The role of the 'pericardial window' in AIDS.

Abstract:

BACKGROUND:The leading cause of pericardial effusion in urban hospitals is now AIDS-related pathologies. Clinically, these effusions are a diagnostic and management dilemma. In our institution, pericardial biopsy and operative drainage have become part of the diagnostic and management plan. Surgical intervention, however, has appeared to have little clinical impact. METHODS:A retrospective review was conducted of all patients (n = 29) diagnosed as having AIDS who underwent "pericardial window" for pericardial effusions from 1986 to 1994. RESULTS:Fluid cultures and pericardial biopsy were performed in all cases. Twenty-four percent of culture or biopsy specimens were diagnostic (7 of 29 = 2 adenocarcinoma, 3 lymphoma, 1 Staphylococcus aureus, 1 Mycobacterium tuberculosis). In 94% of cases, there was no change in clinical management based on operative results. In 4 of 7 cases, the patients were ineligible for the indicated therapy based on underlying illness and in 1 of 7, the patient was receiving appropriate therapy for previously diagnosed disease. Ventilatory complications were noted in 17%. Three patients did not wean from the ventilator and died shortly after the operation. Sixty-nine percent mortality was noted at 8 weeks post-operatively. One hundred percent mortality was noted at 22 weeks with 86% follow-up. CONCLUSION:AIDS-related pericardial effusion is associated with a grave prognosis. Operations for diagnostic benefit provide little practical information and are not justified.

journal_name

Chest

journal_title

Chest

authors

Flum DR,McGinn JT Jr,Tyras DH

doi

10.1378/chest.107.6.1522

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

1522-5

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)35768-3

journal_volume

107

pub_type

杂志文章

相关文献

CHEST文献大全
  • Oxygen supplementation and cardiac-autonomic modulation in COPD.

    abstract:STUDY OBJECTIVES:Patients with COPD have an increased sympathetic modulation and reduced baroreflex sensitivity (BRS). Therefore, we studied the effects of breathing 31% supplemental oxygen (SuppO(2)) on autonomic modulation in a group of COPD patients. DESIGN:We measured autonomic modulation before and during the adm...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.118.3.691

    authors: Bartels MN,Gonzalez JM,Kim W,De Meersman RE

    更新日期:2000-09-01 00:00:00

  • Palliation of massive hemoptysis from unresectable carcinoma of the lung.

    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

    pub_type: 杂志文章

    doi:10.1378/chest.76.2.234

    authors: Hargrove WC 3rd,Harken AH

    更新日期:1979-08-01 00:00:00

  • Low and High Blood Eosinophil Counts as Biomarkers in Hospitalized Acute Exacerbations of COPD.

    abstract:BACKGROUND:Characterizing acute exacerbations of COPD (AECOPD) and individualizing therapy is challenging. Key exacerbation therapies include antibiotics and systemic corticosteroids. Blood eosinophils, when either low or high, may offer a simple, inexpensive distinction to predict beneficial responses to these therapi...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.chest.2019.02.406

    authors: MacDonald MI,Osadnik CR,Bulfin L,Hamza K,Leong P,Wong A,King PT,Bardin PG

    更新日期:2019-07-01 00:00:00

  • FVC to slow inspiratory vital capacity ratio: a potential marker for small airways obstruction.

    abstract:BACKGROUND:The ratio of FVC to slow inspiratory vital capacity (SVC) has been reported to reflect small airways obstruction, but its validity as such is still unclear. The aim of this study was to assess the applicability of the FVC/SVC ratio as a marker of small airways function in patients with bronchiolitis oblitera...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.06-2763

    authors: Cohen J,Postma DS,Vink-Klooster K,van der Bij W,Verschuuren E,Ten Hacken NH,Koëter GH,Douma WR

    更新日期:2007-10-01 00:00:00

  • Antimyosin scintigraphy for detection of myocarditis. Scintigraphic follow-up.

