|
|
|||
This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the authors' clinical recommendations.
A 61-year-old woman is referred for pulmonary consultation. She smoked one pack of cigarettes a day for 45 years but quit a year ago. For 2 years she has noted progressive exertional dyspnea, with breathlessness occurring when she is
The Clinical Problem
Pathophysiology and Effect of Therapy
Clinical Evidence
Clinical Use
Adverse Effects
Areas of Uncertainty
Guidelines
Recommendations
Source Information
From the Rehabilitation Clinical Trials Center, Los Angeles Biomedical Research Institute at Harbor–UCLA Medical Center, Torrance, CA (R.C.); and St. Francis Hospital and Medical Center, Hartford, CT (R.Z.)
Address reprint requests to Dr. Casaburi at the Los Angeles Biomedical Research Institute at Harbor–UCLA Medical Center, 1124 W. Carson St., Bldg. J4, Torrance, CA 90502, or at casaburi@ucla.edu.
Related Letters:
Pulmonary Rehabilitation
Seijo L. M., Casaburi R., ZuWallack R.
Extract |
Full Text |
PDF
N Engl J Med 2009;
360:2678-2679, Jun 18, 2009.
Correspondence
This article has been cited by other articles:
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved. |