::A patient had left ventricular pseudoaneurysm after mitral valve replacement surgery. The diagnosis was made by color flow Doppler demonstration of systolic flow between the left ventricular chamber and an echo-free space posterior to the heart which was initially interpreted as localized pleural effusion. Color Doppl...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.1.231

    authors: Alam M,Rosman HS,Lewis JW,Brymer JF

    更新日期:1989-01-01 00:00:00

  • The uncommon case of Jahi McMath.

    abstract::A 13-year-old patient named Jahi McMath was determined to be dead by neurologic criteria following cardiopulmonary arrest and resuscitation at a hospital in Oakland, California. Her family did not agree that she was dead and refused to allow her ventilator to be removed. The family's attorney stated in the media that ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-2227

    authors: Luce JM

    更新日期:2015-04-01 00:00:00

  • Patient with bilateral pleural effusion: are the findings the same in each fluid?

    abstract:STUDY OBJECTIVES:To determine whether, in patients with bilateral pleural effusions, the main cellular and biochemical features of the pleural fluid on the right side differ from or correlate with those on the left side. We examined lactate dehydrogenase (LDH), glucose, and total protein (TP) levels, RBC count, nucleat...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.1.167

    authors: Kalomenidis I,Rodriguez M,Barnette R,Gupta R,Hawthorne M,Parkes KB,Light RW

    更新日期:2003-07-01 00:00:00

  • The use of centrally acting antihypertensive drugs in patients with renal disease.

    abstract::Clonidine was given to patients with essential hypertension, renovascular hypertension, and hypertension with parenchymal renal disease. The drug was effective in all groups but was more effective in patients with high plasma renin concentration. Renal function did not deteriorate when the drug was used, and there was...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.83.2_supplement.383

    authors: Morgan T

    更新日期:1983-02-01 00:00:00

  • Early management of severe sepsis: concepts and controversies.

    abstract::Sepsis is among the most common reasons for admission to ICUs throughout the world, and it is believed to be the third most common cause of death in the United States. The pathogenetic mechanism and physiologic changes associated with sepsis are exceedingly complex, but our understanding is evolving rapidly. The major...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.13-2104

    authors: Marik PE

    更新日期:2014-06-01 00:00:00

  • Value of F-18 fluorodeoxyglucose positron emission tomography for predicting the clinical outcome of patients with aggressive lymphoma prior to and after autologous stem-cell transplantation.

    abstract:STUDY OBJECTIVES:To determine and compare the values of positron emission tomography (PET) with F-18 fluorodeoxyglucose (FDG) and CT for predicting clinical outcome of patients with aggressive lymphoma undergoing salvage cytoreductive chemotherapy followed by high-dose chemotherapy and autologous stem-cell transplantat...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.2.608

    authors: Filmont JE,Czernin J,Yap C,Silverman DH,Quon A,Phelps ME,Emmanouilides C

    更新日期:2003-08-01 00:00:00

  • Single-nucleotide polymorphisms and lung disease: clinical implications.

    abstract::Human genetic variation has enormous implications for individual susceptibility to lung disease, as well as for differences in prognosis and response to therapeutic interventions. Single-nucleotide polymorphisms (SNPs) are the most common type of DNA sequence variation. An SNP is the substitution of a single base in t...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.06-2252

    authors: Tebbutt SJ,James A,Paré PD

    更新日期:2007-04-01 00:00:00

  • Bronchogenic cancer in patients under 40 years old. The experience of a Latin American country.

    abstract::Lung cancer in young patients is increasing in frequency, as documented by data from the United States, Canada, Japan, and European countries. However, to date and to our knowledge, there have not been any reports from Latin America on this topic. The published reports show that lung cancer in young patients is associ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.5.1477

    authors: Green LS,Fortoul TI,Ponciano G,Robles C,Rivero O

    更新日期:1993-11-01 00:00:00

  • The right ventricle explains sex differences in survival in idiopathic pulmonary arterial hypertension.

    abstract:BACKGROUND:Male sex is an independent predictor of worse survival in pulmonary arterial hypertension (PAH). This finding might be explained by more severe pulmonary vascular disease, worse right ventricular (RV) function, or different response to therapy. The aim of this study was to investigate the underlying cause of...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-1291

    authors: Jacobs W,van de Veerdonk MC,Trip P,de Man F,Heymans MW,Marcus JT,Kawut SM,Bogaard HJ,Boonstra A,Vonk Noordegraaf A

    更新日期:2014-06-01 00:00:00

  • Pulmonary vascular disease in secundum atrial septal defect with pulmonary hypertension.

    abstract::Histopathologic and morphometric studies of small pulmonary arteries were performed in 16 cases of secundum atrial septal defect (ASD) and severe pulmonary hypertension. Besides typical plexogenic arteriopathies found in six cases, organized microthrombi and what we call "musculoelastosis," that is, proliferation of l...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.5.694

    authors: Yamaki S,Horiuchi T,Miura M,Suzuki Y,Ishizawa E,Takahashi T

    更新日期:1986-05-01 00:00:00