Peak flow lability: association with asthma and spirometry in an older cohort.

Abstract:

OBJECTIVE:To determine the success rate and correlates of ambulatory peak expiratory flow (PEF) monitoring in an epidemiologic study. DESIGN:An observational survey. SETTING:Several communities in California. PARTICIPANTS:We studied 1,223 nonsmoking men and women (mean age, 66 years) from an established cohort. OUTCOME MEASURES:A standard respiratory symptoms and diagnoses questionnaire, spirometry before and after bronchodilator, and a diary of PEF recorded four times per day for 7 days at home. RESULTS:A physician diagnosis of asthma was reported in 8.6% of the women and 9.4% of the men. Of those who agreed to complete PEF diaries at home, 87% successfully provided a valid measure of PEF lability. The mean PEF lability from those with asthma was significantly higher than the others (12.0% vs 8.9% in women and 10.2% vs 8.1% in men). Independent correlates of higher PEF lability included asthma, wheezing symptoms, airways obstruction by spirometry, older age, and male gender. CONCLUSIONS:Middle-aged and elderly persons are largely successful at providing a measure of PEF lability at home. In nonsmoking adults living in California, increased PEF lability is correlated with asthma, wheezing, airways obstruction, and older age, validating its use in epidemiology studies as an index of airways hyperreactivity.

journal_name

Chest

journal_title

Chest

authors

Enright PL,Burchette RJ,Peters JA,Lebowitz MD,McDonnell WF,Abbey DE

doi

10.1378/chest.112.4.895

subject

Has Abstract

pub_date

1997-10-01 00:00:00

pages

895-901

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)47267-8

journal_volume

112

pub_type

杂志文章

相关文献

CHEST文献大全
  • Oropharyngeal Crowding Closely Relates to Aggravation of OSA.

    abstract:BACKGROUND:Obesity is known to be an important risk factor for OSA; however, OSA can also be seen in nonobese patients with a small maxilla and/or mandible as well as in all obese patients with such features. Thus, we hypothesized that regional factors, oropharyngeal crowding associated with fat deposition, and maxillo...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2016.03.005

    authors: Ito E,Tsuiki S,Maeda K,Okajima I,Inoue Y

    更新日期:2016-08-01 00:00:00

  • Noninvasive pressure support ventilation in patients with acute respiratory failure.

    abstract::To further delineate indications for noninvasive pressure support ventilation (NIPSV), we proposed this noninvasive technique as an alternative to endotracheal intubation in 17 consecutive patients with acute respiratory failure from various causes. Eight patients (47 percent) were successfully ventilated with NIPSV, ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.3.907

    authors: Wysocki M,Tric L,Wolff MA,Gertner J,Millet H,Herman B

    更新日期:1993-03-01 00:00:00

  • An unusual presentation of metastatic colon cancer to the lung.

    abstract::A 75-year-old man with a history of resected colon carcinoma presented to his primary care physician because of a new onset of coughing. The patient had expectorated a small piece of solid tissue; pathologic examination of the tissue found it to be consistent with metastatic colon adenocarcinoma. After further work-up...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.1.244

    authors: Zias EA,Owen RP,Borczuk A,Reichel J,Frater RW

    更新日期:1998-01-01 00:00:00

  • Figure-eight kinking of the aorta (pseudocoarctation) coexistent with coarctation.

    abstract::An asymptomatic young man presented with a cardiac murmur and hypertension only in the right arm. Angiograms showed kinking of the aortic arch with a figure-eight appearance consistent with pseudocoarctation. Before the kinked segment, also demonstrated were a stenotic lesion in the aortic arch proximal to the left ca...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.5.1239

    authors: Tsai LM,Fu M,Chang CH,Hung JS

    更新日期:1990-05-01 00:00:00

  • Functional sequelae of tuberculous pleurisy in patients correctly treated.

