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Paleiron N, Riviere E, Rohel G, Andre M, Piquemal M, Vinsonneau U, Paule P, Grassin F. [Practical conduct for patients with a lonely hypoxemia at rest or during exercise]. Ann Cardiol Angeiol (Paris) 2014; 64:21-6. [PMID: 25262280 DOI: 10.1016/j.ancard.2014.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2014] [Accepted: 08/24/2014] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Hypoxemia is a decrease in blood oxygen partial pressure. This work aims at presenting a practical conduct for patients with a lonely hypoxemia at rest or during exercise, defined by the absence of dyspnea at rest, obvious clinical or radiographic abnormality. STATE OF THE ART Diagnostic tools available to the clinician are clinical examination, CT scan, echocardiography, hyperoxia test, trans cranial ultrasound and lung scintigraphy. This work proposes a practical diagnostic approach, with a main role of chest CT. PERSPECTIVES Work is underway to determine more precisely the place of echocardiography for the diagnosis of intra or extra cardiac shunts. CONCLUSIONS The finding of a lonely hypoxemia requires careful diagnostic approach to quickly rule out potentially serious causes and not to disregard the rare causes.
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Affiliation(s)
- N Paleiron
- Service des maladies respiratoires, HIA Clermont-Tonnerre, hôpital d'instruction des Armées, BCRM Brest, CC41, rue Colonel-Fonferrier, 29240 Brest cedex 9, France.
| | - E Riviere
- Service des maladies respiratoires, HIA Clermont-Tonnerre, hôpital d'instruction des Armées, BCRM Brest, CC41, rue Colonel-Fonferrier, 29240 Brest cedex 9, France
| | - G Rohel
- Service de cardiologie, HIA Clermont-Tonnerre, hôpital d'instruction des Armées, BCRM Brest, CC41, rue Colonel-Fonferrier, 29240 Brest cedex 9, France
| | - M Andre
- Service des maladies respiratoires, HIA Clermont-Tonnerre, hôpital d'instruction des Armées, BCRM Brest, CC41, rue Colonel-Fonferrier, 29240 Brest cedex 9, France
| | - M Piquemal
- Service de cardiologie, HIA Clermont-Tonnerre, hôpital d'instruction des Armées, BCRM Brest, CC41, rue Colonel-Fonferrier, 29240 Brest cedex 9, France
| | - U Vinsonneau
- Service de cardiologie, HIA Clermont-Tonnerre, hôpital d'instruction des Armées, BCRM Brest, CC41, rue Colonel-Fonferrier, 29240 Brest cedex 9, France
| | - P Paule
- Service de cardiologie, HIA Clermont-Tonnerre, hôpital d'instruction des Armées, BCRM Brest, CC41, rue Colonel-Fonferrier, 29240 Brest cedex 9, France
| | - F Grassin
- Service des maladies respiratoires, HIA Clermont-Tonnerre, hôpital d'instruction des Armées, BCRM Brest, CC41, rue Colonel-Fonferrier, 29240 Brest cedex 9, France
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Ninot G, Soyez F, Fiocco S, Nassih K, Morin A, Prefaut C. Le VQ11, un questionnaire de qualité de vie spécifique à la BPCO utilisable en clinique. Rev Mal Respir 2010; 27:472-81. [DOI: 10.1016/j.rmr.2010.03.020] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2009] [Accepted: 11/25/2009] [Indexed: 10/19/2022]
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Dinh-Xuan AT, Chaouat A. L’hypertension artérielle pulmonaire : de nouveaux concepts pour une « vieille » maladie. Rev Mal Respir 2007; 24:415-6. [PMID: 17468698 DOI: 10.1016/s0761-8425(07)91564-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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