Spontaneous improvement in a patient with the hepatopulmonary syndrome assessed by serial exercise tests
Autor: | K. B. Saunders, A. Joseph, H. R. Dalton, S. S. D. Fernando |
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Rok vydání: | 1994 |
Předmět: |
Adult
Liver Cirrhosis Lung Diseases Male Pulmonary and Respiratory Medicine medicine.medical_specialty Cirrhosis Prednisolone Remission Spontaneous Spontaneous remission Internal medicine Azathioprine medicine Humans Hypoxia Hepatopulmonary syndrome Hepatitis Chronic Oxygen saturation (medicine) business.industry Syndrome Hypoxia (medical) medicine.disease Propranolol Surgery Respiratory failure Exercise Test Breathing Cardiology medicine.symptom business Research Article medicine.drug |
Zdroj: | Thorax. 49:725-727 |
ISSN: | 0040-6376 |
DOI: | 10.1136/thx.49.7.725 |
Popis: | A 37 year old patient with chronic active hepatitis progressing to cirrhosis presented with increasing breathlessness and was found to be hypoxic with finger clubbing. A progressive exercise study with measurement of oxygen saturation (SaO2) showed abnormally high ventilation and desaturation to 81% at 100 W. Serial studies over nearly two years showed, first, deterioration, then improvement with lower ventilation and higher saturation levels at all work loads. This could not be correlated with any change in treatment with azathioprine, prednisolone, or propranolol. |
Databáze: | OpenAIRE |
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