    abstract:STUDY OBJECTIVES:To assess the functional sequelae (FS) of patients with tuberculous pleurisy (TP), to analyze the influence of different factors in the occurrence of these FS, and, finally, to evaluate the relationship between the FS and roentgenographic sequelae. DESIGN:An observational, retrospective study. SETTIN...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.6.1996

    authors: Candela A,Andujar J,Hernández L,Martín C,Barroso E,Arriero JM,Romero S

    更新日期:2003-06-01 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

  • 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

  • Importance of adequate gas-mixing in contrast echocardiography.

    abstract::Microbubble formation has been accepted as the mechanism producing contrast echoes. Comparisons of the contrast effects of various agents have been studied extensively, but the importance of gas-mixing has been less appreciated. To test the hypothesis that good gas-mixing, by facilitating microbubble formation, would ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.5.723

    authors: Chiang CW,Lin FC,Fu M,Fang BR,Hsu TS,Lee YS

    更新日期:1986-05-01 00:00:00

  • Evaluation of right ventricular performance with a right ventricular ejection fraction thermodilution catheter and MRI in patients with pulmonary hypertension.

    abstract:STUDY OBJECTIVES:We sought to compare catheter studies using a right ventricular ejection fraction (REF) catheter together with echocardiography and MRI in patients with pulmonary hypertension. PATIENTS AND METHODS:We compared hemodynamic findings, echocardiography, and MRI studies in 16 patients with pulmonary hypert...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.120.2.502

    authors: Hoeper MM,Tongers J,Leppert A,Baus S,Maier R,Lotz J

    更新日期:2001-08-01 00:00:00

  • The effect of inflammation on mucociliary clearance in asthma: an overview.

    abstract::Mucociliary clearance (MCC) is one of the most important nonspecific defense mechanisms of the respiratory tract, and its impairment is a well-documented feature of chronic respiratory diseases, including asthma. In vitro and in vivo data suggest that several inflammatory mediators influence the mucociliary apparatus....

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.118.4.1142

    authors: Del Donno M,Bittesnich D,Chetta A,Olivieri D,Lopez-Vidriero MT

    更新日期:2000-10-01 00:00:00

  • Distinct characteristics of pleuroparenchymal fibroelastosis with usual interstitial pneumonia compared with idiopathic pulmonary fibrosis.

    abstract:BACKGROUND:Pleuroparenchymal fibroelastosis (PPFE) is a rare form of interstitial pneumonia and sometimes coexists with a histologic usual interstitial pneumonia (UIP) pattern. This study aimed to describe the distinct clinical features of PPFE with UIP pattern compared with idiopathic pulmonary fibrosis (IPF). METHOD...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-2866

    authors: Oda T,Ogura T,Kitamura H,Hagiwara E,Baba T,Enomoto Y,Iwasawa T,Okudela K,Takemura T,Sakai F,Hasegawa Y

    更新日期:2014-11-01 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

  • Progressive portopulmonary hypertension after liver transplantation treated with epoprostenol.

    abstract::Portopulmonary hypertension (PPHTN) is an uncommon complication of advanced liver disease. Epoprostenol has been effective in the treatment of PPHTN and has been used as a bridge to orthotopic liver transplantation (OLT). The role of OLT in the reversal of PPHTN is unclear. We report a case of severe PPHTN (mean pulmo...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.5.1497

    authors: Rafanan AL,Maurer J,Mehta AC,Schilz R

    更新日期:2000-11-01 00:00:00

  • Cough in Ambulatory Immunocompromised Adults: CHEST Expert Panel Report.

    abstract:BACKGROUND:Cough is a common symptom prompting patients to seek medical care. Like patients in the general population, patients with compromised immune systems also seek care for cough. However, it is unclear whether the causes of cough in immunocompromised patients who are deemed unlikely to have a life-threating cond...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2017.07.039

    authors: Rosen MJ,Ireland B,Narasimhan M,French C,Irwin RS,CHEST Expert Cough Panel.

