Thoracic outlet syndrome mimicking angina pectoris with elevated creatine phosphokinase values.

Abstract:

:Four patients with elevated creatine phosphokinase (CPK) values and recurrent chest pain were found to have thoracic outlet syndrome. This association of abnormal CPK levels and chest pain due to thoracic outlet syndrome has not been previously reported. Symptoms and CPK values improved with anti-inflammatory medications and/or proper posture instruction. It is proposed that CPK values become elevated by ischemic or neurologic compromise of muscles supplied by the subclavian artery or brachial plexus respectively. Accordingly, chest pain in the same dermatomal distribution as that of angina pectoris may be simulated by ischemic skeletal muscle. Thoracic outlet syndrome therefore should be suspected in any patient with chronically abnormal CPK values and chest pain in whom no other etiology can be determined.

journal_name

Chest

journal_title

Chest

authors

Godfrey NF,Halter DG,Minna DA,Weiss M,Lorber A

doi

10.1378/chest.83.3.461

subject

Has Abstract

pub_date

1983-03-01 00:00:00

pages

461-3

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)39982-2

journal_volume

83

pub_type

杂志文章

相关文献

CHEST文献大全
  • Pleural lipoma. Diagnosis by computed tomography.

    abstract::Until recently, a definitive diagnosis of lipoma in the thorax could only be established by thoracotomy. We undertook this study to determine if chest CT could provide such an answer. Among 4,000 chest CT scans, six patients were found to have lipoma according to the following selected criteria: CT features of a pleur...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.2.265

    authors: Epler GR,McLoud TC,Munn CS,Colby TV

    更新日期:1986-08-01 00:00:00

  • In vivo right heart thrombus. Precursor of life-threatening pulmonary embolism.

    abstract::This report describes three cases of massive mobile right heart thrombus and reviews the available literature to better define the pathophysiology, natural history and most appropriate therapy of the syndrome. The clinical presentation of most patients has been severe cardiopulmonary dysfunction and the diagnosis has ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.94.6.1236

    authors: Crowell RH,Adams GS,Koilpillai CJ,McNutt EJ,Montague TJ

    更新日期:1988-12-01 00:00:00

  • Chronic Bronchitis Is Associated With Worse Symptoms and Quality of Life Than Chronic Airflow Obstruction.

    abstract:BACKGROUND:COPD includes the chronic bronchitis (CB) and emphysema phenotypes. Although it is generally assumed that emphysema or chronic airflow obstruction (CAO) is associated with worse quality of life (QOL) than is CB, this assumption has not been tested. METHODS:The current study's analyses from the Lovelace Smok...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-2240

    authors: Meek PM,Petersen H,Washko GR,Diaz AA,Klm V,Sood A,Tesfaigzi Y

    更新日期:2015-08-01 00:00:00

  • Temporal trends in the use of parenteral nutrition in critically ill patients.

    abstract:BACKGROUND:Clinical practice guidelines recommend enteral over parenteral nutrition in critical illness and do not recommend early initiation. Few data are available on parenteral nutrition use or timing of initiation in the ICU or how this use may have changed over time. METHODS:We used the Project IMPACT database to...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.13-1597

    authors: Gershengorn HB,Kahn JM,Wunsch H

    更新日期:2014-03-01 00:00:00

  • Cardiorespiratory effects of pressure controlled ventilation in severe respiratory failure.

    abstract::Cardiorespiratory values were measured in ten patients with severe respiratory failure on volume controlled and pressure controlled ventilation. Tidal volume, respirator rate, PEEP, auto-PEEP, inspiratory:expiratory ratio (1:2) and FIo2 were maintained at the same value for both ventilatory modalities. Changing from V...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.6.1445

    authors: Abraham E,Yoshihara G

    更新日期:1990-12-01 00:00:00

  • Tracheomalacia and bronchomalacia in children: incidence and patient characteristics.

    abstract:OBJECTIVE:Congenital airway malacia is one of the few causes of irreversible airways obstruction in children, but the incidence in the general population is unknown. Severe airway malacia or malacia associated with specific syndromes is usually recognized and diagnosed early in infancy, but information about clinical f...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.5.3391

    authors: Boogaard R,Huijsmans SH,Pijnenburg MW,Tiddens HA,de Jongste JC,Merkus PJ

    更新日期:2005-11-01 00:00:00

  • Catamenial hemoptysis. New methods of diagnosis and therapy.

