Worsening of vasovagal syncope after beta-blocker therapy.

Abstract:

:Head-up tilt test was done in a 27-year-old man with recurrent syncope of unexplained cause. Severe sinus bradycardia and hypotension accompanied by light-headedness, cold sweating, and nausea occurred at 80 degrees head-up position during 4 micrograms/min isoproterenol infusion. Oral propranolol, 160 mg/d, in four divided doses, effectively prevented the above-mentioned abnormal vasovagal reflexes; diltiazem was only partially effective while disopyramide, aminophylline, or atropine was ineffective in preventing the abnormal vasovagal reflexes induced by head-up tilt with isoproterenol infusion. However, the patient experienced ten episodes of syncope in 2 weeks after he was discharged from the hospital on a regimen of atenolol, 50 mg/d. His symptoms ameliorated immediately after discontinuation of atenolol therapy and he became free of severe symptoms while receiving fludrocortisone. Thus, we have documented a patient with worsening of vasovagal syncope after beta-blocker therapy.

journal_name

Chest

journal_title

Chest

authors

Wang CC,Yeh SJ,Wen MS,Lin FC,Wu D

doi

10.1378/chest.106.3.963

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

963-5

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)48205-4

journal_volume

106

pub_type

杂志文章,评审

相关文献

CHEST文献大全
  • Endobronchial Ultrasound: Clinical Uses and Professional Reimbursements.

    abstract::Endobronchial ultrasonography (EBUS) has become an invaluable tool in the diagnosis of patients with a variety of thoracic abnormalities. The majority of EBUS procedures are used to diagnose and stage mediastinal and hilar abnormalities, as well as peripheral pulmonary targets, with a probe-based technology. Nearly 1,...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2016.05.009

    authors: Gildea TR,Nicolacakis K

    更新日期:2016-12-01 00:00:00

  • Prediction of postoperative pulmonary function with the lateral position test. A prospective study.

    abstract::Ten patients undergoing pneumonectomy were evaluated with the lateral position test (LPT) in addition to routine pulmonary function tests (PFTs). On the basis of the percentage of ventilation estimated to be contributed by each lung on LPT, predictions were made for expected values for each patient's post-pneumonectom...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.77.1.24

    authors: Walkup RH,Vossel LF,Griffin JP,Proctor RJ

    更新日期:1980-01-01 00:00:00

  • Eosinophilic Granulomatosis With Polyangiitis: Clinical Predictors of Long-term Asthma Severity.

    abstract:BACKGROUND:The long-term clinical course of asthma in patients with eosinophilic granulomatosis with polyangiitis (EGPA) remains unclear. We aimed to characterize long-term asthma in EGPA and to identify baseline predictors of long-term asthma severity. METHODS:This retrospective cohort study included patients who ful...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.11.045

    authors: Berti A,Cornec D,Casal Moura M,Smyth RJ,Dagna L,Specks U,Keogh KA

    更新日期:2020-05-01 00:00:00

  • Increasing renal blood flow: low-dose dopamine or medium-dose norepinephrine.

    abstract:BACKGROUND AND OBJECTIVES:Many clinicians believe that low-dose dopamine (LDD) [2 micro g/kg/min] increases renal blood flow (RBF) and medium-dose norepinephrine (MD-NE) [0.4 micro g/kg/min] decreases RBF. They also believe that MD-NE might induce mesenteric and/or coronary ischemia. In fact, the effects of these drugs...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.6.2260

    authors: Di Giantomasso D,Morimatsu H,May CN,Bellomo R

    更新日期:2004-06-01 00:00:00

  • Advanced emphysema in African-American and white patients: do differences exist?

    abstract:BACKGROUND:Emphysema is the only smoking-related disease in which white patients have higher prevalence and higher attributable mortality rates than African-American patients. Epidemiologic studies have not addressed, nor explained, the observed racial differences in emphysema. STUDY OBJECTIVES:To determine whether wh...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.130.1.108

    authors: Chatila WM,Hoffman EA,Gaughan J,Robinswood GB,Criner GJ,National Emphysema Treatment Trial Research Group.

