PMID- 9187177 OWN - NLM STAT- MEDLINE DCOM- 19970703 LR - 20190514 IS - 0012-3692 (Print) IS - 0012-3692 (Linking) VI - 111 IP - 6 DP - 1997 Jun TI - High-resolution CT scan in the evaluation of exercise-induced interstitial pulmonary edema in cardiac patients. PG - 1577-82 AB - OBJECTIVE: To evaluate the onset of exercise-induced interstitial pulmonary edema in cardiac patients by high-resolution CT (HRCT). DESIGN: Prospective, normal controlled. PARTICIPANTS: Thirty subjects divided into three groups: group 1--10 outpatients with chronic congestive heart failure (CCHF), New York Heart Association (NYHA) class I; group 2--10 outpatients with CCHF, NYHA class II/III; and group 3 (control)--10 normal subjects. METHOD: HRCT scans were obtained at rest and 4, 8, 12, 16, and 20 min after progressive treadmill exercise test. RESULTS: The following HRCT findings consistent with interstitial edema were significantly different (p<0.05) in group 2 when compared with groups 1 and 3: artery/bronchus ratio > 1 in the upper lobes, peripheral increase in the vascular markings, interlobular septal thickening, and peribronchial "cuffing." These differences were maximal at 12 min after exercise and returned to normal values after 20 min. CONCLUSION: Interstitial pulmonary edema was present immediately after exercise in CCHF patients. It may be important in the genesis of dyspnea of these patients. FAU - Brasileiro, F C AU - Brasileiro FC AD - Instituto do Coracao, Faculty of Medicine, University of Sao Paulo, Brazil. FAU - Vargas, F S AU - Vargas FS FAU - Kavakama, J I AU - Kavakama JI FAU - Leite, J J AU - Leite JJ FAU - Cukier, A AU - Cukier A FAU - Prefaut, C AU - Prefaut C LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Chest JT - Chest JID - 0231335 SB - IM MH - Adult MH - Analysis of Variance MH - Chronic Disease MH - Exercise/*physiology MH - Female MH - Heart Failure/complications/*diagnostic imaging MH - Humans MH - Lung/diagnostic imaging MH - Male MH - Middle Aged MH - Prospective Studies MH - Pulmonary Edema/*diagnostic imaging/etiology MH - Reference Values MH - Respiratory Function Tests MH - Statistics, Nonparametric MH - Time Factors MH - Tomography, X-Ray Computed/*methods/statistics & numerical data EDAT- 1997/06/01 00:00 MHDA- 1997/06/01 00:01 CRDT- 1997/06/01 00:00 PHST- 1997/06/01 00:00 [pubmed] PHST- 1997/06/01 00:01 [medline] PHST- 1997/06/01 00:00 [entrez] AID - S0012-3692(15)47045-X [pii] AID - 10.1378/chest.111.6.1577 [doi] PST - ppublish SO - Chest. 1997 Jun;111(6):1577-82. doi: 10.1378/chest.111.6.1577.