    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

    pub_type: 杂志文章

    doi:10.1378/chest.87.5.687

    authors: Elliot DL,Barker AF,Dixon LM

    更新日期:1985-05-01 00:00:00

  • Hemodynamics and coronary flow following diltiazem administration in anesthetized dogs and in humans.

    abstract::In this study, the systemic and coronary hemodynamic changes associated with the administration of diltiazem, a recent calcium antagonist, were evaluated in three different situations as follows: following a 200 microgram/kg intravenous bolus of the drug in 12 open-chest anesthetized dogs; following two successive int...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.78.1_supplement.224

    authors: Bourassa MG,Cote P,Theroux P,Tubau JF,Genain C,Waters DD

    更新日期:1980-07-01 00:00:00

  • Early prediction of poor response in acute asthma patients in the emergency department.

    abstract:STUDY OBJECTIVES:The aim of this study was to develop an acute asthma index for utilization in the early differentiation between patients with poor and good therapeutic response in the emergency department (ED) setting. SETTING:The ED of a large tertiary-care hospital in Montevideo, Uruguay. PATIENTS AND DESIGN:The s...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.4.1016

    authors: Rodrigo G,Rodrigo C

    更新日期:1998-10-01 00:00:00

  • Supraventricular tachyarrhythmias in hospitalized adults after surgery. Clinical correlates in patients over 40 years of age after major noncardiac surgery.

    abstract::To assess the clinical correlates and therapeutic outcome of new postoperative supraventricular tachyarrhythmias, 916 patients who were in sinus rhythm throughout the course of surgery were prospectively followed after major noncardiac surgery. The 35 patients (4 percent) who developed new postoperative supraventricul...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.73.4.450

    authors: Goldman L

    更新日期:1978-04-01 00:00:00

  • Persistence of lung function abnormalities despite sustained success of percutaneous mitral valvotomy: the need for an early indication.

    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

    pub_type: 杂志文章

    doi:10.1378/chest.127.1.40

    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

  • Sputum cathelicidin, urokinase plasminogen activation system components, and cytokines discriminate cystic fibrosis, COPD, and asthma inflammation.

    abstract:BACKGROUND:Interest in airways inflammatory disease has increasingly focused on innate immunity. We investigated several components of innate immunity in induced sputum of patients with cystic fibrosis (CF), COPD, and asthma, and healthy control subjects. METHODS:Twenty eight patients with mild CF lung disease (age > ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.4.2316

    authors: Xiao W,Hsu YP,Ishizaka A,Kirikae T,Moss RB

    更新日期:2005-10-01 00:00:00

  • Interobserver Reliability of the Berlin ARDS Definition and Strategies to Improve the Reliability of ARDS Diagnosis.

    abstract:BACKGROUND:Failure to reliably diagnose ARDS may be a major driver of negative clinical trials and underrecognition and treatment in clinical practice. We sought to examine the interobserver reliability of the Berlin ARDS definition and examine strategies for improving the reliability of ARDS diagnosis. METHODS:Two hu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2017.11.037

    authors: Sjoding MW,Hofer TP,Co I,Courey A,Cooke CR,Iwashyna TJ

    更新日期:2018-02-01 00:00:00

  • The irregularly irregular pattern of respiratory dyskinesia.

    abstract::The respiratory pattern during wakefulness and sleep was characterized in a 70-year-old woman with respiratory dyskinesia. During wakefulness, both respiratory frequency and tidal volume exhibited an irregularly irregular pattern. In addition, wide fluctuations occurred in the position of the rib cage and abdomen at e...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.5.779

    authors: Kuna ST,Awan R

    更新日期:1986-11-01 00:00:00

  • Bilateral diaphragmatic paralysis in the newborn infant: treatment with nasal continous positive airway pressure.

