Precision Solutions: A Strategy to Improve Medical Care for Patients With Pulmonary Hypertension in Latin America
Chest. 2024 Mar;165(3):669-672. doi: 10.1016/j.chest.2023.10.031.NO ABSTRACTPMID:38461017 | DOI:10.1016/j.chest.2023.10.031 (Source: Chest)
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Mauricio Orozco-Levi Vinicio de Jes ús Pérez Source Type: research

Managing Pulmonary Arterial Hypertension With Cardiopulmonary Comorbidities
Chest. 2024 Mar;165(3):682-691. doi: 10.1016/j.chest.2023.08.023.ABSTRACTPulmonary arterial hypertension (PAH) and pulmonary hypertension associated with left-sided heart and lung diseases are most commonly easily discriminated and treated accordingly. With the changing epidemiology of PAH, however, a growing proportion of patients at the time of diagnosis present with comorbidities of varying severity. In addition to classical PAH, two distinct phenotypes have emerged: a heart failure with preserved ejection fraction-like phenotype and a lung phenotype. Importantly, the evidence supporting the currently proposed treatment...
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Steeve Provencher Vicky Mai Sebastien Bonnet Source Type: research

Corrigendum to: CHEST. 2023;164(4):875-884
Chest. 2024 Mar;165(3):754. doi: 10.1016/j.chest.2024.01.041.NO ABSTRACTPMID:38461019 | DOI:10.1016/j.chest.2024.01.041 (Source: Chest)
Source: Chest - March 9, 2024 Category: Respiratory Medicine Source Type: research

A 49-Year-Old Man With Fever and Dyspnea After Endobronchial Ultrasound-Guided Transbronchial Fine Needle Aspiration Biopsy
Chest. 2024 Mar;165(3):e65-e69. doi: 10.1016/j.chest.2023.08.018.ABSTRACTA 49-year-old man, a farmer, had been experiencing coughing, phlegm, and difficulty breathing for 2 months. He underwent a CT scan at a local hospital that showed a mediastinal mass. Bronchoscopy showed no obstruction in the tracheal lumen, and an endobronchial ultrasound-guided transbronchial fine needle aspiration (EBUS-TBNA) biopsy was performed on the mediastinal mass. The cytologic smear of the mediastinal mass showed a few atypical epithelial cells; the possibility of a tumor could not be ruled out. The patient visited our thoracic surgery outpa...
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Zenglin Liao Hao Wang Jing An Jiajia Dong Xiaoyu Long Source Type: research

Late-Onset Diffuse Lung Disease in an 8-Year-Old Girl
Chest. 2024 Mar;165(3):e71-e74. doi: 10.1016/j.chest.2023.08.005.ABSTRACTAn 8-year-old girl presented with a 34-day history of cough, fatigue, and impaired exercise tolerance. She experienced cyanosis on exertion but denied fever, hemoptysis, hematuria, or seizures. Her perinatal and family histories were unremarkable, and she had no history of exposure to TB. A chest radiogram from a local clinic showed diffuse pulmonary lesions. Tuberculin skin test, interferon-γ release assay, and HIV antibody test results were all negative. Immunoglobulin levels and lymphocyte subsets were normal. The patient did not respond to IV azi...
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Huiying Wang Yu Tang Yuelin Shen Source Type: research

A 34-Year-Old Man With Shortness of Breath 1 Week After Having Arm Numbness
Chest. 2024 Mar;165(3):e75-e78. doi: 10.1016/j.chest.2023.05.038.NO ABSTRACTPMID:38461022 | DOI:10.1016/j.chest.2023.05.038 (Source: Chest)
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Tahir Ahmad Stephen J Forest Maneesha Bangar Lewis A Eisen Source Type: research

A Case of Persistent Lung Masses After Treatment of Hodgkin Lymphoma
Chest. 2024 Mar;165(3):e79-e84. doi: 10.1016/j.chest.2023.11.010.ABSTRACTThe patient is a 49-year-old woman who had never used tobacco with a history of relapsing polychondritis and episcleritis. She sought treatment at our clinic for evaluation of multiple lung masses. She originally received a diagnosis by chest radiography performed to rule out sarcoidosis as the cause of episcleritis showing an abnormal findings. She had no contributory surgical, family, or social history. The autoimmune markers were notable for positive rheumatoid factor (153 IU/mL) and elevated erythrocyte sedimentation rate (97 mm/h) and C-reactive ...
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Tejas Sinha Jian Fu Ashish Bains Andrew Gangemi Source Type: research

