Archivos de bronconeumología
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Arch. Bronconeumol. · Apr 2020
Exercise Capacity and Activities of Daily Living are Related in Patients With Chronic Obstructive Pulmonary Disease.
The knowledge of the relationship between exercise capacity and activities of daily living (ADLs) is important to minimize the negative outcomes in ADLs resulting from reduced exercise capacity in patients with chronic obstructive pulmonary disease (COPD). There is a limited study about the association between exercise capacity and ADLs in patients with COPD. This study aimed to investigate the relationship between maximal exercise capacity and ADLs in patients with GOLD stage II-III COPD. ⋯ A moderate relationship was found between maximal exercise capacity and general activities of daily living performance. The reduction in exercise capacity increases the negative influences in ADLs and strengthens our beliefs that exercise interventions in pulmonary rehabilitation could influence activities of daily living positively.
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Arch. Bronconeumol. · Jul 2020
Obesity-Hypoventilation Syndrome: Baseline Hemodynamic Status and Impact of non-Invasive Ventilation.
Obesity-hypoventilation syndrome (OHS) is a risk factor for heart failure (HF). Some studies associate the use of non-invasive ventilation (NIV) with changes in hemodynamic parameters. Our objective was to describe the hemodynamic status of a group of patients with OHS and to study the effect of NIV. ⋯ A total of 46% of patients with stable OHS present HF; NIV improves hemodynamics and does not affect patients with normal CO.
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Arch. Bronconeumol. · Sep 2020
Gas Exchange and Ventilatory Efficiency During Exercise in Pulmonary Vascular Diseases.
Ventilatory inefficiency (high V'E/V'CO2) and resting hypocapnia are common in pulmonary vascular disease and are associated with poor prognosis. Low resting PaCO2 suggests increased chemosensitivity or an altered PaCO2 set-point. We aimed to determine the relationships between exercise gas exchange variables reflecting the PaCO2 set-point, exercise capacity, hemodynamics and V'E/V'CO2. ⋯ Resting hypocapnia is associated with worse cardiac function, more ventilatory inefficiency and reduced exercise capacity. This could be explained by elevated chemosensitivity and lower PaCO2 set-point. Maximal PETCO2 may be a useful non-invasive marker of PaCO2 setpoint and disease severity even with submaximal effort.
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Arch. Bronconeumol. · Oct 2020
The Roles of Bacteria and Viruses in Bronchiectasis Exacerbation: A Prospective Study.
Exacerbations are crucial events during bronchiectasis progression. ⋯ Viral isolations, isolation of new bacteria and bacterial plus viral isolation are associated with bronchiectasis exacerbations. Symptoms at exacerbations might inform clinicians the possible culprit pathogens.
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Arch. Bronconeumol. · Nov 2020
Practice GuidelineConsensus Document on Community-Acquired Pneumonia in Children. SENP-SEPAR-SEIP.
Community-acquired pneumonia (CAP) is a prevalent disease among children and is frequently associated with both diagnostic and therapeutic uncertainties. Consensus has been reached between SEPAR, SENP and SEIP, and their conclusions are as follows.