    abstract::A newborn infant with severe respiratory distress from bilateral diaphragmatic paralysis caused by birth injury was successfully treated with nasal continuous positive airway pressure (CPAP). Improvement gradually occurred, and CPAP was discontinued after he was 23 days of age. This therapy has advantages over alterna...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.3.392

    authors: Zajkowski EJ,Kravath RE

    更新日期:1979-03-01 00:00:00

  • Fibrosing alveolitis, bronchiolitis obliterans, and sulfasalazine therapy.

    abstract::A patient with ulcerative colitis had extensive upper zone pulmonary disease while taking sulfasalazine. Pulmonary function tests showed progressive restrictive and obstructive disease. Lung biopsy showed bronchiolitis obliterans and chronic interstitial pneumonia or fibrosing alveolitis with a mild eosinophilic infil...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.81.6.766

    authors: Williams T,Eidus L,Thomas P

    更新日期:1982-06-01 00:00:00

  • A comparison of ipratropium and albuterol vs albuterol alone for the treatment of acute asthma.

    abstract::To evaluate the role of inhaled ipratropium bromide in acute asthma, a double-blind study of 384 emergency department patients compared the effect of the combination of ipratropium and albuterol with that of albuterol alone. Patients were randomized to receive nebulizer treatments with either 2.5 mg of albuterol or 2....

    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.110.3.611

    authors: Karpel JP,Schacter EN,Fanta C,Levey D,Spiro P,Aldrich T,Menjoge SS,Witek TJ

    更新日期:1996-09-01 00:00:00

  • Late, late doxorubicin cardiotoxicity.

    abstract::Cardiac toxicity is a major complication which limits the use of adriamycin as a chemotherapeutic agent. Cardiomyopathy is frequent when the total dose exceeds 600 mg/m2 and occurs within one to six months after cessation of therapy. A patient is reported who developed progressive cardiomyopathy two and one-half years...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.78.6.880

    authors: Gottlieb SL,Edmiston WA Jr,Haywood LJ

    更新日期:1980-12-01 00:00:00

  • The role of radiotherapy in non-small cell lung cancer.

    abstract::Most patients who receive a diagnosis of non-small cell lung cancer (NSCLC) have advanced disease and are not curable with surgery. Developments in the technology of radiation therapy (RT) have contributed to the broad utility of this treatment modality in both a curative and palliative capacity. Many patients at all ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.116.suppl_3.504s

    authors: Sause WT

    更新日期:1999-12-01 00:00:00

  • Effects of prostaglandin E1 in postoperative surgical patients with circulatory deficiency.

    abstract::Hemodynamic and oxygen transport effects of PGE1 were observed in the early postoperative period before development of ARDS in two series of general surgical patients with circulatory deficiencies. The first was a series of 19 studies in 18 patients, the second was a placebo-controlled series of 20 patients (ten recei...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.99.4.945

    authors: Appel PL,Shoemaker WC,Kram HB

    更新日期:1991-04-01 00:00:00

  • Alternative therapies among adults with a reported diagnosis of asthma or rhinosinusitis : data from a population-based survey.

    abstract:BACKGROUND:Asthma and rhinosinusitis are common medical conditions among adults. Alternative treatments could have important impacts on health status among those individuals with these conditions, but specific prevalence data for these treatments are limited. OBJECTIVE:To estimate the prevalence of specific alternativ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.120.5.1461

    authors: Blanc PD,Trupin L,Earnest G,Katz PP,Yelin EH,Eisner MD

    更新日期:2001-11-01 00:00:00

  • Percutaneous transluminal coronary angioplasty improves oxygen uptake kinetics during the onset of exercise in patients with coronary artery disease.

    abstract:STUDY OBJECTIVES:Although percutaneous transluminal coronary angioplasty (PTCA) is known to have beneficial effects on exercise capacity, its effects on the cardiovascular response during the onset of exercise have not been clarified. The present study was undertaken to determine the effects of PTCA on the kinetics of ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.2.329

    authors: Adachi H,Koike A,Niwa A,Sato A,Takamoto T,Marumo F,Hiroe M

    更新日期:2000-08-01 00:00:00

  • Does chest physical therapy work?

