Pneumonologia i alergologia polska
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Pneumonol Alergol Pol · Jan 2006
Case Reports[Central sleep apnoea (CSA) in male with heart failure].
We studied 44-year old man with heart failure (ejection fraction -25%). Obesity, arterial hypertension, snoring and excessive daytime sleepiness suggested concomitant obstructive sleep apnoea. ⋯ We did not find any obstructive episodes during sleep study. Patient responded to CPAP therapy and apnoea hypopnoe index decreased to 12/hour on 8 mbar pressure.
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Pneumonol Alergol Pol · Jan 2006
[Chronic obstructive pulmonary disease needs adjectives: "guiltless" COPD, "asthma like" and "emphysemal" COPD].
The author proposes an extension of terminology of COPD by introducing to certain situations the adjectives "guiltless" (for patient who never smoked) , "asthma like" (for patients with symptoms with reversible bronchoconstriction and eosinophilia) and emphysemal COPD. The aim of this proposal is better understanding of certain events in the disease and subsequently proper treatment.
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Pneumonol Alergol Pol · Jan 2005
Comparative Study[FEV1 after three years of observation in patients with bronchial asthma and patients with chronic obstructive pulmonary disease].
Obstruction of airways is characteristic for both asthma and COPD. It can be measured with spirometric tests. The most important ventilatory parameter is forced expiratory volume in first second--FEV1. ⋯ In non-smokers FEV1 decreased 130 ml and in smokers 200 ml. Thus in asthmatics with IRAO, the decrease of FEV1 was similar to one observed in smokers with COPD, so we concluded the long treatment with corticosteroids in some patients with asthma did not stoppe the progress of the disease. It is also possible that in some asthma patients changes in airways characteristic for asthma coexisted with that characteristic for COPD.
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Several data from literature suggest the potential influence of premature delivery with prolonged oxygen suplementation on prevalence of development of allergic diseases in children. The objective of the study was the retrospective analysis of 60 children aged 4 years, prematurely born, and 30 healthy children at the same age (the control group), born at term. ⋯ The obtained results of the studies shown twice as much prevalence of asthma in prematurely born children (33%) in comparison to these born at term (17%). However atopic dermatitis was observed more often in term children (53%) than in prematurely born children (23%).