The 12-min Walking Distance; Its Use in the Pre-Operative Assessment of Patients with Bronchial Carcinoma before Lung Resection

Respiration ◽  
1984 ◽  
Vol 46 (4) ◽  
pp. 342-345 ◽  
Author(s):  
L.R. Bagg
Keyword(s):  
Lung Resection ◽  
Bronchial Carcinoma ◽  
Walking Distance ◽  
Operative Assessment

Lung resection for primary bronchial carcinoma in a patient with complete situs inversus

2006 ◽  
Vol 19 (4) ◽  
pp. 358-362 ◽  
Author(s):  
D. Subotich ◽  
D. Mandarich ◽  
V. Katchar ◽  
B. Bulajich ◽  
B. Drndarski
Keyword(s):  
Situs Inversus ◽  
Lung Resection ◽  
Bronchial Carcinoma ◽  
Complete Situs Inversus

scholarly journals The utility of transthoracic echocardiographic measures of right ventricular systolic function in a lung resection cohort

2019 ◽  
Vol 6 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Philip McCall ◽  
Alvin Soosay ◽  
John Kinsella ◽  
Piotr Sonecki ◽  
Ben Shelley
Keyword(s):  
Right Ventricular ◽  
Longitudinal Strain ◽  
Systolic Function ◽  
Characteristic Curve ◽  
Lung Resection ◽  
Reference Method ◽  
Predictive Ability ◽  
S Wave ◽  
Operative Assessment ◽  
Rv Function

Right ventricular (RV) dysfunction occurs following lung resection and is associated with post-operative complications and long-term functional morbidity. Accurate peri-operative assessment of RV function would have utility in this population. The difficulties of transthoracic echocardiographic (TTE) assessment of RV function may be compounded following lung resection surgery, and no parameters have been validated in this patient group. This study compares conventional TTE methods for assessing RV systolic function to a reference method in a lung resection population. Right ventricular index of myocardial performance (RIMP), fractional area change (FAC), tricuspid annular plane systolic excursion (TAPSE) and S′ wave velocity at the tricuspid annulus (S′), along with speckle tracked global and free wall longitudinal strain (RV-GPLS and RV-FWPLS respectively) are compared with RV ejection fraction obtained by cardiovascular magnetic resonance (RVEFCMR). Twenty-seven patients undergoing lung resection underwent contemporaneous CMR and TTE imaging; pre-operatively, on post-operative day two and at 2 months. Ability of each of the parameters to predict RV dysfunction (RVEFCMR<45%) was assessed using the area under the receiver operating characteristic curve (AUROCC). RIMP, FAC and S′ demonstrated no predictive value for poor RV function (AUROCC <0.61,P > 0.05). TAPSE performed marginally better with an AUROCC of 0.65 (P = 0.04). RV-GPLS and RV-FWPLS demonstrated good predictive ability with AUROCC’s of 0.74 and 0.76 respectively (P < 0.01 for both). This study demonstrates that the conventional TTE parameters of RV systolic function are inadequate following lung resection. Longitudinal strain performs better and offers some ability to determine poor RV function in this challenging population.

scholarly journals The 6-min walk test in the functional evaluation of patients with lung cancer qualified for lobectomy

2020 ◽  
Vol 30 (4) ◽  
pp. 559-564 ◽  
Author(s):  
Stefan Wesolowski ◽  
Tadeusz M Orlowski ◽  
Marek Kram
Keyword(s):  
Lung Cancer ◽  
Lung Resection ◽  
Operative Risk ◽  
Walking Distance ◽  
Functional Evaluation ◽  
Walk Test ◽  
Clinical Value ◽  
Exercise Tests ◽  
Retrospective Assessment ◽  
Cardiopulmonary Complications

Abstract OBJECTIVES The American College of Chest Physicians guidelines recommend low-technology exercise tests in the functional evaluation of patients with lung cancer considered for resectional surgery. However, the 6-min walk test (6MWT) is not included, because the data on its clinical value are inconsistent. Our goal was to evaluate the 6MWT in assessing the risk of cardiopulmonary complications in candidates for lung resection. METHODS We performed a retrospective assessment of clinical data and pulmonary function test results in 947 patients, mean age 65.3 (standard deviation 9.5) years, who underwent a single lobectomy for lung cancer. In 555 patients with predicted postoperative values ≤60%, the 6MWT was performed. The 6-min walking distance (6MWD) and the distance-saturation product (DSP), which is the product of the 6MWD in metres, and the lowest oxygen saturation registered during the test were assessed. RESULTS A total of 363 patients with predicted postoperative values &lt;60% and a 6MWT distance (6MWD) ≥400 m or DSP ≥ 350 m% had a lower rate of cardiopulmonary complications than patients with shorter 6MWD or lower DSP values [odds ratio (OR) 0.53, 95% confidence interval (CI) 0.35–0.81] and 0.47 (95% CI 0.30–0.73), respectively. This result was also true for patients with predicted postoperative values &lt;40%, ORs 0.33 (95% CI 0.14–0.79) and 0.25 (95% CI 0.10–0.61), respectively. CONCLUSIONS The 6MWT is useful in the assessment of operative risk in patients undergoing a single lobectomy for lung cancer. It helps to stratify the operative risk, which is lower in patients with 6MWD ≥400 m or DSP ≥350 m% than in patients with a shorter 6MWD or lower DSP values.

