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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 2.

Does Nasal Surgery Improve OSA in Patients with Nasal Obstruction and OSA? A Meta-analysis
Conclusions The pooled results showed that isolated nasal surgery for patients with nasal obstruction and obstructive sleep apnea improved some sleep parameters, as shown by significant improvements in ESS and RDI, but had no significant improvements on AHI. Future controlled studies with larger groups are needed to confirm the benefits of isolated nasal surgery in this patient population. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - September 1, 2015 Category: ENT & OMF Authors: Ishii, L., Roxbury, C., Godoy, A., Ishman, S., Ishii, M. Tags: Review Articles Source Type: research

The Aging Voice: Influence of Respiratory and Laryngeal Changes
Conclusion Age-related respiratory and laryngeal changes have a negative impact on vocal quality, especially when both deficits are present. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - September 1, 2015 Category: ENT & OMF Authors: Vaca, M., Mora, E., Cobeta, I. Tags: Laryngology and Neurolaryngology Source Type: research

Multicenter Evaluation of the Effectiveness of Systemic Propranolol in the Treatment of Airway Hemangiomas
Conclusions This multisite study of AIH treatment with propranolol demonstrates similar effectiveness to surgical treatment modalities. Propranolol therapy for AIH had no complications, had potentially lower resource utilization, and should be considered a first-line AIH treatment. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - September 1, 2015 Category: ENT & OMF Authors: Elluru, R. G., Friess, M. R., Richter, G. T., Grimmer, J. F., Darrow, D. H., Shin, J. J., Perkins, J. A. Tags: Pediatric Otolaryngology Source Type: research

Corrigendum
Ishii L, Roxbury C, Godoy A, Ishman S, Ishii M. Does nasal surgery improve OSA in patients with nasal obstruction and OSA? A meta-analysis. Otolaryngol Head Neck Surg. 2015;153:326-333. (Original DOI: 10.1177/0194599815594374) In the above-mentioned systematic review, patients who underwent sinus surgery were not included. The last sentence of the introduction should read as follows: This systematic review was undertaken to evaluate whether isolated nasal surgery, including septoplasty, nasal valve reconstruction, and turbinate reduction in patients with OSA and nasal obstruction, as compared with no surgery in patients wi...
Source: Otolaryngology - Head and Neck Surgery - September 1, 2015 Category: ENT & OMF Tags: Information and Announcements Source Type: research

Daily Zinc but Not Multivitamin Supplementation Reduces Diarrhea and Upper Respiratory Infections in Tanzanian Infants: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial [Community and International Nutrition]
Conclusions: Daily zinc supplementation of Tanzanian infants beginning at the age of 6 wk may lower the burden of diarrhea and acute upper respiratory infections, but provision of MVs using the regimen in this trial did not confer additional benefit. This trial was registered at clinicaltrials.gov as NCT00421668. (Source: Journal of Nutrition)
Source: Journal of Nutrition - September 1, 2015 Category: Nutrition Authors: McDonald, C. M., Manji, K. P., Kisenge, R., Aboud, S., Spiegelman, D., Fawzi, W. W., Duggan, C. P. Tags: Community and International Nutrition Source Type: research

The implication of pro-inflammatory cytokines in the impaired production of gonadal androgens by patients with pulmonary tuberculosis
The chronic nature of tuberculosis and the protracted immuno-inflammatory reactions are implied in a series of metabolic and immune-endocrine changes accompanying the disease. We explored components from the hypothalamous-pituitary-gonadal axis and their relationship with cytokines involved in disease immunopathology, in male TB patients. (Source: Tuberculosis)
Source: Tuberculosis - September 1, 2015 Category: Respiratory Medicine Authors: Isabel Bini Estela, Luciano D´Attilio, Brenda Marquina-Castillo, Dulce Mata-Espinoza, Ariana Díaz, Ricardo Marquez-Velasco, Armando Gamboa-Domínguez, Luisa Bay Maria, Rogelio Hernández- Pando, Oscar Bottasso Tags: Immunological Aspects Source Type: research

