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

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

更新日期：1978-01-01 00:00:00

abstract：:Echocardiography has proven a useful and sensitive means to determine noninvasively the cardiac dimensions. This report describes the echocardiographic detection of progressive dilatation of the aortic root over an 18-month period, which led to death in a 33-year-old man with Marfan's syndrome; however, at no time was...

journal_title：Chest

authors： Come PC,Bulkley BH,McKusick VA,Fortuin NJ

更新日期：1977-12-01 00:00:00

abstract：:The effect of smoking three cigarettes in rapid succession on maximal and partial expiratory flow rates was studied in ten healthy smokers. The mean decrease in maximal midexpiratory flow and partial midexpiratory and end-expiratory flow was statistically significant. The response was maximal after the first cigarette...

journal_title：Chest

authors： Hamosh P,Taveira Da Silva AM

更新日期：1977-11-01 00:00:00

abstract：:Coronary arteriovenous fistula is an uncommon, although not rare, congenital cardiac malformation, especially in the adult. Most such reported such cases have involved but a single coronary vessel. This report documents the second case of coronary arteriovenous fistulae involving the right and circumflex coronary vess...

journal_title：Chest

authors： Babb JD,Field JM

更新日期：1977-11-01 00:00:00

abstract：:Bilateral tuberculous pneumonia with the syndrome of inappropriate secretion of antidiuretic hormone was the cause of the adult respiratory distress syndrome in an elderly patient. Early recognition and prompt therapy enabled the patient to make a complete recovery without the necessity for mechanical ventilation. Wit...

journal_title：Chest

authors： Sahn SA,Skeff KM

更新日期：1977-11-01 00:00:00

abstract：:Forty-eight children with known asthma (ranging in age from 2 to 16 years) were studied during an acute attack. Each received either terbutaline or epinephrine subcutaneously in a random double-blind fashion. Measurement of heart rate, respiratory rate, and systemic arterial systolic and diastolic blood pressures and ...

journal_title：Chest

authors： Davis WJ,Pang LM,Chernack WJ,Mellins RB

更新日期：1977-11-01 00:00:00

abstract：:A total of 161 patients with chronic obstructive pulmonary disease (COPD) plus 100 control subjects (identified during a study of heart disease in 6,860 Japanese-American men aged 52 to 75 years who were residing in Hawaii) were analyzed for phenotype in search of the antitrypsin gene Z, which has been shown to be ass...

journal_title：Chest

authors： Roberts A,Kagan A,Rhoads GG,Pierce JA,Bruce RM

更新日期：1977-10-01 00:00:00

abstract：:Of 1,599 patients who underwent surgery for direct myocardial revascularization in 1973 at Cleveland Clinic Hospital, 19 patients (1.2 percent) developed primary ventricular fibrillation or ventricular tachycardia during the immediate postoperative period. Occurrence of postoperative ventricular tachyarrhythmias could...

journal_title：Chest

authors： Abedin Z,Soares J,Phillips DF,Sheldon WC

更新日期：1977-10-01 00:00:00

abstract：:We describe a rare case of hydatid cyst in the spleen which communicated to the left pleural cavity. The patient presented with respiratory distress, characterized by nonproductive cough and dyspnea. The difficulties in diagnosis, using standard laboratory and radiologic techniques, were overcome by the use of ultraso...

journal_title：Chest

authors： Barzilai A,Pollack S,Kaftori JK,Sourdry M,Barzilai D

更新日期：1977-10-01 00:00:00

abstract：:We describe a new technique for diagnostic fiberoptic bronchoscopic procedures under general anesthesia. The technique of inflation via nasotracheal catheter, which consists of using intermittent high inflating pressure for ventilation by passing a double catheter through the nose to the glottis and into the trachea, ...

journal_title：Chest

authors： Heifetz M,De Myttenaere S,Lemer J

更新日期：1977-10-01 00:00:00

abstract：:Fenoterol hydrobromide (Berotec; formerly Th 1165a) is a sympathomimetic bronchodilator drug. Twenty subjects with mild to moderate reversible bronchospasm completed a double-blind multiple crossover study of single doses of 5 mg, 7.5 mg, and 10 mg of fenoterol hydrobromide, 24 mg of ephedrine, and placebo. Spirometri...