    abstract::To examine the value of antimyosin-indium 111 imaging in relation to endomyocardial biopsy in patients with suspected myocarditis, as well as the natural evolution of abnormal findings on the antimyosin scan, 12 patients with suspected myocarditis underwent endomyocardial biopsy and antimyosin scan. The heart-to-lung ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.5.1427

    authors: Lekakis J,Nanas J,Moustafellou A,Kostamis P,Moulopoulos S

    更新日期:1993-11-01 00:00:00

  • Acute Kidney Injury During Hospitalization Increases the Risk of VTE.

    abstract:BACKGROUND:Kidney disease has been linked to risk for hospitalization-related (HR) VTE, but the effect size and differences across types of kidney disease are described poorly. RESEARCH QUESTION:Can the risk for HR VTE among patients with acute kidney injury (AKI) and chronic kidney disease be quantified, and if so, h...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.09.257

    authors: McMahon MMJ,Collen LPJF,Chung CKK,Stewart LIJ,Haydar L,Moores CRLK,Holley CAB

    更新日期:2020-10-05 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

  • 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

  • Trends in mechanical ventilation among patients hospitalized with acute exacerbations of COPD in the United States, 2001 to 2011.

    abstract:BACKGROUND:The use of noninvasive ventilation (NIV) in acute exacerbation of COPD has increased over time. However, little is known about patient factors influencing its use in routine clinical practice. METHODS:This was a retrospective cohort study of 723,560 hospitalizations for exacerbation of COPD at 475 hospitals...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.14-1216

    authors: Stefan MS,Shieh MS,Pekow PS,Hill N,Rothberg MB,Lindenauer PK

    更新日期:2015-04-01 00:00:00

  • Candida endocarditis. A treatable form of pacemaker infection.

    abstract::Fungal endocarditis is a rare complication of permanent pacemaker implantation. In all reports we have identified, this infection has been fatal, diagnosed postmortem. We present a patient in whom early echocardiographic diagnosis resulted in curative surgical and antimicrobial therapy. Fungal endocarditis is an unusu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.1.283

    authors: Wilson HA Jr,Downes TR,Julian JS,White WL,Haponik EF

    更新日期:1993-01-01 00:00:00

  • Closure of a ventricular septal defect through the aortic valve: a note of caution regarding resultant narrowing of the aortic valve annulus.

    abstract::Closure of ventricular septal defects through the aortic valve annulus has been described for a variety of cardiac anomalies. This technique is most appropriate when simultaneous aortic valve replacement is anticipated. A continuous suture through the patch material may produce a purse-string effect upon the aortic va...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.70.2.311

    authors: Stewart S

    更新日期:1976-08-01 00:00:00

  • Safety and efficacy of two courses of OM-85 BV in the prevention of respiratory tract infections in children during 12 months.

    abstract:BACKGROUND:Acute respiratory tract infections (ARTIs) are among the main causes of morbidity and mortality in children. The bacterial extract OM-85 BV (bronchovaxom) has shown protective effect for ARTIs on children. We report a double-blind, placebo-controlled, parallel, prospective clinical trial to assess the safety...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.119.6.1742

    authors: Gutiérrez-Tarango MD,Berber A

    更新日期:2001-06-01 00:00:00

  • ST-segment elevation during recovery from exercise. A new manifestation of Prinzmetal's variant angina.

    abstract::Four patients underwent exercise testing because of a history of pain in the chest; all four developed marked elevation of the S-T segment only during recovery after exercise. Three of the four patients showed ST-segment depression during exercise, but ST-segment elevation was absent until two or more minutes after ce...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.74.2.133

    authors: Weiner DA,Schick EC Jr,Hood WB Jr,Ryan TJ

    更新日期:1978-08-01 00:00:00

  • Characteristics of airway inflammation and bronchodilator reversibility in COPD: a potential guide to treatment.

    abstract:STUDY OBJECTIVES:The management of stable patients with COPD depends on the severity of symptoms and airflow limitation. Regarding inflammation, corticosteroids are the only medications that are recommended for use, and only under restricted circumstances. Corticosteroids tend to undertreat or overtreat patients with C...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.2.375

    authors: Perng DW,Huang HY,Chen HM,Lee YC,Perng RP

    更新日期:2004-08-01 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

  • Acute changes in pulmonary artery pressures due to exercise and exposure to high altitude do not cause left ventricular diastolic dysfunction.