scholarly journals Survival after Lung Resection for Bronchial Carcinoma

Thorax ◽  
1955 ◽  
Vol 10 (3) ◽  
pp. 183-190 ◽  
Author(s):  
J. R. Bignall ◽  
A. J. Moon
Keyword(s):  
Lung Resection ◽  
Bronchial Carcinoma

815 Effects of pulmonary rehabilitation after lung resection for bronchial carcinoma

Lung Cancer ◽  
1997 ◽  
Vol 18 ◽  
pp. 210
Author(s):  
F. Fortin ◽  
J.M. Grosbois ◽  
B. Douay ◽  
J.M. Dernis
Keyword(s):  
Pulmonary Rehabilitation ◽  
Lung Resection ◽  
Bronchial Carcinoma

Inflammatory markers in exhaled breath condensate following lung resection for bronchial carcinoma

Respirology ◽  
2008 ◽  
Author(s):  
Wolfgang JUNGRAITHMAYR ◽  
Christina FRINGS ◽  
Gernot ZISSEL ◽  
Antje PRASSE ◽  
Bernward PASSLICK ◽  
...  
Keyword(s):  
Inflammatory Markers ◽  
Exhaled Breath Condensate ◽  
Lung Resection ◽  
Bronchial Carcinoma ◽  
Exhaled Breath ◽  
Breath Condensate

Ventilatory threshold is related to walking tolerance in patients with intermittent claudication

VASA ◽  
2012 ◽  
Vol 41 (4) ◽  
pp. 275-281 ◽  
Author(s):  
da Rocha Chehuen ◽  
G. Cucato ◽  
P. dos Anjos Souza Barbosa ◽  
A. R. Costa ◽  
M. Ritti-Dias ◽  
...  
Keyword(s):  
Blood Flow ◽  
Oxygen Uptake ◽  
Intermittent Claudication ◽  
Lower Limb ◽  
Ventilatory Threshold ◽  
Reactive Hyperemia ◽  
Ankle Brachial Index ◽  
Metabolic Parameters ◽  
Walking Distance ◽  
The Relationship

Background: This study assessed the relationship between lower limb hemodynamics and metabolic parameters with walking tolerance in patients with intermittent claudication (IC). Patients and methods: Resting ankle-brachial index (ABI), baseline blood flow (BF), BF response to reactive hyperemia (BFRH), oxygen uptake (VO2), initial claudication distance (ICD) and total walking distance (TWD) were measured in 28 IC patients. Pearson and Spearman correlations were calculated. Results: ABI, baseline BF and BF response to RH did not correlate with ICD or TWD. VO2 at first ventilatory threshold and VO2peak were significantly and positively correlated with ICD (r = 0.41 and 0.54, respectively) and TWD (r = 0.65 and 0.71, respectively). Conclusions: VO2peak and VO2 at first ventilatory threshold, but not ABI, baseline BF and BFHR were associated with walking tolerance in IC patients. These results suggest that VO2 at first ventilatory threshold may be useful to evaluate walking tolerance and improvements in IC patients.

Popliteal entrapment syndrome and age

VASA ◽  
2012 ◽  
Vol 41 (4) ◽  
pp. 262-268 ◽  
Author(s):  
Schweizer ◽  
Hügli ◽  
Koella ◽  
Jeanneret
Keyword(s):  
Risk Factors ◽  
Leg Pain ◽  
Walking Distance ◽  
Therapeutic Approaches ◽  
Long Distance ◽  
Entrapment Syndrome ◽  
Long Distance Running ◽  
Popliteal Entrapment ◽  
Popliteal Entrapment Syndrome ◽  
Atherosclerotic Risk Factors

On the occasion of diagnosing a popliteal entrapment syndrome in a 59-year old man with no cardiovascular risk factors, who developed acute ischemic leg pain during long distance running, we give an overview on this entity with emphasis on patients’age. The different types of the popliteal artery compression syndrome are summarized. The diagnostic and therapeutic approaches are discussed. The most important clinical sign of a popliteal entrapment syndrome is the lack of atherosclerotic risk factors in patients with limited walking distance. Not only in young athletes but also in patients more than 50 years old the popliteal entrapment syndrome has to be taken into account.

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