journal_title：Chest

authors： Steen SN,Smith R,Kuo J,Ziment I,Beall G

更新日期：1977-09-01 00:00:00

abstract：:The integrated electronic display model for teaching bronchoscopic technique has been most helpful in guiding the student-bronchoscopist, especially in the early stages of reorientation in both the procedure for insertion and the practice of identification of the individual segmental orifice. The display board is elec...

journal_title：Chest

authors： Cunanan OS,Mazza JE

更新日期：1977-09-01 00:00:00

abstract：:Forty-seven cases of quadricuspid semilunar valves which were autopsied were reviewed. The ratio of quadricuspid pulmonic valve to quadricuspid aortic valve was 5:1. Among the 35 patients with quadricuspid pulmonic valves, there were ten patients with clinical and pathologic evidence of coexisting congenital cardiac d...

journal_title：Chest

authors： Davia JE,Fenoglio JJ,DeCastro CM,McAllister HA Jr,Cheitlin MD

更新日期：1977-08-01 00:00:00

abstract：:A case of disseminated histoplasmosis followed later by disseminated coccidioidomycosis is described. The clinical illness and immunologic studies suggest subtle defects that may have existed antecedent to infection and, thus, provided an opportunity for widespread dissemination by these normally nonopportunistic orga...

journal_title：Chest

authors： Kaplan P,Graybill JR,Thor D

更新日期：1977-08-01 00:00:00

abstract：:In a double-blind study the fiberoptic bronchoscope was contaminated with five pathogenic organisms, each at a concentration of 10(9) organisms per milliliter. The shaft and inner channel of the bronchoscope were cleansed with five antiseptic regimens. Each regimen included equal 120-ml aliquots of one, two, or three ...

journal_title：Chest

authors： Donaldson JC,Stoop DR,Williams SA

更新日期：1977-07-01 00:00:00

abstract：:A 41-year-old woman with end-stage mitral and aortic stenosis developed the cycle of low cardiac output, peripheral vasoconstriction, increased core temperature, and cardiac decompensation. This was interrupted by core cooling utilizing iced gastric lavage. We propose that her severe hyperthermia was caused or abetted...

journal_title：Chest

authors： Salm TJ,Howe JP,Dalen JE

更新日期：1977-07-01 00:00:00

abstract：:Cardiac dysfunction due to systemic sarcoidosis is most of ten due to severe restrictive pulmonary diseases. Although the diagnosis is frequently missed during life, direct granulomatous infiltration of the myocardium may occur with systemic sarcoidosis and, when present in the heart, is a major cause of death. To exp...

journal_title：Chest

authors： Bulkley BH,Rouleau JR,Whitaker JQ,Strauss HW,Pitt B

更新日期：1977-07-01 00:00:00

abstract：:Previous work has shown that with increasing airway obstruction in chronic obstructive pulmonary disease, the decrement in the maximum midexpiratory flow (MMEF) is exponential. Therefore, with severe obstructive disease the decrease in the MMEF as the disease progresses is difficult to discern. This work points out th...

journal_title：Chest

authors： Sobol BJ,Emirgil C

更新日期：1977-07-01 00:00:00

abstract：:A 30-year-old man with typical findings of the athletic heart syndrome is presented because of the unique feature of intermittent left bundle branch block. Observations during right atrial pacing and exercise support the concept of autonomic control of intraventricular conduction, both adrenergic and cholinergic. ...

journal_title：Chest

authors： Chapman JH

更新日期：1977-06-01 00:00:00

abstract：:The endocrinometabolic effects of the aerosol administration of beclomethasone dipropionate (100 microng four times daily) were evaluated in 20 asthmatic patients (11 corticodependent and nine noncorticodependent) during one month. In the noncorticodependent group, aerosol administration of beclomethasone had no stati...

journal_title：Chest

authors： Yernault JC,Leclercq R,Schandevyl W,Virasoro E,De Coster A,Copinschi G

更新日期：1977-06-01 00:00:00

abstract：:A case of acute tuberculous pneumonia diagnosed by transbronchial biopsy is presented. We postulate that the unusually rapid progression was due to an exudative hypersensitivity reaction to aspirated tuberculoprotein. ...