    更新日期:2017-11-01 00:00:00

  • Influence of deviation from guidelines on the outcome of community-acquired pneumonia.

    abstract:STUDY OBJECTIVE:s: Consensus guidelines for the empirical treatment of community-acquired pneumonia (CAP) have been published. We investigated the following factors: (1) the degree of adherence to American Thoracic Society (ATS) and the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) guidelines; and (2) the...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.122.2.612

    authors: Menéndez R,Ferrando D,Vallés JM,Vallterra J

    更新日期:2002-08-01 00:00:00

  • Lymphocytic alveolitis in a crematorium worker.

    abstract::An asymptomatic cremator was found incidentally to have lymphocytic alveolitis by bronchoalveolar lavage, and the basis for this finding was investigated. No known causes of lymphocyte alveolitis including sarcoidosis, hypersensitivity pneumonitis, berylliosis, tuberculosis, or fungal diseases of the lung were found. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.105.2.617

    authors: Schauble TL,Rich EA

    更新日期:1994-02-01 00:00:00

  • Propranolol-induced urticaria: successful therapy with tolamolol.

    abstract::Urticaria with systemic effects occurred in a patient being treated with propranolol and was reproducible upon rechallenge with the drug; Successful beta-adrenergic blocking therapy was achieved using a new agent, tolamolol, with no evidence of any adverse effects. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.67.4.496

    authors: Seides SF,Ruskin JN,Damato AN

    更新日期:1975-04-01 00:00:00

  • The natural history of radiographically occult bronchogenic squamous cell carcinoma: a retrospective study of overdiagnosis bias.

    abstract:OBJECTIVE:An overdiagnosis bias occurs with the diagnosis of a disease that does not produce signs or symptoms before the patient dies from other causes. We sought to determine whether overdiagnosis bias is a factor when screening for squamous cell carcinoma of the lung. DESIGN:Retrospective study of the Miyagi Popula...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.1.108

    authors: Sato M,Saito Y,Endo C,Sakurada A,Feller-Kopman D,Ernst A,Kondo T

    更新日期:2004-07-01 00:00:00

  • Predictors of short-term rehospitalization following discharge of patients hospitalized with community-acquired pneumonia.

    abstract:BACKGROUND:Among patients hospitalized for community-acquired pneumonia (CAP), the risk factors for short-term hospital readmission after discharge are unknown. METHODS:We conducted a prospective observational study of 1,117 patients who had been discharged alive after hospitalization for CAP. We collected variables a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-2950

    authors: Capelastegui A,España Yandiola PP,Quintana JM,Bilbao A,Diez R,Pascual S,Pulido E,Egurrola M

    更新日期:2009-10-01 00:00:00

  • Successful Healing of Tracheal Radionecrosis: Role of Hyperbaric Oxygen Therapy.

    abstract::Hyperbaric oxygen therapy, the administration of 100% oxygen at pressures > 1 atm, is believed to promote wound healing by increasing angiogenesis and collagen synthesis. To our knowledge, this treatment modality has never been described in patients with tracheal radionecrosis. Here, we report the case of a 55-year-ol...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2016.03.027

    authors: Ariza-Prota M,Morales A,Grajeda J,López-Lisbona R,Cubero N,Dorca J,Rosell A

    更新日期:2016-12-01 00:00:00

  • Effects of inhaled anticholinergic drug on dyspnea and gas exchange during exercise in patients with chronic obstructive pulmonary disease.

    abstract::To elucidate the effect of oxitropium bromide (OTB), an anticholinergic drug, on dyspnea and gas exchange during exercise in patients with chronic obstructive pulmonary disease (COPD), we performed the cycle exercise test on 19 patients with COPD (mean age, 72.0 +/- 1.9 years; mean FEV1, 1.28 +/- 0.07 L) before and af...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.103.6.1774

    authors: Teramoto S,Fukuchi Y,Orimo H

    更新日期:1993-06-01 00:00:00

  • Impact of rapid on-site cytologic evaluation during transbronchial needle aspiration.

    abstract:STUDY OBJECTIVE:To determine the extent to which rapid on-site cytologic evaluation (ROSE) of transbronchial needle aspiration (TBNA) samples can safely and cost-effectively reduce the need for additional biopsy during bronchoscopy. SETTING:University Hospital in Long Island, NY. PATIENT AND METHODS:Forty-four bronch...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.2.869

    authors: Baram D,Garcia RB,Richman PS

    更新日期:2005-08-01 00:00:00

  • Gas exchange in chronic thromboembolism after pulmonary thromboendarterectomy.

