TY - JOUR
AU - Clarke, S.W
AB - C a se R eport R esp iratio n 1993;60:295-296 P.R. M ills Intractable Asthm a and S.W. C larke D epartm ent o f Thoracic Medicine, Mitral Stenosis Royal Free Hospital NHS Trust. H am pstead, London, UK Key Words Reversible airway obstruction Bronchial hyperresponsiveness Left ventricular dysfunction on auscultation. A loud pulmonary second sound was noted. On chest Clinically the presentation of asthma with airway ob­ examination she had marked bilateral wheeze and a peak expiratory struction is easily distinguished from pulmonary vascular flow rate (PE F R ) of 110 l/min. congestion and oedema [1], However, on occasions the Chest X-ray showed cardiomegaly (cardiothoracic ratio; 15/25), clinical features of the two can overlap and pose both a with an enlarged left atrial appendage and prom inent upper lobe blood diversion. An echocardiogram at this time showed tight mitral diagnostic and management dilemma unless the co-exis­ stenosis, with a valve area of 0.8 cm2. T here was m oderate tricuspid tence of the two conditions is recognized. regurgitation and also pulmonary hypertension (80 mm Hg + right We report 2 such cases and briefly review some of the atrial pressure). Pulmonary function tests after stabilisation on m 
TI - Intractable Asthma and Mitral Stenosis
JO - Respiration
DO - 10.1159/000196220
DA - 1993-01-01
UR - https://www.deepdyve.com/lp/karger/intractable-asthma-and-mitral-stenosis-P2Y03r1Jae
SP - 295
EP - 296
VL - 60
IS - 5
DP - DeepDyve
ER -