    abstract::Postural drainage has usually been shown to be an effective component of chest physical therapy; there is currently no data showing a beneficial effect of percussion or vibration; directed coughing may be as efficacious as postural drainage (Table 3); the forced expiration technique may increase sputum clearance with ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.88.3.436

    authors: Kirilloff LH,Owens GR,Rogers RM,Mazzocco MC

    更新日期:1985-09-01 00:00:00

  • The effect of body mass index on patient outcomes in a medical ICU.

    abstract:STUDY OBJECTIVES:To examine the effect of patient body mass index (BMI) on outcome in intensive care. DESIGN:In a prospective study, the patients were classified into groups based on the calculated BMI, as follows: BMI < 19.0 (n = 350), > or = 19.0 and < 25.0 (n = 663), > or = 25.0 and < 29.9 (n = 585), > or = 30.0 an...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.6.2125

    authors: Ray DE,Matchett SC,Baker K,Wasser T,Young MJ

    更新日期:2005-06-01 00:00:00

  • The use of adenosine deaminase and interferon-gamma as diagnostic tools for tuberculous pericarditis.

    abstract:BACKGROUND:Traditional diagnostic tests for pericardial tuberculosis (TB) are insensitive and often require long culture periods, and this has led to more emphasis being placed on biochemical tests such as the pericardial adenosine deaminase (ADA) test. However, controversy exists as to its diagnostic utility. In addit...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.122.3.900

    authors: Burgess LJ,Reuter H,Carstens ME,Taljaard JJ,Doubell AF

    更新日期:2002-09-01 00:00:00

  • Does a low-density gas mixture or oxygen supplementation improve exercise training in COPD?

    abstract:BACKGROUND:Low-density gas mixtures and oxygen (O₂) supplementation are known to improve physical performance and ventilatory adaptation during incremental maximal exercise in COPD. We investigated whether their combined use during intense physical training is also effective in ameliorating exercise tolerance in patien...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.10-0120

    authors: Scorsone D,Bartolini S,Saporiti R,Braido F,Baroffio M,Pellegrino R,Brusasco V,Crimi E

    更新日期:2010-11-01 00:00:00

  • Continuous monitoring of mixed venous oxygen saturation in patients with acute myocardial infarction.

    abstract::Continuous measurement of mixed venous oxygen saturation (SvO2) has been suggested as an adjunct in monitoring critically ill patients. We evaluated SvO2 monitoring in 24 patients suffering from complicated myocardial infarctions. Cardiac output and arterial lactate levels were measured when there were persistent 5 pe...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.3.607

    authors: Kyff JV,Vaughn S,Yang SC,Raheja R,Puri VK

    更新日期:1989-03-01 00:00:00

  • Analyses of efficacy end points in a controlled trial of interferon-gamma1b for idiopathic pulmonary fibrosis.

    abstract:BACKGROUND:Idiopathic pulmonary fibrosis (IPF) is a devastating disease, yet validated, reliable criteria for evaluating patient response to therapies in clinical trials are lacking. METHODS:To optimize selection of end point criteria for the study of interferon (IFN)-gamma1b in patients with IPF, we retrospectively a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.1.171

    authors: King TE Jr,Safrin S,Starko KM,Brown KK,Noble PW,Raghu G,Schwartz DA

    更新日期:2005-01-01 00:00:00

  • Ultrasound-guided thoracentesis: is it a safer method?

    abstract:STUDY OBJECTIVES:The objectives of this study are as follows: (1) to determine the incidence of complications from thoracentesis performed under ultrasound guidance by interventional radiologists in a tertiary referral teaching hospital; (2) to evaluate the incidence of vasovagal events without the use of atropine prio...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.2.418

    authors: Jones PW,Moyers JP,Rogers JT,Rodriguez RM,Lee YC,Light RW

    更新日期:2003-02-01 00:00:00

  • Effect of pneumothorax on pleurodesis induced with talc in rabbits.

    abstract:OBJECTIVE:The purpose of this study was to determine if a small pneumothorax would influence the pleurodesis resulting from talc instillation. METHODS:Sixty rabbits received an intrapleural injection of 400 mg/kg talc slurry. One half also received 10 mL of air intrapleurally after the talc. Ten rabbits in each group ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.4.1143

    authors: Xie C,Teixeira LR,McGovern JP,Light RW

    更新日期:1998-10-01 00:00:00