    更新日期:2006-07-01 00:00:00

  • Gastric rupture complicating post-extubation laryngeal edema and the use of a manual resuscitation bag.

    abstract::This report describes a patient who developed gastric rupture as a result of post-extubation laryngeal edema and the use of a manual resuscitation bag. The association between oxygen administraton and gastric rupture is reviewed. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.76.3.324

    authors: Eichenhorn MS

    更新日期:1979-09-01 00:00:00

  • Periodic leg movement, nasal CPAP, and expiratory muscles.

    abstract:BACKGROUND:Periodic leg movements (PLMs) may appear during nasal CPAP titration, persisting despite the elimination of hypopneas. METHODS:Systematic recordings of expiratory abdominal muscles on the right and left sides with surface electromyographic (EMG) electrodes lateral to navel, and close from the lateral side o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-1563

    authors: Seo WH,Guilleminault C

    更新日期:2012-07-01 00:00:00

  • Prevalence of physician-diagnosed COPD and its association with smoking among urban and rural residents in regional mainland China.

    abstract:OBJECTIVES:To investigate the prevalence of physician-diagnosed COPD and to explore the relationship between the total amount of cigarettes smoked (TACS) and COPD among urban and rural adults in Nanjing, China. DESIGN:Population-based, cross-sectional study conducted between October 2000 and March 2001. SETTING:Admin...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.4.2818

    authors: Xu F,Yin X,Zhang M,Shen H,Lu L,Xu Y

    更新日期:2005-10-01 00:00:00

  • Plasma Mitochondrial DNA Levels Are Associated With ARDS in Trauma and Sepsis Patients.

    abstract:BACKGROUND:Critically ill patients who develop ARDS have substantial associated morbidity and mortality. Circulating mitochondrial DNA (mtDNA) released during critical illness causes endothelial dysfunction and lung injury in experimental models. This study hypothesized that elevated plasma mtDNA is associated with ARD...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.09.028

    authors: Faust HE,Reilly JP,Anderson BJ,Ittner CAG,Forker CM,Zhang P,Weaver BA,Holena DN,Lanken PN,Christie JD,Meyer NJ,Mangalmurti NS,Shashaty MGS

    更新日期:2020-01-01 00:00:00

  • Nebulized 3% hypertonic saline solution treatment in hospitalized infants with viral bronchiolitis.

    abstract:OBJECTIVE:To determine the utility of inhaled hypertonic saline solution to treat infants hospitalized with viral bronchiolitis. DESIGN:Randomized, double-blind, controlled trial. Fifty-two hospitalized infants (mean +/- SD age, 2.9 +/- 2.1 months) with viral bronchiolitis received either inhalation of epinephrine, 1....

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.123.2.481

    authors: Mandelberg A,Tal G,Witzling M,Someck E,Houri S,Balin A,Priel IE

    更新日期:2003-02-01 00:00:00

  • Electrocardiographic manifestations and clinical significance of atrioventricular nodal alternating Wenckbach periods.

    abstract::Atrioventricular nodal alternating Wenckebach periods were defined as episodes of 2:1 atrioventricular block in which there was a gradual increase in transmission intervals of conducted beats ending in two or three consecutively blocked atrial impulses. This is one of the mechanisms whereby 2:1 atrioventricular block ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.73.1.69

    authors: Castellanos A,Sung RJ,Aldrich JL,Maxwell M,Myerburg RJ

    更新日期:1978-01-01 00:00:00

  • Use of a panel of tumor markers (carcinoembryonic antigen, cancer antigen 125, carbohydrate antigen 15-3, and cytokeratin 19 fragments) in pleural fluid for the differential diagnosis of benign and malignant effusions.

    abstract:STUDY OBJECTIVE:The diagnostic value of tumor markers in pleural fluid is subject to debate. The aim of this study was to evaluate the diagnostic performance of several tumor markers in common use for detecting malignant pleural disease. DESIGN:Blinded comparison of four tumor markers in pleural fluid with a confirmat...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.6.1757

    authors: Porcel JM,Vives M,Esquerda A,Salud A,Pérez B,Rodríguez-Panadero F

    更新日期:2004-12-01 00:00:00

  • Heimlich valve treatment of Pneumocystis carinii-associated pneumothorax.

