1998, Number 3
<< Back Next >>
Med Crit 1998; 12 (3)
Diffusion lung capacity study in patients after one year of pulmonary embolism
Osorio BJA, Rivera D, Baide JA, Franco GJ, Martínez SJ, Elizalde GJJ
Language: Spanish
References: 12
Page: 84-94
PDF size: 145.83 Kb.
ABSTRACT
Objective. To determine the pulmonary CO transfer (DL
CO) in patients with prior history of pulmonary embolism (PE).
Setting. An ICU of a teaching hospital in Mexico City.
Design. A case series study.
Patients. We studied ten patients (mean age 44.9 ± 14.2 years) with a high probability diagnosis of PE with a follow-up of a year or longer.
Interventions. Arterial blood gases, DL
CO, echocardiogram, electrocardiogram and treadmill stress test were performed. DL
CO ‹ 80% was defined as low. Stastical analysis: Man-Whitney’s U test.
Results. The follow-up was of 6.6 ± 4 years and four patients were treatead with Greenfield filter. The mean DL
CO was 79 ± 12% and it was low in six patients.
Conclusions. DL
CO is found low after a year in patients with prior history of pulmonary embolism.
REFERENCES
Anderson FA, Wheeler HB. Venous thromboembolism. Risk factors and prophylaxis. Clin Chest Med 1995;16:235-51.
Giuntini C et al. Epidemiology. Chest 1995;107:3s-9s.
Agnelli G. Anticoagulaction in the prevention and treatment of pulmonary embolism. Chest 1995;107:39s-44s.
Sasahara AA et al. The Urokinase Pulmonary Embolism Trial. A National Cooperative Study. Circulation 1973;47&48:Suppl 2:II-I-II-108.
Sharma GVRK et al. Drug therapy. N Engl J Med 1982;306:1268-76.
Sharma GVRK, Burleson VA, Sasahara AA. Effect of thrombolytic therapy on pulmonary-capillary blood volume in patients with pulmonary embolism. N Engl J Med 1980;303:842-5.
Fedullo PF et al. Chronic thromboembolic pulmonary hypertension. Clin Chest Med 1995;16:353-74.
West JB. Fisiología respiratoria. 3a. Ed. Buenos Aires: Panamericana; 1994.
Romano AM et al. Respiratory fuction in precapillary pulmonary hypertension. Monaldi Arch Chest Dis 1993;48:201-4.
Zen A et al. A case of adult Still’s disease with pulmonary hypertension. Ryumachi 1990; 30: 45-52.
West JB. Fisiología pulmonar. 4a. Ed. Buenos Aires: Panamericana 1994.
Kux A et al Hemodynamics and differentiated CO transfer following fulminant lung embolism and pulmonary artery embolectomy and following recurrent lung embolism. Med Klin 1990;85:366-70.