    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

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.07-0297

    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

  • Surgical management of unresolved pulmonary embolism. A personal series of 72 patients.

    abstract::Chronic thromboembolic pulmonary hypertension (CT-E PH) is a rare and aberrant outcome of acute pulmonary embolism. Because it has become a potentially curable form of pulmonary hypertension, the frequency of recognized cases has increased. We report a case series of 72 patients with CT-E PH evaluated in our instituti...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.107.1_supplement.52s

    authors: Simonneau G,Azarian R,Brenot F,Dartevelle PG,Musset D,Duroux P

    更新日期:1995-01-01 00:00:00

  • A rapid tuberculosis screening program for new mothers who have had no prenatal care.

    abstract::We developed a Rapid Tuberculosis Screening Program for use in women who have not had prenatal care. All patients who presented for delivery without a documented tuberculin skin test (TBN-ST) were given a symptom questionnaire. Those who had a positive response to any of the questions received a chest roentgenogram to...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.2.364

    authors: Metersky ML,Catanzaro A

    更新日期:1993-02-01 00:00:00

  • Effect of a nasogastric tube on esophageal pressure measurement in normal adults.

    abstract::We studied the correspondence between fluctuations of esophageal pressure measured before and after placement of a nasogastric (NG) tube in six normal volunteers. Flow, airway pressure, and esophageal pressure data from at least 20 breaths were recorded in seven ventilatory conditions in two body postures: 0 degree (s...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.1.137

    authors: Niknam J,Chandra A,Adams AB,Nahum A,Ravenscraft SA,Marini JJ

    更新日期:1994-07-01 00:00:00

  • Proadrenomedullin improves Risk of Early Admission to ICU score for predicting early severe community-acquired pneumonia.

    abstract:BACKGROUND:Whether proadrenomedullin (ProADM) improves the performance of the Risk of Early Admission to ICU (REA-ICU) score in predicting early, severe community-acquired pneumonia (ESCAP) has not been demonstrated. METHODS:Secondary analysis was completed of the original data from 877 consecutive patients with commu...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.11-2574

    authors: Renaud B,Schuetz P,Claessens YE,Labarère J,Albrich W,Mueller B

    更新日期:2012-12-01 00:00:00

  • A Blueprint for Success: Design and Implementation of an Ideal Bronchoscopy Suite.

    abstract::Bronchoscopy is essential to the practice of pulmonary medicine. It is an important diagnostic and therapeutic tool for many disease processes. Bronchoscopy can be performed in a variety of clinical settings, from the bedside to an operating room. Although bronchoscopy has been practiced for more than a century, conse...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2019.09.024

    authors: Mehta AC,Avasarala SK,Jain P,Deshwal H,Gildea TR

    更新日期:2020-03-01 00:00:00

  • Evaluation of a practice guideline for noninvasive positive-pressure ventilation for acute respiratory failure.

    abstract:OBJECTIVES:Clinical practice guidelines have been devised to change practitioner performance and to improve the process and outcomes of care. The objective of this study was to determine whether adherence to a practice guideline on noninvasive positive-pressure ventilation (NPPV) for the treatment of patients with acut...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.6.2062

    authors: Sinuff T,Cook DJ,Randall J,Allen CJ

    更新日期:2003-06-01 00:00:00

  • Differences in end-of-life care in the ICU across patients cared for by medicine, surgery, neurology, and neurosurgery physicians.

    abstract:BACKGROUND:Some of the challenges in the delivery of high-quality end-of-life care in the ICU include the variability in the characteristics of patients with certain illnesses and the practice of critical care by different specialties. METHODS:We examined whether ICU attending specialty was associated with quality of ...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.13-1351

    authors: Kross EK,Engelberg RA,Downey L,Cuschieri J,Hallman MR,Longstreth WT Jr,Tirschwell DL,Curtis JR