    abstract::Two patients were treated for AIDS-associated bilateral pneumothoraces which persisted despite prolonged chest tube drainage. Heimlich flutter valves were used to facilitate the outpatient management of these patients. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.1.281

    authors: Driver AG,Peden JG,Adams HG,Rumley RL

    更新日期:1991-07-01 00:00:00

  • Iatrogenic delirium and coma: a "near miss".

    abstract::A 66-year-old woman was cared for at two referral institutions following a witnessed cardiac arrest in a local emergency department. Despite aggressive initial care, she failed to regain consciousness during a 28-day course. Based on an erroneous neurologic diagnosis of anoxic encephalopathy, pessimism regarding likel...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-0471

    authors: Dunn WF,Adams SC,Adams RW

    更新日期:2008-05-01 00:00:00

  • Severity scoring in the critically ill: part 2: maximizing value from outcome prediction scoring systems.

    abstract::Part 2 of this review of ICU scoring systems examines how scoring system data should be used to assess ICU performance. There often are two different consumers of these data: lCU clinicians and quality leaders who seek to identify opportunities to improve quality of care and operational efficiency, and regulators, pay...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.11-0331

    authors: Breslow MJ,Badawi O

    更新日期:2012-02-01 00:00:00

  • Potential future therapies for the management of cough: ACCP evidence-based clinical practice guidelines.

    abstract:BACKGROUND:When the etiology of a patient's chronic cough is established, specific antitussive therapy that is aimed at a particular cause of cough is highly effective. Nevertheless, in certain situations, therapy with cough suppressants, which previously were classified as nonspecific antitussive therapy, and which ai...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.129.1_suppl.284S

    authors: Dicpinigaitis PV

    更新日期:2006-01-01 00:00:00

  • Dose-ranging study of the clinical efficacy of twice-daily triamcinolone acetonide inhalation aerosol in moderately severe asthma.

    abstract:OBJECTIVES:This multicenter, double-blind, placebo-controlled study evaluated the dose response to 6 weeks of triamcinolone acetonide inhalation aerosol (TAA, 100 microg per puff) in patients with moderately severe asthma. STUDY DESIGN:A total of 285 patients were randomly assigned to treatment with 1, 2, 4, or 8 puff...

    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.112.3.597

    authors: Welch MJ,Levy S,Smith JA,Feiss G,Farrar JR

    更新日期:1997-09-01 00:00:00

  • Poor prognosis in patients with rheumatoid arthritis hospitalized for interstitial lung fibrosis.

    abstract::Fifty-seven patients with rheumatoid arthritis (RA) were treated in hospital for diffuse interstitial lung fibrosis. Although interstitial fibrosis (either on the basis of lung function tests or chest roentgenograms or both) is fairly common among patients with RA, according to this study interstitial fibrosis of suff...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.1.114

    authors: Hakala M

    更新日期:1988-01-01 00:00:00

  • High level of interferon gamma in tuberculous pleural effusion.

    abstract::It has been observed that T-lymphocytes of patients with tuberculosis produce interferon gamma (IFN gamma) in vitro. Based on this idea, we studied IFN gamma in pleural fluid and serum. We studied 80 patients with pleural effusion; 30 patients with tuberculous pleurisy had high IFN gamma concentrations in pleural flui...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.2.308

    authors: Ribera E,Ocaña I,Martinez-Vazquez JM,Rossell M,Español T,Ruibal A

    更新日期:1988-02-01 00:00:00

  • Grade of pulmonary right-to-left shunt on contrast echocardiography and cerebral complications: a striking association.

    abstract:BACKGROUND:A pulmonary right-to-left shunt (RLS) carries the risk of cerebral paradoxical embolization and severe neurologic complications. Recognizing patients at risk is important to facilitate appropriate management strategies, but a direct relation between pulmonary shunt size and risk of complications remains cont...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.12-1599

    authors: Velthuis S,Buscarini E,van Gent MWF,Gazzaniga P,Manfredi G,Danesino C,Schonewille WJ,Westermann CJJ,Snijder RJ,Mager JJ,Post MC