    abstract::Thromboendarterectomy is the treatment of choice for chronic large vessel thromboembolic pulmonary hypertension. To identify the mechanisms responsible for the improvement in gas exchange following thromboendarterectomy, we studied nine patients with chronic thromboembolic pulmonary hypertension before and eight to 18...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.1.14

    authors: Kapitan KS,Clausen JL,Moser KM

    更新日期:1990-07-01 00:00:00

  • Survey of asthma practice among emergency physicians.

    abstract:PURPOSE:The National Asthma Education and Prevention Program (NAEPP) published guidelines for asthma management in 1991. The purpose of this study is to assess the concordance between emergency physicians' practice and the guidelines. DESIGN:Survey mailed to emergency physicians. Non-respondents were mailed a second c...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.109.3.708

    authors: Emerman CL,Cydulka RK,Skobeloff E

    更新日期:1996-03-01 00:00:00

  • Immediate operative treatment for massive hemoptysis.

    abstract::A series of 15 patients with life threatening, massive hemoptysis is reported. Thirteen of these patients underwent immediate operative treatment with only three deaths. One died after bronchoscopic identification of the bleeding site while awaiting elective thoracotomy. The other patient left the hospital against med...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.67.2.152

    authors: McCollun WB,Mattox KL,Guinn GA,Beall AC Jr

    更新日期:1975-02-01 00:00:00

  • Subacute rupture of the left ventricular free wall after acute myocardial infarction. Three cases of long-term survival without emergency surgical repair.

    abstract::Rupture of the left ventricular free wall after acute myocardial infarction (AMI) has been regarded as uniformly fatal unless emergency surgical repair is performed. Among 2,862 patients admitted with AMI to our ICU during the last 8 years, 107 patients developed rupture of the left ventricular free wall. Twenty-nine ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.109.2.565

    authors: Blinc A,Noc M,Pohar B,Cernic N,Horvat M

    更新日期:1996-02-01 00:00:00

  • Effects of epoprostenol on right ventricular hypertrophy and dilatation in pulmonary hypertension.

    abstract:OBJECTIVES:To gain more knowledge of changes in main pulmonary artery flow and right ventricular mass and volumes in patients with pulmonary hypertension during epoprostenol therapy. METHODS:Eleven patients (9 women) were evaluated before the start of therapy and every 4 months thereafter. Right and left ventricular v...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.2.572

    authors: Roeleveld RJ,Vonk-Noordegraaf A,Marcus JT,Bronzwaer JG,Marques KM,Postmus PE,Boonstra A

    更新日期:2004-02-01 00:00:00

  • Vegetable ingredients of dusts in textile and nontextile cotton industries.

    abstract::The objective was to determine if garnetting and raw cotton dusts differed in botanical composition. Estimates of dust composition were based on the contents of gross trash in cotton raw materials and the potential of each gross trash component to be converted into less than 10 mum particulate by a laboratory abrasion...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.4_supplement.97s

    authors: Morey PR

    更新日期:1981-04-01 00:00:00

  • Continuous lateral rotational therapy and nosocomial pneumonia.

    abstract::The adverse effects of prolonged immobility are due primarily to gravitational effects on blood flow and ventilation, impairment of the normal mucociliary escalator and possibly an increase in extravascular lung water. However, CLRT theoretically should reverse these abnormalities. The sequence of events that culminat...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验,评审

    doi:10.1378/chest.99.5.1263

    authors: Sahn SA

    更新日期:1991-05-01 00:00:00

  • Quality of life and inflammatory markers in mild asthma.

    abstract:STUDY OBJECTIVES:The aim of this study was to explore the relationship between quality of life and measures of asthma, such as lung function, reversibility to bronchodilation, exhaled nitric oxide (NO), and bronchial responsiveness to direct and indirect stimulus in patients with mild asthma in a primary care setting. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.3.624

    authors: Ehrs PO,Sundblad BM,Larsson K

    更新日期:2006-03-01 00:00:00