journal_title：Chest

authors： Septimus EJ,Awe RJ,Greenberg SD,Raleigh JW

更新日期：1977-06-01 00:00:00

abstract：:Recent studies emphasize the importance of heart rate in the genesis of ventricular arrhythmias during myocardial ischemia. The role of alterations in rhythm has not previously been systematically investigated. In 20 dogs subjected to acute myocardial ischemia and crushing of the sinus node, standard electrocardiograp...

journal_title：Chest

authors： Hope RR,Lazzara R,Scherlag BJ

更新日期：1977-05-01 00:00:00

abstract：:A 66-year-old white woman had a paraffin plombage performed in 1940 for tuberculosis. In 1975, she had decortication for terminal respiratory insufficiency, with return to an active life. Thirty-five years of pulmonary compression does not produce irreversible changes in the pulmonary parenchyma. ...

journal_title：Chest

authors： Knudsen DF

更新日期：1977-05-01 00:00:00

abstract：:Sixty-eight patients with tricuspid atresia were seen at Indiana University during the past 30 years. Long term survivors treated without operation emerged from our review. In these, there was a combination of tricuspid atresia and transposition of the great vessels. ...

journal_title：Chest

authors： Shariatzadeh AN,King H,Girod D,Shumacker HB

更新日期：1977-04-01 00:00:00

abstract：:Studies using epicardial mapping on patients with Wolff-Parkinson-White syndrome have demonstrated that the delta vector of the electrocardiogram is a detector of the location of at least one bypass tract. In order to relate the electrical activities (preexcitation) with the mechanical activity (septal and ventricular...

journal_title：Chest

authors： Lebovitz JA,Mandel WJ,Laks MM,Kraus R,Weinstein S

更新日期：1977-04-01 00:00:00

abstract：:The pulmonary status of 178 asymptomatic asthmatic children with normal time-volume spirograms was further evaluated using flow-volume loops, body plethysmographic studies, and blood gas tensions in arterialized capillary blood. Residual volume (RV) was abnormal in 26%, total lung capacity (TLC) in 33%, RV/TLC% in 41%...

journal_title：Chest

authors： Cooper DM,Cutz E,Levison H

更新日期：1977-03-01 00:00:00

abstract：:The literature contains many reports of the echocardiographic findings in left atrial myxoma and clot; however, descriptions of left ventricular thrombus or tumor are rare. We discuss here the echocardiographic findings in a patient with a large apical left ventricular thrombus which was confirmed both angiographicall...

journal_title：Chest

authors： DeJoseph RL,Shiroff RA,Levenson LW,Martin CE,Zelis RF

更新日期：1977-03-01 00:00:00

abstract：:A patient with rheumatic heart disease, mitral stenosis, and mitral insufficiency is described. The thrombosed giant left atrium paralyzed the left vocal cord and completely obstructed the bronchi to the middle and lower lobes of the right lung. The giant left atrium mimicked a mediastinal tumor on the chest x-ray fil...

journal_title：Chest

authors： Rimon D,Cohen L,Rosenfeld J

更新日期：1977-03-01 00:00:00

abstract：:Several reports in the literature and our experience prior to 1974 support the thesis that operative risk in patients with acquired heart disease and poor ventricular function (as assessed by a biplane ejection fraction [EF] less than or equal to 0.40) was very significantly increased over the risk in patients with no...

journal_title：Chest

authors： Tyers GF,Williams DR,Babb JD,Levenson L,Zelis RF,Waldhausen JA

更新日期：1977-03-01 00:00:00

abstract：:Between November, 1965 and June, 1970, 175 patients underwent mitral valve replacement with the Smeloff-Cutter prosthesis (109 patients) or the toroidal valve (66 patients). The early mortality for patients with a toroidal mitral prosthesis was 18.2 percent (12 patients) and the late mortality 34.8 percent (23 patient...

