Chest
Clinical InvestigationsBronchial Hyperreactivity in Patients With Moderate Pulmonary Circulation Overload
Section snippets
Study Population
A total of 30 patients underwent complete cardiac catheterization, including biplanar ventriculography, selective coronary angiography, and hemodynamic measurement using standard procedures. Twenty-one patients (3 female, 18 male; age range, 47 to 69 years; mean, 56.2 years) with impaired left ventricular fonction either to secondary coronary artery disease (17 patients) or to dilated cardiomyopathy (4 patients) were included in this study. All patients were in New York Heart Association (NYHA)
RESULTS
The CHF and the control group showed no significant differences in age, body surface, baseline pulmonary function, and former smoking habits. The MVS group had a significant lower body surface, a different sex distribution, and fewer former smokers (Table 1).
There were no differences in right atrial and ventricular pressure in all groups. Mean arterial pulmonary pressure was elevated in the CHF and MVS group. The pulmonary wedge pressure was significantly augmented in the CHF group compared
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Cited by (34)
Frequency and prognostic impact of mid-expiratory flow reduction in stable patients six months after hospitalisation for heart failure with reduced ejection fraction
2017, International Journal of CardiologyCitation Excerpt :In our cohort, patients with CAO exhibited the lowest MEF values. This pattern could either result from primary pulmonary disease like COPD or may be secondary to airway compression by interstitial oedema [35] and increased hyper-reactivity during congestion [7]. Interestingly, in our cohort, CAO was not associated with smoking or higher NT-proBNP levels, while SAO was related to higher NT-proBNP values (Table 2).
Obstructive sleep apnea and asthma: Associations and treatment implications
2014, Sleep Medicine ReviewsCitation Excerpt :Although, unstable neural respiratory drive has been linked to nocturnal asthma, the direct effects of sleep fragmentation on expression of asthma remains to be investigated.79 Hypothetical mechanisms by which sleep fragmentation may worsen asthma control include left ventricular dysfunction, impaired immunological function, and weight gain.80–83 Based on the preceding discussion, it is reasonable to expect an effective therapy for OSA to favorably impact subjective and objective asthma control and vice versa.
Airway obstruction in systolic heart failure - COPD or congestion?
2013, International Journal of CardiologyBronchodilator responsiveness in patients with chronic heart failure
2013, Heart and Lung: Journal of Acute and Critical CareReply to letter to the editor
2013, Heart and Lung: Journal of Acute and Critical CareUtility of cough response during hypertonic histamine challenge in diagnosing asthma
2008, Respiratory MedicineCitation Excerpt :Both direct27 and indirect2,28 inhalation challenge tests have been shown to have limited value in the differential diagnosis of mild and atypical asthma in Finnish outpatient clinic material. This is partly due to the high prevalence of mild to moderate airway hyperresponsiveness which is known to be associated with many common respiratory diseases13,29–31 in the adult population. It is possible that examination of hypertonic histamine challenge induced cough may help to overcome some of the present diagnostic problems.
Manuscript received June 16; revision accepted September 15.