| Prognostic significance of posturally induced crackles. Long-term follow-up of patients after recovery from acute myocardial infarction. | |
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MedLine Citation:
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PMID: 8486027 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We found that on pulmonary auscultation, fine crackles could be induced by changing the posture from sitting to supine and/or from supine to supine with passive leg elevation in patients without obvious congestive heart failure. We named these crackles "posturally induced crackles (PIC)." To investigate the relationship between PIC and long-term prognosis after myocardial infarction, we followed up 262 patients who recovered from acute myocardial infarction for a mean period of six years. Cardiac death occurred in three of 78 PIC-negative patients and in 28 of 143 PIC-positive patients. PIC-negative patients had a significantly better long-term prognosis than PIC-positive patients according to the Kaplan-Meier survival curves for cardiac death (p < 0.01). In a multilogistic model based on 70 appropriate cases, PIC was the third most important prognosticator after recovery from myocardial infarction and the number of diseased coronary vessels and the pulmonary capillary wedge pressure ranked first and second, respectively. |
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Authors:
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F Deguchi; S Hirakawa; K Gotoh; Y Yagi; S Ohshima |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 103 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1993 May |
Date Detail:
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Created Date: 1993-06-04 Completed Date: 1993-06-04 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1457-62 Citation Subset: AIM; IM |
Affiliation:
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Second Department of Internal Medicine, Gifu University School of Medicine, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Follow-Up Studies Hemodynamics Humans Japan / epidemiology Male Middle Aged Myocardial Infarction / mortality, physiopathology* Posture* Prognosis Respiratory Sounds* Survival Rate |
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