journal_title：Chest

authors： Rees JR,Holswade GR,Carlson RG,Subramanian VA,Murphy TE,Lillehei CW

更新日期：1977-02-01 00:00:00

abstract：:Cardiac and pulmonary disease are so closely interrelated that it is often difficult to determine in young infants which is the primary offender. As illustrated in these case reports, failure to recognize the true nature of the disease process may lead to unnecessary procedures and delays which can be life-threatening...

journal_title：Chest

authors： Moss AJ,McDonald LV

更新日期：1977-02-01 00:00:00

abstract：:Acute bacterial endocarditis developed in a 65-year-old man two years after surgical resection of a false aneurysm of the left ventricle. The patient had cerebral embolic manifestations, and coagulase-positive Staphylococcus aureus was cultured from each of six blood samples. A pericardial friction rub and a changing ...

journal_title：Chest

authors： Pitlik S,Cohen L,Melamed R,Rosenfeld J

更新日期：1977-02-01 00:00:00

abstract：:Cytomegaloviral infection presenting in an immunologically compromised host as a solitary pulmonary nodule has not previously been reported. A patient with a renal transplant and with no pulmonary symptoms was noted to have a single nodule on a chest roentgenogram. At autopsy, this proved to be secondary to cytomegalo...

journal_title：Chest

authors： Ravin CE,Smith GW,Ahern MJ,McLoud T,Putman C,Milchgrub S

更新日期：1977-02-01 00:00:00

abstract：:Immediate responses of hypersensitivity to skin testing with purified derivative of tuberculin (PPD) were observed in 2.3 percent of 3,248 patients seen in an allergy clinic, and the relationship to delayed responses was questioned. Immediate cutaneous reactions to testing with PPD appeared in all age groups and occur...

journal_title：Chest

authors： Tarlo SM,Day JH,Mann P,Day MP

更新日期：1977-01-01 00:00:00

abstract：:Extensive surgery for all of the mechanical complications of ischemic heart disease is feasible with early diagnosis, catheterization, and aggressive medical and surgical therapy. A patient is report who, after recovering from cardiogenic shock, required a coronary bypass, closure of ventricular septal defects, mitral...

journal_title：Chest

authors： Lemole GM,Perez J,Strong MD,McDonough MT

更新日期：1977-01-01 00:00:00

abstract：:Thirteen patients with stable airway disease were fed a diet high in carbohydrates, and 35 minutes later metabolic and ventilatory effects were observed. The six patients who did not retain carbon dioxide increased their mean respiratory quotient from 0.86 +/- 0.07 to 1.03 +/- 0.04, their mean minute ventilation from ...

journal_title：Chest

authors： Gieseke T,Gurushanthaiah G,Glauser FL

更新日期：1977-01-01 00:00:00

abstract：:We present a case of adult acute epiglottitis that was successfully managed by endotracheal intubation without the need for subsequent tracheostomy. ...

journal_title：Chest

authors： Ward CF,Benumof JL,Shapiro HM

更新日期：1977-01-01 00:00:00

abstract：:The determination of effective dynamic and static relationships between pressure and volume aided in the diagnosis of pulmonary disease, its course, and the effects of therapy in 22 patients receiving continuous mechanical ventilation. These measurements were made on multiple occasions early in the course of mechanica...

journal_title：Chest

authors： Bone RC

更新日期：1976-12-01 00:00:00

abstract：:Mucoepidermoid carcinoma of the trachea is rare. Its occurence in a 14-year-old boy is reported here. This case illustrates the typical course of tracheal tumors with clinical manifestations of cough, wheezing, and hemoptysis, the intially reported normal chest roentgenogram, and the common failure to diagnose trachea...

journal_title：Chest

authors： Bharani SN,Arbeit JM,Hyde JS,Dainauskas JR,Wilson RR

更新日期：1976-12-01 00:00:00

abstract：:A 26-year-old man developed coccidioidomycosis which resulted in myocarditis associated with congestive heart failure. A pericardial effusion developed and progressed to constrictive pericarditis. A pericardiectomy was performed and revealed that the pericarditis was due to Coccidioides immitis. The patient was subseq...

journal_title：Chest

authors： Schwartz EL,Waldmann EB,Payne RM,Goldfarb D,Kinard SA

更新日期：1976-11-01 00:00:00