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Syncope in an Otherwise Healthy 74-Year-Old Woman. 一名原本健康的 74 岁妇女出现晕厥。
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.03.043
Zein Kattih,Mateus Fernandes,Miguel A Alvarez Villela,Stephen Machnicki,Erica Altschul
{"title":"Syncope in an Otherwise Healthy 74-Year-Old Woman.","authors":"Zein Kattih,Mateus Fernandes,Miguel A Alvarez Villela,Stephen Machnicki,Erica Altschul","doi":"10.1016/j.chest.2024.03.043","DOIUrl":"https://doi.org/10.1016/j.chest.2024.03.043","url":null,"abstract":"A 74-year-old woman with a history of hypertension and peripheral artery disease and a reported diagnosis of sarcoidosis presents for an episode of syncope and shortness of breath. She had a history of sarcoidosis diagnosed on chest radiography that showed lymphadenopathy. There were no associated symptoms, and she was not previously treated for sarcoidosis. She previously smoked and had quit smoking 9 years earlier.","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A 70-Year-Old Man With an Encapsulated Mediastinal Fluid Collection. 一名 70 岁男子的包裹性纵隔积液。
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.04.017
Guoqing Zhang,Jindong Li,Xiangnan Li
{"title":"A 70-Year-Old Man With an Encapsulated Mediastinal Fluid Collection.","authors":"Guoqing Zhang,Jindong Li,Xiangnan Li","doi":"10.1016/j.chest.2024.04.017","DOIUrl":"https://doi.org/10.1016/j.chest.2024.04.017","url":null,"abstract":"A 70-year-old man was diagnosed with mid-thoracic esophageal squamous cell carcinoma (distance from incisors, 27-30 cm) because of progressive dysphagia and underwent thoracic laparoscopic esophagectomy at a local hospital. He was transferred from the ICU 4 days after surgery; however, a large amount of purulent fluid exuded from the neck incision after oral drinking, which was consistent with cervical anastomotic leakage. Later, the patient experienced difficulty breathing and expelling sputum; he was then transferred back to the ICU for treatment. A CT scan showed massive fluid collection in the mediastinum and left pleural cavity. Thoracentesis yielded yellowish fluid, and the patient's general condition gradually improved after placement of a closed chest drainage system. The patient's cervical anastomotic fistula persisted and did not heal, and he was subsequently transferred to our medical center with the closed chest drainage system left in place.","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk Stratification in Pulmonary Hypertension: We Need to "GoDeeper"! 肺动脉高压的风险分层：我们需要 "更深入"！
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.05.020
Charles Fauvel,Mardi Gomberg-Maitland,Raymond L Benza
{"title":"Risk Stratification in Pulmonary Hypertension: We Need to \"GoDeeper\"!","authors":"Charles Fauvel,Mardi Gomberg-Maitland,Raymond L Benza","doi":"10.1016/j.chest.2024.05.020","DOIUrl":"https://doi.org/10.1016/j.chest.2024.05.020","url":null,"abstract":"","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142202335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Death and the Inescapability of Value Judgments. 死亡与价值判断的不可避免性。
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.04.033
Christos Lazaridis,Piotr G Nowak,John P Lizza
{"title":"Death and the Inescapability of Value Judgments.","authors":"Christos Lazaridis,Piotr G Nowak,John P Lizza","doi":"10.1016/j.chest.2024.04.033","DOIUrl":"https://doi.org/10.1016/j.chest.2024.04.033","url":null,"abstract":"","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multi-Cancer and Single-Cancer Early Detection Testing: Opportunities and Challenges. 多癌和单癌早期检测试验：机遇与挑战。
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.03.044
Julie A Barta,Peter J Mazzone,Viswam S Nair
{"title":"Multi-Cancer and Single-Cancer Early Detection Testing: Opportunities and Challenges.","authors":"Julie A Barta,Peter J Mazzone,Viswam S Nair","doi":"10.1016/j.chest.2024.03.044","DOIUrl":"https://doi.org/10.1016/j.chest.2024.03.044","url":null,"abstract":"","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142202459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chylothorax in a Young Woman With Crohn Disease. 一名患有克罗恩病的年轻女性的乳糜胸。
