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Impact of hemodialysis on dyspnea and lung function in end stage kidney disease patients.
Biomed Res Int
January 2015
Respiratory Function Laboratory, 1st Respiratory Medicine Department, Athens University Medical School, "Sotiria" Hospital, 152 Mesogeion Avenue, Athens 11527, Greece.
Background: Respiratory symptoms are usually underestimated in patients with chronic kidney disease undergoing maintenance hemodialysis. Therefore, we set out to investigate the prevalence of patients chronic dyspnea and the relationship of the symptom to lung function indices.
Methods: Twenty-five clinically stable hemodialysis patients were included.
Recumbent deoxygenation in mild/moderate liver cirrhosis: the "clinodeoxia". The ortho-clino paradigm.
Respir Med
July 2014
Meakins-Christie Laboratories, McGill University, Montreal, PQ, Canada.
Background: While the effects of postural change on arterial oxygenation have been well documented in normal subjects, and attributed to the relationship of closing volume (CV) to the tidal volume, in liver cirrhosis such postural changes have been evaluated mainly in a rare, peculiar clinical end-stage condition which is characterized by increased dyspnea shifting from supine to upright position ("platypnea"). The latter is associated with worsening of PaO2 ("orthodeoxia"). We evaluated the effects of postural changes on arterial oxygenation in patients affected by mild/moderate liver cirrhosis.
View Article and Find Full Text PDFDyspnea and respiratory muscle strength in end-stage liver disease.
World J Hepatol
February 2013
Georgios Kaltsakas, Anastasios F Palamidas, Sofia-Antiopi Gennimata, Antonia Koutsoukou, Nickolaos G Koulouris, Respiratory Function Lab, 1 Respiratory Medicine Department, "Sotiria" Hospital for Diseases of the Chest, University of Athens, 11527 Athens, Greece.
Aim: To investigate the prevalence of chronic dyspnea and its relationship to respiratory muscle function in end-stage liver disease.
Methods: Sixty-eight consecutive, ambulatory, Caucasian patients with end-stage liver disease, candidates for liver transplantation, were referred for preoperative respiratory function assessment. Forty of these (29 men) were included in this preliminary study after applying strict inclusion and exclusion criteria.
Pulmonary function and expiratory flow limitation in acute cervical spinal cord injury.
Arch Phys Med Rehabil
November 2012
Department of Surgical, Anaesthesiological and Radiological Sciences, Section of Anaesthesia and Intensive Care, University of Ferrara, Ferrara, Italy.
Objective: To identify the nature of the changes of respiratory mechanics in patients with middle cervical spinal cord injury (SCI) and their correlation with posture.
Design: Clinical trial.
Setting: Acute SCI unit.
MRC chronic Dyspnea Scale: Relationships with cardiopulmonary exercise testing and 6-minute walk test in idiopathic pulmonary fibrosis patients: a prospective study.
BMC Pulm Med
May 2010
Second Pulmonary Department, "Attikon" University Hospital, National and Kapodistrian University of Athens, Greece.
Background: Exertional dyspnea is the most prominent and disabling feature in idiopathic pulmonary fibrosis (IPF). The Medical Research Chronic (MRC) chronic dyspnea score as well as physiological measurements obtained during cardiopulmonary exercise testing (CPET) and the 6-minute walk test (6MWT) are shown to provide information on the severity and survival of disease.
Methods: We prospectively recruited IPF patients and examined the relationship between the MRC score and either CPET or 6MWT parameters known to reflect physiologic derangements limiting exercise capacity in IPF patients
Results: Twenty-five patients with IPF were included in the study.
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