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Specialty: Respiratory Medicine

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Total 1589 results found since Jan 2013.

Can you learn to cough after having a stroke?
A strong cough, requires powerful coordinated contraction of expiratory (abdominal) muscles. The expiratory muscles contract to build up high positive intrapleural and intra-airway pressures for development of peak expiratory Flow rates. Expiratory muscle strength training (EMST) has been shown to improve parameters related to pulmonary function, speech, and cough.However, no one has investigated what changes occur in the activation of abdominal muscles after training. The aim of this study is to clarify which role plays the coordination of abdominal muscles in expiratory flows. The null hypothesis was that stroke patients...
Source: European Respiratory Journal - December 1, 2022 Category: Respiratory Medicine Authors: Dominguez Sanz, N. Tags: 09.02 - Physiotherapists Source Type: research

Role of vitamin D in the association between pre-stroke sleep quality and poststroke depression and anxiety
ConclusionDecreased serum vitamin D levels at admission are associated with a high risk for PSD and PSA in patients with poor pre-stroke sleep quality during the early stages of AIS.
Source: Sleep and Breathing - August 5, 2023 Category: Respiratory Medicine Source Type: research

Dynamic changes in sleep-related breathing abnormalities in bilateral paramedian mesencephalon and thalamus stroke: a follow-up case study
Conclusion In addition to the structural abnormality of the sleep regulating network, sleep-disordered breathing is another possible cause of hypersomnia in patients afflicted with the present localization of the lesion.
Source: Sleep and Breathing - June 12, 2015 Category: Respiratory Medicine Source Type: research

Major Bleeding and Hemorrhagic Stroke with Direct Oral Anticoagulants in Patients with Renal Failure: Systematic Review and Meta-Analysis of Randomized Trials.
CONCLUSIONS: As a class, DOACs are associated with reduced risk for hemorrhagic stroke in patients with RF compared to VKA. However, DOACs may differ from each other in their relative risk for major bleeding in patients with eCrCL <50mL/min. PMID: 26836922 [PubMed - as supplied by publisher]
Source: Chest - January 18, 2016 Category: Respiratory Medicine Authors: Raccah BH, Perlman A, Danenberg HD, Pollak A, Muszkat M, Matok I Tags: Chest Source Type: research

Structured light plethysmography measures asynchronous breathing patterns in patients with acute stroke
Conclusion: This is the first study using SLP to detect and characterize respiratory dysfunction in acute stroke patients.
Source: European Respiratory Journal - November 7, 2016 Category: Respiratory Medicine Authors: Kouzouna, A., Roffe, C., Watson, N., Alexander, J., Gilchrist, F., Lenney, W., Pandyan, A. Tags: 5.2 Monitoring Airway Disease Source Type: research

The Global Burden of Atrial Fibrillation and Stroke: A Systematic Review of the Clinical Epidemiology of Atrial Fibrillation in Asia.
CONCLUSIONS: AF incidence and prevalence has increased in recent years, though great variability still exists in Asian countries. Variability in annual IS risk in AF patients was apparent between hospital- and community-based studies. However, the rate of warfarin use was less than 50% in hospital studies from Asian countries. PMID: 28427968 [PubMed - as supplied by publisher]
Source: Chest - April 17, 2017 Category: Respiratory Medicine Authors: Bai Y, Wang YL, Shantsila A, Lip GYH Tags: Chest Source Type: research

Bringing Emergency Neurology to Ambulances: Mobile Stroke Unit
Semin Respir Crit Care Med 2017; 38: 713-717 DOI: 10.1055/s-0037-1607994Ischemic stroke results from blocked arteries in the brain, with earlier thrombolysis with intravenous tissue plasminogen activator (tPA) and/or mechanical thrombectomy resulting in improved clinical outcomes. Mobile Stroke Unit (MSU) can speed up the treatment with tPA and facilitate faster triage for patients to hospitals for mechanical thrombectomy. The first registry-based MSU study in Germany demonstrated faster treatment times with tPA using a MSU, a higher proportion of patients being treated within the first “golden hour,” and a suggestion ...
Source: Seminars in Respiratory and Critical Care Medicine - December 20, 2017 Category: Respiratory Medicine Authors: Bowry, Ritvij Grotta, James C. Tags: Review Article Source Type: research

The effect of continuous positive airway pressure on spectral encephalogram characteristics in stroke patients with obstructive sleep apnea
Conclusion Contrary to expectations CPAP treatment of OSA did not significantly decrease alpha and delta oscillations in stroke subjects.
Source: Respiratory Physiology and Neurobiology - January 10, 2018 Category: Respiratory Medicine Source Type: research

