Articles: function.
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Critical Care Posters IIISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: We previously demonstrated in a clinically relevant murine model of sepsis, that animals with left ventricular (LV) dilation had better cardiovascular performance and increased survival. Using the same model of sepsis, we sought to determine if survivors have an early phenotype different from non-survivors with different resuscitation regiment. ⋯ The following authors have nothing to disclose: François Dépret, Fabien Picard, Sergio Zanotti-Cavazzoni, Steven HollenbergNo Product/Research Disclosure Information.
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Physiology/PFTs/Rehabilitation PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Heavy metal exposure may contribute to increased oxidative stress and inflammation in the lungs, resulting in tissue destruction manifesting clinically as obstructive lung disease (OLD). We aimed to evaluate the association of serum lead and cadmium concentration with lung function and prevalence of OLD. ⋯ The following authors have nothing to disclose: Ah Young Leem, Song Yee Kim, Eun Young Kim, Kyung Soo Jung, Moo Suk Park, Young Sam Kim, Se Kyu Kim, Joon Chang, Ji Ye JungNo Product/Research Disclosure Information.
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Critical Care Posters IIISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: To determine the prevalence of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS), and its correlation with mortality, APACHE II, SOFA, fluid balance and lactate. ⋯ The following authors have nothing to disclose: Jesus Sosa Garcia, Angel Perez Calatayud, Raul Carrillo EsperNo Product/Research Disclosure Information.
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Cancer Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Bronchioloalveolar carcinoma is a subtype of adenocarcinoma characterized by peripheral location, good histological differentiation, lepidic growth pattern and potential for aerogenous and lymphatic dissemination. We report the case of a patient with a diffuse variant of bronchioloalveolar carcinoma (BAC) which is confused with interstitial conditions such as hypersensitivity pneumonitis, atypical pneumonia, idiopathic interstitial pneumonitis or respiratory bronchiolitis. ⋯ The variable characteristics of bronchioloalveolar carcinoma and its diffuse presentation make confusion with a number of diseases probable, including interstitial lung diseases. Therefore we consider it advisable to obtain histopathological confirmation in those patients with atypical presentations or slow progression, and to consider bronchioloalveolar carcinoma as a diagnostic alternativeReference #1: Howar J West. Bronchioloalveolar carcinoma, including adenocarcinoma in situ. Wolters Kluwer Health. Up to date Review Juny 2013Reference #2: American thoracic society/european respiratory society international multidiciplinary classification of lung adenocarcinoma. Jthorac Oncol 2011; 6:244Reference #3: H. Bronchioloalveolar carcinoma masquerading as pneumonia. Respir Care 2004; 49:1349DISCLOSURE: The following authors have nothing to disclose: Julián Ceballos Gutiérrez, Juan Cruz Rueda, Cintia Merinas López, Ana Dolores Romero OrtizNo Product/Research Disclosure Information.
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Cardiovascular CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: Primary cardiac tumors are extremely rare with a prevalence of 0.02% in pooled autopsy studies. Lymphomas involving the heart have a prevalence between 1% to 2% of primary cardiac tumors. Diagnosis usually requires tissue biopsy either by open surgical tissue resection or image-guided biopsy. We report a case of a patient who found to have a primary cardiac T-cell lymphoma (PCTCL) of the right atrium (RA) diagnosed by biopsy guided by intracardiac echocardiography (ICE). (1, 2)CASE PRESENTATION: A 66-year-old woman who presented with a 2 month history of progressive shortness of breath and orthopnea. Her ejection fraction decreased from 65% to 35% over a 4 year period. Coronary computed tomography angiography (CTA) revealed normal coronary arteries and a RA mass vs thrombus (Fig 1). A cardiac MRI with contrast was performed and the characteristic of the mass was suggestive of a lymphoma (Fig 2). Patient subsequently underwent percutaneous transcatheter biopsy of the RA mass using fluoroscopic and ICE guidance. Pathologic specimens demonstrated a T-cell lymphoma. ⋯ Patients with PCTCL typically remain asymptomatic until the mass leads to either obstruction of circulation, embolization, interference with valve function, decreased myocardial contractility or conduction disturbances. Histological diagnosis is made by biopsy and typically requires an open-chest procedure under general anesthesia. Transcatheter biopsy with transesophageal echocardiography guidance also requires general anesthesia. However, ICE imaging allows transcatheter biopsy of an intracardiac mass, especially of the right atrium. This can be made under direct visualization with conscious sedation, minimizing the risk for perforation. (3)CONCLUSIONS: Intracardiac mass biopsy using ICE is an attractive modality which provides precise localization of cardiac structures under conscious sedation. This case illustrates successful use of imaging to minimize risk in the assessment of a cardiac mass.Reference #1: Reynen K. Frequency of primary tumors of the heart. Am J Cardiol 1996;77:107-10.Reference #2: Lam KY, Dickens P, Chan AC. Tumors of the heart. A 20-year experience with a review of12,485 consecutive autopsies. Arch Pathol Lab Med 1993;117:1027-31.Reference #3: Kuppahally S.,Litwin S. Endomyocardial Biopsy of Right Atrial Angiosarcoma Guided by Intracardiac Echocardiography. Cardiology Research and Practice Volume 2010, Article ID 681726DISCLOSURE: The following authors have nothing to disclose: Ahmed Al-Badri, Sean Wilson, Chad Klinger, Carlos RuizNo Product/Research Disclosure Information.