Profile of interferon-gamma response to latency-associated and novel expressed antigens in a cohort of subjects recently exposed to
Recently some latency-associated antigens (LAA) of Mycobacterium tuberculosis were described, as Rv2029c, Rv2031c, Rv2034, Rv2628 and Rv3353c. Of which, the Rv2034 and Rv3353c also demonstrated in vivo expression. Therefore evaluating the immune response to these antigens may help to understand their role in latent TB infection. In a 1-year longitudinal study, IFN-γ response by in vitro peripheral blood mononuclear cells stimulation with LAA was investigated in subjects recently exposed to TB, classified by IFN-γ release assay (IGRA) using RD1 antigens (ESAT-6:CFP-10) and tuberculin skin test (TST) response. (Source: Tuberculosis)
Source: Tuberculosis - September 1, 2015 Category: Respiratory Medicine Authors: Leonardo Silva de Araujo, Nidai de Bárbara Moreira da Silva, Renan Jeremias da Silva, Janaina Aparecida Medeiros Leung, Fernanda Carvalho Queiroz Mello, Maria Helena Féres Saad Tags: Immunological Aspects Source Type: research

Issue Information
(Source: Respirology Case Reports)
Source: Respirology Case Reports - September 1, 2015 Category: Respiratory Medicine Tags: Issue Information Source Type: research

Performance of the Automated Neuropsychological Assessment Metrics (ANAM) in detecting cognitive impairment in heart failure patients
Conclusions The ANAM is more effective than the MMSE for detecting CI, but further research is needed to develop a more optimal cognitive screen for routine use in HF patients. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - September 1, 2015 Category: Respiratory Medicine Source Type: research

Quality of care and resource use among mechanically ventilated patients before and after an intervention to assist nurse-nonvocal patient communication
Conclusions SPEACS improved ICU nurses' knowledge, satisfaction and comfort in communicating with nonvocal MV patients but did not impact patient care quality or resource use. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - September 1, 2015 Category: Respiratory Medicine Source Type: research

Impact of Volume Guarantee on High-Frequency Oscillatory Ventilation in Preterm Infants: A Randomized Crossover Clinical Trial
Conclusion: This is the first prospective, randomized, short-term crossover clinical study that compared HFOV with and without VG in infants with acute RDS. Because of the lower VThf fluctuation and lower incidences of out-of-target PCO2 levels, HFOV combined with VG seems to be feasible for preterm infants. However, the results should be interpreted with caution due to the small sample size and short-term crossover design of the study.Neonatology 2015;108:277-282 (Source: Neonatology)
Source: Neonatology - August 31, 2015 Category: Perinatology & Neonatology Source Type: research

Bacterial exploitation of phosphorylcholine mimicry suppresses inflammation to promote airway infection
Regulation of neutrophil activity is critical for immune evasion among extracellular pathogens, yet the mechanisms by which many bacteria disrupt phagocyte function remain unclear. Here, we have shown that the respiratory pathogen Streptococcus pneumoniae disables neutrophils by exploiting molecular mimicry to degrade platelet-activating factor (PAF), a host-derived inflammatory phospholipid. Using mass spectrometry and murine upper airway infection models, we demonstrated that phosphorylcholine (ChoP) moieties that are shared by PAF and the bacterial cell wall allow S. pneumoniae to leverage a ChoP-remodeling enzyme (Pce)...
Source: Journal of Clinical Investigation - August 31, 2015 Category: Biomedical Science Authors: Christopher B. Hergott, Aoife M. Roche, Nikhil A. Naidu, Clementina Mesaros, Ian A. Blair, Jeffrey N. Weiser Source Type: research

A Thoracic Mass Discovered at Abdominal Imaging
Solitary fibrous tumor of the pleura (SFTP) is a rare primary pleural neoplasm arising from the submesothelial mesenchymal cell layer just beneath the mesothelial lining of the pleura. SFTPs consist of spindle cells embedded within variable amounts of connective tissue, typically staining positive for vimentin and antibodies to CD34. SFTPs are often attached to pleural surfaces through a pedicle. Histopathologic criteria for malignancy include high mitotic counts (>4 mitoses per 10 high-power fields), pleomorphism, hypercellularity, tumor giant cells, necrosis, and hemorrhage. Chest radiography in patients with SFTP shows ...
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Images in Pulmonary Medicine Source Type: research

Protein Repair: Cusp of a New Era in Cystic Fibrosis
Cystic fibrosis (CF) is a genetic disease caused by a variety of mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene, which leads to either an absent or a dysfunctional CFTR protein. The specific mechanism of protein dysfunction is dependent on the specific underlying mutation, but can be broadly defined into 5 functional classes. Recent advances in CF therapeutics have focused on the development of drugs targeting the underlying CFTR protein defect to treat the disease (CFTR modulators). In particular, ivacaftor has successfully shown improvements in a subset of CF patients on a variety of cli...
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Topics in Pulmonary Medicine Source Type: research