Interaction between blood lead level and chronic obstructive pulmonary disease (COPD) on risk of heart attack or stroke: USA NHANES, 2013–2014
ConclusionsThe low lead level today means more effect of COPD on the occurrence of heart attack and stroke. More studies required to understand the pathways of the association of COPD, CVD and lead due to their shared risk factors.
Source: Pulmonary Pharmacology and Therapeutics - May 19, 2019 Category: Respiratory Medicine Source Type: research

Pacemaker-detected atrial fibrillation burden and risk of ischemic stroke or thromboembolic events—A cohort study
ConclusionIn patients with dual-chamber pacemakers and comparable CHA2DS2-VASc score, pacemaker-detected AF burden is associated with elevated risk for thromboembolism. Further research is needed to clarify how pacemaker-detected AF burden could incorporate with CHA2DS2-VASc score variables and help to guide anticoagulation.
Source: Heart and Lung: The Journal of Acute and Critical Care - August 1, 2019 Category: Respiratory Medicine Source Type: research

Benefits of early diagnosis and treatment of obstructive sleep Apnea-Hypopnea syndrome in patients with acute ischemic stroke: SASS (Sleep Apnea in Stroke patients Study)
Conclusions: Acute polygraphy is feasible in patients with AIS. Early treatment of OSAHS could improve stroke outcome, although larger multicentric studies are necessary to confirm these results
Source: European Respiratory Journal - November 20, 2019 Category: Respiratory Medicine Authors: Rodriguez Martin, P. J., Ferrer Galvan, M., Guerrero Zamora, P., Sanchez Gomez, J., Benitez Moya, J. M., Valido Morales, A. S. Tags: Sleep and control of breathing Source Type: research

Self-reported snoring patterns predict stroke events in high-risk patients with obstructive sleep apnea: post-hoc analyses of the SAVE study.
Abstract BACKGROUND: The relation of snoring to risks of stroke and other major cardiovascular (CV) events is uncertain. RESEARCH QUESTION: We aimed to determine associations of snoring patterns and major CV events in relation to the obstructive sleep apnea (OSA), among participants of the international Sleep Apnea cardiovascular Endpoints (SAVE) trial. STUDY DESIGN: and Methods: Post-hoc analyses of the SAVE trial, which involved 2687 patients with co-existing moderate-severe OSA and established coronary or cerebral CV disease, who were randomly allocated to continuous positive airway pressure (CPAP) tr...
Source: Chest - July 13, 2020 Category: Respiratory Medicine Authors: Li J, McEvoy RD, Zheng D, Loffler KA, Wang X, Redline S, Woodman RJ, Anderson CS Tags: Chest Source Type: research

Hypoxic burden and heart rate variability predict stroke incidence in sleep apnoea
Obstructive sleep apnoea (OSA) is increasingly recognised as a risk factor for stroke [1]. However, the incidence of stroke in patients investigated for OSA has been assessed in a limited number of studies reporting conflicting results on the association between the apnoea–hypopnoea index (AHI) and stroke incidence [1–3].
Source: European Respiratory Journal - March 25, 2021 Category: Respiratory Medicine Authors: Blanchard, M., Gerves-Pinquie, C., Feuilloy, M., Le Vaillant, M., Trzepizur, W., Meslier, N., Goupil, F., Pigeanne, T., Balusson, F., Oger, E., Sabil, A., Girault, J.-M., Gagnadoux, F., on behalf of the ERMES study group Tags: Original Articles: Research letters Source Type: research

Ischemic stroke in a patient with interatrial block: Is it only a coincidence or a clear relationship?
Monaldi Arch Chest Dis. 2021 Apr 13;91(2). doi: 10.4081/monaldi.2021.1692.ABSTRACTAtrial fibrillation (AF) can be detected in nearly 25% of all patients with stroke by sequentially combining different electrocardiographic methods. Prediction of early cardio-embolic stroke remain a permanent challenge in everyday practice. The early identification of an increased risk for atrial fibrillation episodes (which are frequently asymptomatic) is essential for the prevention of cardioembolic events. One of the noninvasive modalities of atrial fibrillation prediction is represented by the electrocardiographic P-wave analysis. This i...
Source: Monaldi Archives for Chest Disease - April 14, 2021 Category: Respiratory Medicine Authors: Athanassios Antonopoulos Laila Fiorani Source Type: research