    更新日期:2013-08-01 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

  • Sleep apnea syndrome and cerebral hemodynamics.

    abstract::The dynamics of cerebral blood flow velocity (CBFV) during sleep were investigated in the right middle cerebral artery of 10 patients with sleep apnea syndrome (SAS) (mean age, 37 years) and 10 healthy control subjects (mean age, 32 years) throughout the entire sleep period. A computer-assisted pulsed (2 MHz) transcra...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.110.3.670

    authors: Hajak G,Klingelhöfer J,Schulz-Varszegi M,Sander D,Rüther E

    更新日期:1996-09-01 00:00:00

  • Inhaled furosemide is not effective in acute asthma.

    abstract::As previous studies have suggested that inhaled furosemide may have a protective effect against certain types of provocative challenges in asthmatic subjects, we investigated the role of furosemide in treating acute asthma exacerbations. Twenty-four patients (n = 24) with acute asthma were entered into the study on pr...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.106.5.1396

    authors: Karpel JP,Dworkin F,Hager D,Feliciano S,Shapiro D,Posner L,Luks D

    更新日期:1994-11-01 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

  • The acute effects of transvenous biventricular pacing in a patient with congestive heart failure.

    abstract::The management of congestive heart failure remains an issue of great interest. Encouraging data emerged over the last 2 years supporting the use of multisite pacing in patients with severe congestive heart failure and intraventricular conduction delay. We present a case of acute biventricular pacing in a 81-year old m...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.117.6.1798

    authors: Debrunner M,Naegeli B,Bertel O

    更新日期:2000-06-01 00:00:00

  • Diagnosis of lung cancer: pathology of invasive and preinvasive neoplasia.

    abstract::The histopathologic appearance of lung carcinoma remains an important guide to prognosis and treatment. The newly revised World Health Organization classification retains the broadest pathologic categories of the older classification but includes several revisions, including the elimination of the small cell, intermed...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.117.4_suppl_1.80s

    authors: Franklin WA

    更新日期:2000-04-01 00:00:00

  • Massive hemoptysis from a pulmonary artery aneurysm associated with an emphysematous bulla.

    abstract::A 66-year-old man with a history of COPD and Aspergillus fumigatus infection developed massive hemoptysis. Pulmonary artery angiography revealed an aneurysm which was successfully treated with coil embolization. This is the first known report of a pulmonary artery aneurysm causing massive hemoptysis in a patient with ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.4.1130

    authors: Bowler RP,Durham J,Schwarz MI

    更新日期:1998-04-01 00:00:00

  • Comparison of the effects of salmeterol and formoterol in patients with severe asthma.

    abstract:STUDY OBJECTIVE:Several studies have demonstrated the superiority of salmeterol and formoterol to either regular treatment with albuterol or placebo. However, to date there have been no trials comparing the efficacy of salmeterol and formoterol in patients with severe asthma. DESIGN:We undertook a randomized, placebo-...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.121.5.1401

    authors: Nightingale JA,Rogers DF,Barnes PJ

    更新日期:2002-05-01 00:00:00

  • Venous air embolism. Diagnosis by spontaneous right-sided contrast echocardiography.

    abstract::This report describes the definitive diagnosis of venous air-embolism by documentation of spontaneous echo contrast in the right cardiac chambers following removal of a jugular venous catheter in a patient with hepatic failure. This complication was potentiated by the presence of concurrent hepatic coagulopathy which ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.3.784

    authors: Marcus RH,Weinert L,Neumann A,Borow KM,Lang RM

    更新日期:1991-03-01 00:00:00

  • Pulmonary lymphangioleiomyomatosis and cerebrotendinous xanthomatosis: is there a link?

    abstract::A 41-year-old woman had progressive shortness of breath. Cerebrotendinous xanthomatosis was diagnosed 4 years before. An open-lung biopsy showed the simultaneous presence of cerebrotendinous xanthomatosis and pulmonary lymphangioleiomyomatosis. This is perhaps the first time the coincidental occurrence of these two di...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.112.1.273

    authors: Dormans TP,Verrips A,Bulten J,Cox N

    更新日期:1997-07-01 00:00:00