Myths and Legends: Vitamin K Antagonists Have a Better Safety Profile Than Direct Oral Anticoagulants in Patients Undergoing Bronchoscopic Procedures
Diagnostic bronchoscopy for obtaining tissue samples is a commonly performed procedure and is an extremely useful diagnostic tool for malignant and benign conditions. A significant proportion of patients who undergo these procedures are anticoagulated for conditions including atrial fibrillation, pulmonary embolism, and deep-vein thrombosis. With new classes of oral anticoagulants being prescribed more frequently, it is important that bronchoscopists are comfortable in the management of direct oral anticoagulants in the perioperative period. (Source: Clinical Pulmonary Medicine)
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Clinical Myths & Evidence-based Medicine Source Type: research

Exercise Intolerance in Pulmonary Hypertension
Synopsis: Exercise intolerance and blunted cardiac output response to exercise in pulmonary hypertension is related to an impaired right ventricular exertional contractile reserve. Source: Spruijt OA, Man FS, Groepenhoff H, et al. The effects of exercise on right ventricular contractility and right ventricular-arterial coupling in pulmonary hypertension. Am J Respir Crit Care Med. 2015; 191:1050-1057. (Source: Clinical Pulmonary Medicine)
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Pulmonary Trends Source Type: research

High-flow Nasal Cannula May Save Lives in Acute Hypoxemic Respiratory Failure
Synopsis: In patients with acute hypoxemic respiratory failure without an underlying lung disease, the use of high-flow nasal cannula did not lead to lower intubation rates at 28 days compared with standard oxygen therapy or noninvasive positive-pressure ventilation. However, there was evidence of reduced in-ICU and 90-day mortality. Source: Frat J-P, Thille AW, Mercat A, et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med. Doi: 10.1056/NEJMoa1503326 (Source: Clinical Pulmonary Medicine)
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Pulmonary Trends Source Type: research

Current Pharmacological Treatment of Pulmonary Aspergillosis
Invasive aspergillosis (IA) is a severe condition with high mortality rates that typically occurs among immunocompromised patients, mostly those affected by hematological malignancies. In the past few years, an increasing number of cases have been reported among patients without classic risk factors. Although the current guidelines report voriconazole as the first-line therapy for IA, the increase in the rates of Aspergillus fumigatus resistant to azoles represents an emerging problem and requires the introduction of new therapeutic options. For these reasons, alternative antifungal therapies may be used in selected scenar...
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Respiratory Infections Source Type: research

Corticosteroids in the Critically Ill Patient: Benefits and Risks for Hospital-acquired Pneumonia/Ventilator-associated Pneumonia
Corticosteroids are among the most commonly prescribed medications. Because of their wide use and vast influence on various aspects of homeostasis, it is not surprising that steroids may be beneficial in some clinical scenarios and deleterious in others. The interplay between nosocomial pneumonias and steroids represents one of the most remarkable intersections between a drug and a disease. Corticosteroids may influence the risk of a hospitalized patient developing pneumonia, but they may ultimately be necessary if a patient develops catecholamine-resistant septic shock or if overt bronchospasm is present. In addition, pro...
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Critical Care/Respiratory Care Source Type: research

Decreasing Failure-to-rescue Events in the Era of Rapid Response Systems
In-hospital medical emergencies including in-hospital cardiac arrests, unplanned ICU admissions, and unexpected deaths occur frequently and represent, in many of the cases, failure of the health care system to recognize and respond promptly to signs of deterioration. Rapid response systems are an intervention for this problem, but benefits remain uncertain. In this review, we discuss the epidemiology of in-hospital medical emergencies, the different components of the response system, and potential improvements to decrease failure-to-rescue events. (Source: Clinical Pulmonary Medicine)
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Clinical Practice Management Source Type: research

Pulmonary Complications After Hematopoietic Stem Cell Transplantation
This report provides an updated review on the pulmonary complications after HSCT, including their incidence, clinical presentation, diagnosis, and management. It also provides an overview of the diagnostic approach to these complications. (Source: Clinical Pulmonary Medicine)
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Colleagues in Respiratory Medicine Source Type: research

