Pulmonary artery pressure and the acute chest syndrome in homozygous sickle cell disease.

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Pulmonary artery pressure and the acute chest syndrome in homozygous sickle cell disease.

OBJECTIVE To investigate whether attacks of acute chest syndrome affected pulmonary artery pressure in patients homozygous for sickle cell disease. MAIN OUTCOME MEASURES Pulmonary artery pressure, assessed by non-invasive echocardiographic techniques. PATIENTS 20 patients with homozygous sickle cell disease with a history of at least six episodes of acute chest syndrome and in 20 age, sex, ...

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Acute chest syndrome in sickle-cell disease.

25 consecutive episodes of acute chest syndrome in 13 adult patients with sickle-cell disease were studied retrospectively. Chest symptoms were present on admission in 23 of 25 episodes. Abnormal chest signs and an abnormal chest X-ray were present on admission in only 11 and 9 episodes, respectively, but developed later in the remainder. The 9 episodes with bilateral radiological changes were ...

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Peak expiratory flow rate and the acute chest syndrome in homozygous sickle cell disease.

The peak expiratory flow rate (PEFR) was studied in 20 matched pairs of children with homozygous sickle cell disease with either no episodes or six or more episodes of acute chest syndrome. The pairs were carefully matched for height and a highly significant reduction in PEFR was observed in children with multiple episodes of acute chest syndrome. Lateral and anteroposterior chest diameters and...

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Pulmonary artery thrombosis during acute chest syndrome in sickle cell disease.

RATIONALE The pathophysiology of acute chest syndrome (ACS) in patients with sickle cell disease is complex, and pulmonary artery thrombosis (PT) may contribute to this complication. OBJECTIVES To evaluate the prevalence of PT during ACS using multidetector computed tomography (MDCT). METHODS We screened 125 consecutive patients during 144 ACS episodes. One hundred twenty-one MDCTs (in 103 ...

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Acute Chest Syndrome of Sickle Cell Disease

Hospital Physician January 2007 15 T he acute chest syndrome (ACS) is an acute pulmonary illness that occurs in patients with sickle cell disease. ACS is currently defined as a new infiltrate on chest radiograph in conjunction with 1 other new symptom or sign: chest pain, cough, wheezing, tachypnea, and/or fever (> 38.5°C).1 The term acute chest syndrome was first suggested in 1979 by Charache ...

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ژورنال

عنوان ژورنال: Heart

سال: 1993

ISSN: 1355-6037

DOI: 10.1136/hrt.69.6.536