Generalizing the Use of a Procalcitonin-Guided Antibiotic Algorithm to a New Era of SARS-CoV-2 Infection
Chest. 2024 Mar;165(3):e85-e86. doi: 10.1016/j.chest.2023.10.041.NO ABSTRACTPMID:38461024 | DOI:10.1016/j.chest.2023.10.041 (Source: Chest)
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Morgan K Walker Sameer S Kadri Source Type: research

Potential of Muscle Mass Evaluation for Prognostic Prediction of COVID-19
Chest. 2024 Mar;165(3):e86-e87. doi: 10.1016/j.chest.2023.09.036.NO ABSTRACTPMID:38461025 | DOI:10.1016/j.chest.2023.09.036 (Source: Chest)
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Shota Yamamoto Chikamasa Ichita Source Type: research

Response
Chest. 2024 Mar;165(3):e86. doi: 10.1016/j.chest.2023.10.042.NO ABSTRACTPMID:38461026 | DOI:10.1016/j.chest.2023.10.042 (Source: Chest)
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Lisa Hessels Wim G Boersma Source Type: research

Be Careful About Metrics When Imbalanced Data Is Used for a Deep Learning Model
Chest. 2024 Mar;165(3):e87-e89. doi: 10.1016/j.chest.2023.10.039.NO ABSTRACTPMID:38461027 | DOI:10.1016/j.chest.2023.10.039 (Source: Chest)
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Takuma Usuzaki Kengo Takahashi Ryusei Inamori Source Type: research

Response
Chest. 2024 Mar;165(3):e89-e90. doi: 10.1016/j.chest.2023.10.040.NO ABSTRACTPMID:38461028 | DOI:10.1016/j.chest.2023.10.040 (Source: Chest)
Source: Chest - March 9, 2024 Category: Respiratory Medicine Authors: Charles Hatt Jonathan H Chung Justin M Oldham Source Type: research

Antithrombotic Therapy for VTE Disease: Compendium and Review of CHEST Guidelines 2012-2021
CONCLUSION As CHEST continues to update guidance statements relevant to antithrombotic therapy for VTE disease, this manuscript serves as a unified collection of currently relevant statements from the preceding three guidelines. Suggestions are made to update specific statements in future publications.PMID:38458430 | DOI:10.1016/j.chest.2024.03.003 (Source: Chest)
Source: Chest - March 8, 2024 Category: Respiratory Medicine Authors: Scott M Stevens Scott C Woller Lisa Baumann Kreuziger Kevin Doerschug Geert-Jan Geersing Frederikus A Klok Christopher S King Susan Murin Janine R E Vintch Philip S Wells Suman Wasan Lisa K Moores Source Type: research

Point-of-care lung ultrasound in emergency medicine: A scoping review with an interactive database
Chest. 2024 Mar 6:S0012-3692(24)00290-3. doi: 10.1016/j.chest.2024.02.053. Online ahead of print.ABSTRACTBACKGROUND: We conducted a scoping review to provide an overview of the evidence of point-of-care lung ultrasound (LUS) in emergency medicine. By emphasizing clinical topics, time trends, study designs, and the scope of the primary outcomes, we provide a map for physicians and researchers to guide their future initiatives.RESEARCH QUESTION: Which study designs and primary outcomes are reported in published studies of LUS in emergency medicine?STUDY DESIGN AND METHODS: We performed a systematic search in the PubMed/MEDLI...
Source: Chest - March 8, 2024 Category: Respiratory Medicine Authors: Stig Holm Ovesen Andreas Hvilsh øj Clausen Hans Kirkegaard Bo L øfgren Rasmus Aagaard S øren Helbo Skaarup Michael Dan Arvig Morten Hjarn ø Lorentzen Anne Heltborg Kristensen Mariana Bichuette Cartuliares Casper Falster Liting Tong Alessandra Rabajoli Source Type: research

Preparing for Fellowship in Internal Medicine, with a Focus on Pulmonary and/or Critical Care Medicine - Major Principles and New Realities
Chest. 2024 Mar 6:S0012-3692(24)00287-3. doi: 10.1016/j.chest.2024.02.051. Online ahead of print.ABSTRACTIn this manuscript, the authors provide guidance for applicants to any subspecialty in the medical specialties matching program with a particular focus on those seeking a match into a Pulmonary and/or Critical Care Medicine training program. The PAIR-Match steps (preparation, application, interview, ranking, match) are used to discuss available literature that informs this process. Preparing a fellowship application is discussed in terms of personal career goals, and specific strategies are suggested that can help a can...
Source: Chest - March 8, 2024 Category: Respiratory Medicine Authors: Matthew C Miles Peter Lenz Jennifer McCallister Kristin M Burkart Candace Huebert Jason Moore Laura Hinkle Briana Short Brent Bagley Gabriel Bosslet Source Type: research