A Review of Lung Transplantation for Patients With α-1 Antitrypsin Deficiency
α-1 antitrypsin deficiency (AATD) is an autosomal codominant condition that predisposes one to emphysema because of the lack of proteolytic defense in the lung. Emphysema leading to respiratory failure is the most common cause of death in AATD, and AATD is currently the fourth most common indication for lung transplantation (LT) in the United States. Although the intraoperative management of LT for AATD resembles that of usual (AAT replete) chronic obstructive pulmonary disease, several special circumstances regard the selection, pretransplant and posttransplant management, and outcomes after LT in AATD. The current revie...
Source: Clinical Pulmonary Medicine - August 31, 2015 Category: Respiratory Medicine Tags: Obstructive Airways Disease Source Type: research

Comparison of Two Different Intranasal Doses of Dexmedetomidine in Children for Magnetic Resonance Imaging Sedation
Conclusions Based on lower rescue anaesthetic requirements, sufficient sedation and parental separation scores in Group 2, intranasal dexmedetomidine 4 µg kg−1 was more efficient than intranasal dexmedetomidine 3 µg kg−1. The intranasal route may be an alternative noninvasive route to apply drugs for MRI sedation in paediatric patients. Trial registration ClinicalTrials.gov: NCT02299232. (Source: Pediatric Drugs)
Source: Pediatric Drugs - August 31, 2015 Category: Pediatrics Source Type: research

Middle East Respiratory Syndrome in 3 Persons, South Korea, 2015
J. Yang et al. (Source: Emerging Infectious Diseases Journal)
Source: Emerging Infectious Diseases Journal - August 31, 2015 Category: Infectious Diseases Source Type: research

Characterisation of dry powder inhaler formulations using atomic force microscopy
Publication date: 15 October 2015 Source:International Journal of Pharmaceutics, Volume 494, Issue 1 Author(s): Cordula Weiss, Peter McLoughlin, Helen Cathcart Inhalation formulations are a popular way of treating the symptoms of respiratory diseases. The active pharmaceutical ingredient (API) is delivered directly to the site of action within the deep lung using an inhalation device such as the dry powder inhaler (DPI). The performance of the formulation and the efficiency of the treatment depend on a number of factors including the forces acting between the components. In DPI formulations these forces are dominated ...
Source: International Journal of Pharmaceutics - August 31, 2015 Category: Drugs & Pharmacology Source Type: research

Preparing for respiratory disease outbreaks
Publication date: September 2015 Source:AORN Journal, Volume 102, Issue 3 (Source: AORN Journal)
Source: AORN Journal - August 31, 2015 Category: Nursing Source Type: research

Myocardial edema in Takotsubo syndrome mimicking apical hypertrophic cardiomyopathy: An insight into diagnosis by cardiovascular magnetic resonance
We report a middle aged man who presented with typical clinical and echocardiographic features of apical variant of Takotsubo syndrome. However, a cardiovascular magnetic resonance study performed 10 days after presentation did not show any apical ‘ballooning’ but revealed features of an apical hypertrophic cardiomyopathy on cine images. Tissue characterization with T2 weighted images proved severe edema as the cause of significantly increased apical wall thickness. A follow-up cardiovascular magnetic resonance study was performed 5 months later which showed that edema, wall thickening and the appearance of apical hype...
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Caregiver coaching program effect: Reducing heart failure patient rehospitalizations and improving caregiver outcomes among African Americans
Conclusions The FamHFcare intervention was associated with fewer HF patient rehospitalizations and improved caregiver outcomes. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Response to letter to the editor “High prevalence of Takotsubo syndrome in patients admitted to the Medical Intensive Care Unit with non-cardiac illnesses” by John E. Madias, MD
Publication date: Available online 12 August 2015 Source:Heart & Lung: The Journal of Acute and Critical Care Author(s): Hyun Suk Yang, Mina Hur (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Case report of an acute foreign object airway obstruction resolved by back blows alone
Publication date: Available online 8 August 2015 Source:Heart & Lung: The Journal of Acute and Critical Care Author(s): Richard N. Bradley, Jonathan L. Epstein, Peg M. Christiansen (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

New heart failure treatment and nursing care
Publication date: Available online 1 August 2015 Source:Heart & Lung: The Journal of Acute and Critical Care Author(s): Marilyn A. Prasun (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

High prevalence of Takotsubo syndrome in patients admitted to the Medical Intensive Care Unit with mon-cardiac illnesses
Publication date: Available online 30 July 2015 Source:Heart & Lung: The Journal of Acute and Critical Care Author(s): John E. Madias (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

