Document Detail


Airway responsiveness to inhaled albuterol in patients with pulmonary hypertension.
MedLine Citation:
PMID:  9924639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied patients with pulmonary hypertension who had evidence of bronchial responsiveness to inhaled albuterol. The records of all patients evaluated for lung transplantation were reviewed: the charts of patients with pulmonary hypertension, either primary (PPH, n = 46) or Eisenmenger's syndrome (n = 12), were abstracted. Measurements of lung function revealed equal numbers of patients with normal, restrictive, obstructive, and mixed abnormalities. None were more than moderate. Airway responsiveness was defined as an increase of forced expiratory volume in 1 second (FEV1) > 15% or forced expiratory flow between 25% and 75% of the vital capacity (FEF25-75) > 25%. Of the 24 PPH and nine Eisenmenger's patients, 14 and four, respectively, had reversible airflow obstruction. These patients were more likely to have a history of atopic disease and to have responded to calcium channels blockers during hemodynamic monitoring. They did not have more severe pulmonary hypertension, as measured by hemodynamic monitoring. Four patients had a history of asthma, which required hospitalization in three. Reversible airflow obstruction occurred in half of the patients with pulmonary hypertension and was clinically important in at least three.
Authors:
A R O'Hagan; P C Stillwell; A Arroliga
Related Documents :
3732429 - Bronchoalveolar lavage in patients with interstitial lung diseases: side effects and fa...
20156749 - Dermatomyositis masquerading as pulmonary embolism.
2084079 - Renal involvement in scleroderma.
9470079 - Pulmonary complications in toxic epidermal necrolysis: a prospective clinical study.
9809359 - Hla b27 and respiratory involvement in axial spondylarthropathies. a retrospective stud...
15199509 - Transvenous catheter embolectomy.
2761289 - Cytogenetic studies on the adult t-cell leukemia in japan.
3269 - Magill circuit and controlled ventilation.
20538029 - Complement receptor 1 gene polymorphism and cardiovascular disease in dialyzed end-stag...
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical pediatrics     Volume:  38     ISSN:  0009-9228     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-03-18     Completed Date:  1999-03-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  27-33     Citation Subset:  AIM; IM    
Affiliation:
Cleveland Clinic Foundation, Ohio, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Airway Resistance / drug effects*
Albuterol / diagnostic use*,  pharmacology
Bronchodilator Agents / diagnostic use
Bronchography
Child
Eisenmenger Complex / diagnosis*,  surgery
Female
Humans
Hypertension, Pulmonary / diagnosis*,  surgery
Lung Transplantation*
Male
Middle Aged
Respiratory Function Tests
Chemical
Reg. No./Substance:
0/Bronchodilator Agents; 18559-94-9/Albuterol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Should renal ultrasonography be done routinely in children with first urinary tract infection?
Next Document:  Neonatal infrared axillary thermometry.