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.04.030
Daniel Ryan Brophy,Jeffrey Graham,Scott K Aberegg
{"title":"Chylothorax in a Young Woman With Crohn Disease.","authors":"Daniel Ryan Brophy,Jeffrey Graham,Scott K Aberegg","doi":"10.1016/j.chest.2024.04.030","DOIUrl":"https://doi.org/10.1016/j.chest.2024.04.030","url":null,"abstract":"Chylothorax, which accounts for 1% to 3% of pleural effusions, typically results from either surgery (traumatic) or underlying malignancy (nontraumatic). Less common causes of nontraumatic chylothorax are numerous and include congenital lymphatic abnormalities, connective tissue diseases, cirrhosis, and infection, among others.1 We describe what appears to be the first reported case of chylothorax caused by chylous ascites in Crohn disease. This case highlights the importance of using diagnostic evidence to link new symptoms to preexisting diseases whenever possible, as well as the systemic nature of Crohn disease.","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A 76-Year-Old-Man With Dyspnea and Abnormal Oximetry Run. 一位 76 岁的老人呼吸困难，血氧饱和度异常。
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.05.001
Veronica Williams,Franck F Rahaghi,Ian R Drexler,Lewjain Sakr
{"title":"A 76-Year-Old-Man With Dyspnea and Abnormal Oximetry Run.","authors":"Veronica Williams,Franck F Rahaghi,Ian R Drexler,Lewjain Sakr","doi":"10.1016/j.chest.2024.05.001","DOIUrl":"https://doi.org/10.1016/j.chest.2024.05.001","url":null,"abstract":"A 76-year-old male Vietnam veteran with a medical history of OSA on CPAP, mild COPD, Parsonage-Turner syndrome (a rare neurologic syndrome manifesting with shoulder and arm pain), hypertension, gastroesophageal reflux, hiatal hernia, and prior endocarditis presented with 1 year duration progressive exertional dyspnea with minimal activity by referral from an outside pulmonologist. The patient reported possible exposure to Agent Orange during his service but was otherwise without significant occupational or environmental exposures. His exercise tolerance was well-maintained up until the last 12 months. Aside from marginal cigarette use, he denied any recreational drug use or any anorectic use. The patient provided records from a recent right heart catheterization (RHC) months earlier for review.","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Relative Value Units" Belie Real Value. "相对价值单位 "掩盖了真实价值。
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.04.009
Rana Lee Adawi Awdish,Leonard L Berry,Gabriel T Bosslet
{"title":"\"Relative Value Units\" Belie Real Value.","authors":"Rana Lee Adawi Awdish,Leonard L Berry,Gabriel T Bosslet","doi":"10.1016/j.chest.2024.04.009","DOIUrl":"https://doi.org/10.1016/j.chest.2024.04.009","url":null,"abstract":"","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of Supplemental Oxygen in Intermediate Risk Pulmonary Embolism. 补充氧气在中危肺栓塞中的作用
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.04.015
Ajay Kumar Jha
{"title":"Role of Supplemental Oxygen in Intermediate Risk Pulmonary Embolism.","authors":"Ajay Kumar Jha","doi":"10.1016/j.chest.2024.04.015","DOIUrl":"https://doi.org/10.1016/j.chest.2024.04.015","url":null,"abstract":"","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative Subgroup Analysis in Qualitative Interview Studies: Does Sample Size Matter? 定性访谈研究中的分组比较分析：样本量重要吗？
IF 9.6 1区 医学
Chest Pub Date : 2024-09-01 DOI: 10.1016/j.chest.2024.05.016
Valerie Chepp
{"title":"Comparative Subgroup Analysis in Qualitative Interview Studies: Does Sample Size Matter?","authors":"Valerie Chepp","doi":"10.1016/j.chest.2024.05.016","DOIUrl":"https://doi.org/10.1016/j.chest.2024.05.016","url":null,"abstract":"","PeriodicalId":9782,"journal":{"name":"Chest","volume":null,"pages":null},"PeriodicalIF":9.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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