The influence of music during mechanical ventilation and weaning from mechanical ventilation: A review
Publication date: Available online 27 July 2015 Source:Heart & Lung: The Journal of Acute and Critical Care Author(s): Breanna Hetland, Ruth Lindquist, Linda L. Chlan Mechanical ventilation (MV) causes many distressing symptoms. Weaning, the gradual decrease in ventilator assistance leading to termination of MV, increases respiratory effort, which may exacerbate symptoms and prolong MV. Music, a non-pharmacological intervention without side effects may benefit patients during weaning from mechanical ventilatory support. A narrative review of OVID Medline, PsychINFO, and CINAHL databases was conducted to examin...
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Decreasing sedentary behavior by 30 minutes per day reduces cardiovascular disease risk factors in rural Americans
Publication date: Available online 27 July 2015 Source:Heart & Lung: The Journal of Acute and Critical Care Author(s): Zyad T. Saleh, Terry A. Lennie, Gia Mudd-Martin, Alison L. Bailey, Michael J. Novak, Martha Biddle, Amani A. Khalil, Muhammad Darawad, Debra K. Moser Regular physical activity has been associated with reduced cardiovascular disease (CVD) risk factors; however, a decrease in the amount of time spent during the remainder of the day in sedentary behavior may be equally important. The aim of this study was to examine the effects of a decrease in sedentary behavior on CVD risk factors among 2...
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Reply to “Iatrogenic pneumothorax: What can we do?”
Publication date: Available online 27 July 2015 Source:Heart & Lung: The Journal of Acute and Critical Care Author(s): Paulo Sérgio Lucas da Silva, Vânia Euzébio de Aguiar, Marcelo Cunio Machado Fonseca (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

The outcome of acute respiratory distress syndrome in relation to body mass index and diabetes mellitus
Conclusions The short term mortality in patients with ARDS is not affected by BMI or the presence of DM. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Clinician response time for positive blood culture results in a pediatric ICU
Conclusions We demonstrated a delay from clinician notification of positive culture to new antibiotic administration. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Physicians' perceptions of the Thrombolysis in Myocardial Infarction (TIMI) risk score in older adults with acute myocardial infarction
Conclusions Physicians report that the TIMI models, while widely used in clinical practice, have limitations when applied to older adults. New risk models are needed to guide AMI treatment in this population. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Left ventricular pseudoaneurysm as a fatal complication of purulent pericarditis
We report a case of a 48-year-old man with purulent pericarditis by Streptococcus viridans, despite aggressive treatment with antibiotics and partial pericardiectomy was complicated by left ventricle pseudo-aneurysm resulting in a fatal outcome. The case highlights the course of complicated purulent pericarditis and the use of noninvasive imaging for assessing early signs of pseudoaneurysm and its typical progression. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Pulmonary artery dissection in a patient with undiagnosed pulmonary hypertension – A case report and review of literature
We describe a patient with undiagnosed primary pulmonary hypertension suffering from pulmonary artery dissection that subsequently underwent surgical repair and in addition review the current literature on this topic. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

The effectiveness of tight glycemic control on decreasing surgical site infections and readmission rates in adult patients with diabetes undergoing cardiac surgery: A systematic review
Conclusions Maintaining blood glucose levels ≤ 200 mg/dL with a continuous insulin infusion in all stages of the perioperative period in cardiac surgery patients with diabetes can reduce the incidence of surgical site infections. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Reversal of diffuse patchy pattern in lung perfusion scan in a case of severe pulmonary arterial hypertension
Publication date: Available online 29 June 2015 Source:Heart & Lung: The Journal of Acute and Critical Care Author(s): Yoshihiko Kodama, Kohtaro Abe, Kazuya Hosokawa, Kisho Ohtani, Michinobu Nagao, Yoshitaka Hirooka, Kenji Sunagawa A diffuse patchy pattern in the perfusion scan of the lung is a hallmark of severe pulmonary arterial hypertension (PAH). However, the mechanisms of this unique pattern remain uncertain. We here present the case of a 19-year-old woman with severe PAH who demonstrated reversal of the diffuse patchy pattern with improvement of pulmonary blood flow within a month after upfront trip...
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research

Symptom clusters in patients presenting to the emergency department with possible acute coronary syndrome differ by sex, age, and discharge diagnosis
Conclusions Further research is needed to determine the value of symptom clusters in the ED triage and management of suspected ACS. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - August 31, 2015 Category: Respiratory Medicine Source Type: research