    更新日期:2014-02-01 00:00:00

  • Continuous Fick cardiac output measurement during exercise by monitoring of mixed venous oxygen saturation and oxygen uptake.

    abstract::To determine whether continuous Fick cardiac output measurement is applicable to exercise testing, cardiac output data obtained by the continuous Fick method (Qcf) during exercise were compared with data obtained by the thermodilution method (Qth). Seventeen patients with old myocardial infarction underwent a 1-min or...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.2.419

    authors: Nakanishi N,Yoshioka T,Okano Y,Nishimura T

    更新日期:1993-08-01 00:00:00

  • Resistance arm training in patients with COPD: A Randomized Controlled Trial.

    abstract:BACKGROUND:The study aimed to evaluate the effect of upper extremity resistance training for patients with COPD on dyspnea during activity of daily living (ADL), arm function, arm exercise capacity, muscle strength, and health-related quality of life (HRQL). METHODS:Patients were randomly assigned to an intervention o...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.10-1292

    authors: Janaudis-Ferreira T,Hill K,Goldstein RS,Robles-Ribeiro P,Beauchamp MK,Dolmage TE,Wadell K,Brooks D

    更新日期:2011-01-01 00:00:00

  • Double-orifice mitral valve with three papillary muscles.

    abstract::A case of double-orifice mitral valve in a 16-year-old Japanese boy is presented. Two-dimensional echocardiography, including transesophageal approach, showed two approximately equal orifices with three papillary muscles. Color Doppler echocardiography showed a mild mitral regurgitation from both orifices. No other ca...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.104.5.1616

    authors: Hashimoto H

    更新日期:1993-11-01 00:00:00

  • Physiologic effects and side effects of prostaglandin E1 in the adult respiratory distress syndrome.

    abstract::Because PGE1 previously has been reported to increase survival of patients with ARDS, we evaluated physiologic effects and side effects of PGE1 in a prospective open-label study of patients with ARDS. Seventeen patients with ARDS who did not have significant renal or hepatic dysfunction received PGE1 by continuous cen...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.3.684

    authors: Russell JA,Ronco JJ,Dodek PM

    更新日期:1990-03-01 00:00:00

  • Legionnaires disease and HIV infection.

    abstract:STUDY OBJECTIVES:To compare the outcome of Legionnaires disease (LD) in patients with and without HIV infection. DESIGN:Retrospective review of clinical charts. SETTING:Six hundred-bed university hospital. PATIENTS:We studied the clinical findings of 64 patients without HIV and 15 patients with HIV. Patients with a ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.2.543

    authors: Pedro-Botet ML,Sabrià M,Sopena N,García-Núñez M,Dominguez MJ,Reynaga E,Rey-Joly C

    更新日期:2003-08-01 00:00:00

  • Assessment of usefulness of endobronchial ultrasonography in determination of depth of tracheobronchial tumor invasion.

    abstract:STUDY OBJECTIVE:We assessed the usefulness of endobronchial ultrasonography in the determination of the depth of tumor invasion of the tracheobronchial wall. METHODS:We performed a needle-puncture experiment on normal tissue of 45 specimens to determine the laminar structure of the tracheobronchial wall. In addition, ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.115.6.1500

    authors: Kurimoto N,Murayama M,Yoshioka S,Nishisaka T,Inai K,Dohi K

    更新日期:1999-06-01 00:00:00

  • Endovascular therapy for left main compression syndrome. Case report and literature review.

    abstract::Extrinsic compression of the left main coronary artery (LMCA) can occur in patients with severe pulmonary hypertension and enlarged pulmonary artery trunk. It has been usually described in the setting of congenital defects such as atrial septal defect, ventricular septal defect, and, more rarely, isolated persistent d...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.08-2922

    authors: Caldera AE,Cruz-Gonzalez I,Bezerra HG,Cury RC,Palacios IF,Cockrill BA,Inglessis-Azuaje I

    更新日期:2009-06-01 00:00:00