Number of COPD Events Over One Year Predicts Rate of Future Events
Increasing frequency, severity of acute COPD exacerbations tied with risk for death
What can the levels of circulating serotonin tell us about the pathogenesis of COPD?BMC Pulmonary Medicine
Written by Pendell MeyersA female in her 60s with COPD, DM, hypothyroidism, CAD, and severe bladder cancer presented from a nursing home with altered mental status, hypotension, hypoxia, and bradycardia.Here is her initial ECG (no prior for comparison):What do you think?Here is another ECG minutes later:There is a regular wide complex bradycardia.There are P-waves at a rate of approximately 100bpm with no clear relationship to the QRS complexes, diagnostic of complete heart block.The QRS morphology is wide (computer QRS duration 179 msec) but it does not fit any clear bundle branch block pattern (it is similar to LBBB but ...
CONCLUSION: Maintaining quality of life is a favorable outcome in depressed patients with COPD whose course is one of deterioration. These findings highlight the usefulness of PID-C, an easy to learn, personalized adherence enhancement intervention that, after further testing, may be integrated into the rehabilitation and care of depressed COPD patients. PMID: 30630702 [PubMed - as supplied by publisher]
ConclusionsChronic RVPO patients had lower heart rates and troponin-t values. Despite these differences there were no differences in need for advanced therapeutic interventions or 7 day mortality.
Publication date: Available online 10 January 2019Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Richard H. Stanford, Carlyne Averell, Emily D. Parker, Cori Blauer-Peterson, Tyler K. Reinsch, Ami R. BuikemaAbstractBackgroundWhile efficacy and safety of fluticasone furoate/vilanterol (FF/VI) and budesonide/formoterol (BUD/F) have been demonstrated in clinical studies, real-world comparisons of utilization has not been performed.ObjectiveCompare similar asthma patients initiating FF/VI or BUD/F on measures of adherence, persistence, and the asthma medication ratio (AMR).MethodsThis was a retros...
(MedPage Today) -- But only in patients with baseline deficiency
by Bob Arnold (@rabob)Winter suits me just fine since I do not like heat. I have a lot of sympathy for patients with chronic obstructive lung disease who do not have an air conditioner during the summer. I am told that there is nothing worse than sitting in hot, humid weather and not being able to breathe.As a palliative care physician, I love fans. When my patients are short of breath and opiates do not work (1,2) I send their families down to the local ACE hardware store to buy a hand-held fan. Therefore, I was excited tosee an article in the Journal of Pain and Symptom Management on fan therapy being effective in treati...
Condition: COPD Interventions: Other: Pulmonary Rehabilitation Paper-Based Home Program; Other: Pulmonary Rehabilitation Software-Based Home Program Sponsors: Blue Marble Rehab Inc; Carolinas Healthcare System; Fusion Health Not yet recruiting
Taking vitamin D supplements was associated with a 45 percent reduction in lung attacks among patients who were deficient in vitamin D, but there was no reduction among patients with higher vitamin D levels, the investigators found.