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4782. Pulmonary Arterial Histologic Lesions in Patients With COPD With Severe Pulmonary Hypertension.
作者: Vincent Bunel.;Alice Guyard.;Gaëlle Dauriat.;Claire Danel.;David Montani.;Clément Gauvain.;Gabriel Thabut.;Marc Humbert.;Yves Castier.;Peter Dorfmüller.;Hervé Mal.
来源: Chest. 2019年156卷1期33-44页
The development of pulmonary hypertension (PH) during the course of COPD is a well-known phenomenon, with the prevalence depending on the severity of airway obstruction. When mean pulmonary pressure (mPAP) level at rest is ≥ 35 mm Hg or ≥ 25 mm Hg with low cardiac index, the term severe PH is used. For these patients, little is known on the underlying histologic lesions. Our objective was to describe these lesions.
4783. Sleep Patterns and Obesity: Hispanic Community Health Study/Study of Latinos Sueño Ancillar Study.
作者: José S Loredo.;Jia Weng.;Alberto R Ramos.;Daniela Sotres-Alvarez.;Guido Simonelli.;Gregory A Talavera.;Sanjay R Patel.
来源: Chest. 2019年156卷2期348-356页
The relationship of poor sleep patterns to the increased risk of obesity has been reported, but the results are variable. This study evaluated the association between objectively measured sleep patterns and obesity in a representative adult population of Hispanic/Latino subjects living in the United States.
4784. A 35-Year-Old Woman With Shock, Pulseless Electrical Activity Arrest, and Hemodynamic Collapse.
A 35-year-old woman presented with 2 days of nausea, abdominal pain, and fatigue. On the day of presentation, her abdominal pain worsened, she developed progressive somnolence, and had several bouts of nonbloody, nonbilious emesis. She denied prior headache, rashes, and toxic or illicit ingestions. The patient had a medical history of diabetes mellitus type 2, hyperlipidemia, and mild cognitive delay (highly functional, maintaining a job, home, and medication responsibilities). She reported taking only simvastatin and short-acting insulin. She had an unknown adverse reaction to metformin. She was a nonsmoker and denied history of drug and alcohol use.
4785. A 54-Year-Old Man Presenting With Progressive Dyspnea and Interstitial Lung Abnormalities.
A 54-year-old man presented with a 6-month history of progressive dyspnea occurring at rest and with minimal exertion. His medical history was notable for hypertension, non-insulin-dependent diabetes, coronary artery disease, and factor V Leiden heterozygosity. His social history was notable for a 43-pack-year smoking history but was otherwise unremarkable.
4786. A 44-Year-Old Man With Nonproductive Cough and Sensation of Heaviness Over the Upper Chest.
作者: Irfan Ismail Ayub.;Hariprasad Balakrishnan.;Abdul Majeed Arshad.;Natraj Manimaran.;Dhanasekar Thangaswamy.;Chandrasekar Chockalingam.
来源: Chest. 2019年155卷3期e65-e68页 4795. Epidemiology and Predictors of 30-Day Readmission in Patients With Sepsis.
作者: Shruti K Gadre.;Mahek Shah.;Eduardo Mireles-Cabodevila.;Brijesh Patel.;Abhijit Duggal.
来源: Chest. 2019年155卷3期483-490页
Patients with sepsis are particularly vulnerable to readmissions. We describe the associated etiology and risk factors for readmission in patients with sepsis using a large administrative database inclusive of patients of all ages and insurance status.
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