Document Detail

Prognostic significance of posturally induced crackles. Long-term follow-up of patients after recovery from acute myocardial infarction.
MedLine Citation:
PMID:  8486027     Owner:  NLM     Status:  MEDLINE    
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.
F Deguchi; S Hirakawa; K Gotoh; Y Yagi; S Ohshima
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  103     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-06-04     Completed Date:  1993-06-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1457-62     Citation Subset:  AIM; IM    
Second Department of Internal Medicine, Gifu University School of Medicine, Japan.
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MeSH Terms
Follow-Up Studies
Japan / epidemiology
Middle Aged
Myocardial Infarction / mortality,  physiopathology*
Respiratory Sounds*
Survival Rate

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